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脑出血的干细胞治疗:临床前和临床研究综述。

Stem Cell Therapies for Intracerebral Hemorrhage: Review of Preclinical and Clinical Studies.

机构信息

Department of Neurosurgery, Hokkaido University Hospital, Sapporo, Japan.

出版信息

Cell Transplant. 2023 Jan-Dec;32:9636897231158153. doi: 10.1177/09636897231158153.

Abstract

Despite recent developments in the treatments for ischemic stroke, such as tissue plasminogen activator (t-PA) and thrombectomy, effective therapies for intracerebral hemorrhage (ICH) remain scarce. Stem cell therapies have attracted considerable attention owing to their potential neuro-regenerative ability; preclinical and clinical studies have been conducted to explore strategies for achieving functional recovery following ICH. In this review, we summarize the findings of preclinical studies on stem cell therapies of ICH, with a focus on different animal models, stem cell sources, transplantation methods, and their potential mechanisms of action. We also provide an overview of data from clinical trials to discuss the current status and future perspectives. Understanding the effectiveness and limitations of stem cell therapy and the future prospects could expand the applications of this novel therapeutic approach for ICH.

摘要

尽管目前在缺血性脑卒中的治疗方面取得了一些进展,如组织型纤溶酶原激活物(t-PA)和血栓切除术,但针对脑出血(ICH)的有效治疗方法仍然有限。由于干细胞具有潜在的神经再生能力,因此干细胞疗法引起了广泛关注;已经进行了临床前和临床研究,以探索在 ICH 后实现功能恢复的策略。在本综述中,我们总结了关于 ICH 干细胞治疗的临床前研究结果,重点介绍了不同的动物模型、干细胞来源、移植方法以及它们潜在的作用机制。我们还概述了临床试验数据,以讨论当前的状况和未来的前景。了解干细胞治疗的有效性和局限性以及未来的前景,可能会扩大这种新型治疗方法在 ICH 中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5750/9969479/0b1f32571169/10.1177_09636897231158153-fig1.jpg

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