Liaoning Provincial Key Laboratory for Research on the Pathogenic Mechanisms of Neurological Diseases, The First Affiliated Hospital, Dalian Medical University, Dalian, 116021, People's Republic of China.
Institute of Neurology, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, Chengdu, 610072, People's Republic of China.
Int J Nanomedicine. 2023 Feb 3;18:611-626. doi: 10.2147/IJN.S395010. eCollection 2023.
Neurodegeneration is characterized by progressive, disabling, and incurable neurological disorders with the massive loss of specific neurons. As one of the most promising potential therapeutic strategies for neurodegenerative diseases, stem cell therapy exerts beneficial effects through different mechanisms, such as direct replacement of damaged or lost cells, secretion of neurotrophic and growth factors, decreased neuroinflammation, and activation of endogenous stem cells. However, poor survival and differentiation rates of transplanted stem cells, insufficient homing ability, and difficulty tracking after transplantation limit their further clinical use. The rapid development of nanotechnology provides many promising nanomaterials for biomedical applications, which already have many applications in neurodegenerative disease treatment and seem to be able to compensate for some of the deficiencies in stem cell therapy, such as transport of stem cells/genes/drugs, regulating stem cell differentiation, and real-time tracking in stem cell therapy. Therefore, nanotherapeutic strategies combined with stem cell therapy is a promising therapeutic approach to treating neurodegenerative diseases. The present review systematically summarizes recent advances in stem cell therapeutics and nanotherapeutic strategies and highlights how they can be combined to improve therapeutic efficacy for the treatment of neurodegenerative diseases.
神经退行性变的特征是进行性、致残性和不可治愈的神经紊乱,伴随着特定神经元的大量丧失。作为神经退行性疾病最有前途的潜在治疗策略之一,干细胞疗法通过不同的机制发挥有益作用,如直接替代受损或丢失的细胞、分泌神经营养和生长因子、减少神经炎症和激活内源性干细胞。然而,移植干细胞的存活率和分化率低、归巢能力不足以及移植后难以跟踪等问题限制了其进一步的临床应用。纳米技术的快速发展为生物医学应用提供了许多有前途的纳米材料,这些材料已经在神经退行性疾病的治疗中得到了广泛应用,并且似乎能够弥补干细胞疗法的一些不足,如干细胞/基因/药物的输送、调节干细胞分化以及干细胞治疗中的实时跟踪等。因此,将纳米治疗策略与干细胞疗法相结合是治疗神经退行性疾病的一种很有前途的治疗方法。本综述系统地总结了干细胞治疗和纳米治疗策略的最新进展,并强调了它们如何结合以提高治疗神经退行性疾病的疗效。