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干细胞:重新定义癫痫治疗的最新进展。

Stem Cells: Recent Developments Redefining Epilepsy Therapy.

机构信息

University of South Florida Morsani College of Medicine, Tampa, FL, USA.

Department of Pharmaceutical and Administrative Sciences, Loma Linda University, Loma Linda, CA, USA.

出版信息

Cell Transplant. 2023 Jan-Dec;32:9636897231158967. doi: 10.1177/09636897231158967.

DOI:10.1177/09636897231158967
PMID:36919673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10021095/
Abstract

The field of stem cell therapy is growing rapidly and hopes to offer an alternative solution to diseases that are historically treated medically or surgically. One such focus of research is the treatment of medically refractory epilepsy, which is traditionally approached from a surgical or interventional standpoint. Research shows that stem cell transplantation has potential to offer significant benefits to the epilepsy patient by reducing seizure frequency, intensity, and neurological deficits that often result from the condition. This review explores the basic science progress made on the topic of stem cells and epilepsy by focusing on experiments using animal models and highlighting the most recent developments from the last 4 years.

摘要

干细胞治疗领域发展迅速,有望为历史上采用药物或手术治疗的疾病提供另一种解决方案。其中一个研究重点是治疗药物难治性癫痫,传统上从手术或介入角度来处理这种疾病。研究表明,干细胞移植通过减少癫痫发作的频率、强度和由此产生的神经功能缺损,为癫痫患者带来了显著的益处。本综述通过关注使用动物模型的实验,探讨了干细胞与癫痫这一主题的基础科学进展,并强调了过去 4 年的最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0331/10021095/22144dc3aa61/10.1177_09636897231158967-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0331/10021095/22144dc3aa61/10.1177_09636897231158967-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0331/10021095/22144dc3aa61/10.1177_09636897231158967-fig1.jpg

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引用本文的文献

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Rewiring the seizing brain: stem cell grafts as neuromodulatory architects in epilepsy therapy.重塑癫痫发作的大脑:干细胞移植作为癫痫治疗中的神经调节构建者
Front Neurol. 2025 Aug 22;16:1596484. doi: 10.3389/fneur.2025.1596484. eCollection 2025.
2
Stem cell repair strategies for epilepsy.癫痫的干细胞修复策略
Neural Regen Res. 2026 Apr 1;21(4):1428-1446. doi: 10.4103/NRR.NRR-D-24-01337. Epub 2025 Jun 19.
3
Extracellular vesicle therapy in neurological disorders.细胞外囊泡治疗神经系统疾病。

本文引用的文献

1
Hippocampal transplants of fetal GABAergic progenitors regulate adult neurogenesis in mice with temporal lobe epilepsy.胎鼠 GABA 能祖细胞海马移植调节颞叶癫癎模型成年神经发生。
Neurobiol Dis. 2022 Nov;174:105879. doi: 10.1016/j.nbd.2022.105879. Epub 2022 Sep 29.
2
Grafted hPSC-derived GABA-ergic interneurons regulate seizures and specific cognitive function in temporal lobe epilepsy.移植的人多能干细胞衍生的γ-氨基丁酸能中间神经元可调节颞叶癫痫中的癫痫发作和特定认知功能。
NPJ Regen Med. 2022 Aug 1;7(1):38. doi: 10.1038/s41536-022-00234-7.
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Stem Cell Therapy in Treating Epilepsy.
J Biomed Sci. 2024 Aug 25;31(1):85. doi: 10.1186/s12929-024-01075-w.
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Stem cell therapies for neurological disorders: current progress, challenges, and future perspectives.神经障碍的干细胞疗法:当前进展、挑战与未来展望。
Eur J Med Res. 2024 Jul 25;29(1):386. doi: 10.1186/s40001-024-01987-1.
干细胞疗法治疗癫痫
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Antiseizure Medications for Adults With Epilepsy: A Review.成人癫痫患者的抗癫痫药物:综述
JAMA. 2022 Apr 5;327(13):1269-1281. doi: 10.1001/jama.2022.3880.
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Neurogenic and cognitive enhancing effects of human dental pulp stem cells and its secretome in animal model of hippocampal neurodegeneration.牙髓干细胞及其外泌体对海马神经退行性变动物模型的神经发生和认知增强作用。
Brain Res Bull. 2022 Mar;180:46-58. doi: 10.1016/j.brainresbull.2021.12.012. Epub 2022 Jan 1.
6
Human Stem Cell-Derived GABAergic Interneurons Establish Efferent Synapses onto Host Neurons in Rat Epileptic Hippocampus and Inhibit Spontaneous Recurrent Seizures.人源神经干细胞衍生的 GABA 能中间神经元在大鼠癫痫海马中建立传出性突触并抑制自发性反复发作。
Int J Mol Sci. 2021 Dec 8;22(24):13243. doi: 10.3390/ijms222413243.
7
Neuropharmacology of Antiseizure Drugs.抗癫痫药物的神经药理学。
Neuropsychopharmacol Rep. 2021 Sep;41(3):336-351. doi: 10.1002/npr2.12196. Epub 2021 Jul 23.
8
Clinical benefits of single vs repeated courses of mesenchymal stem cell therapy in epilepsy patients.癫痫患者单次与多次间充质干细胞治疗的临床获益。
Clin Neurol Neurosurg. 2021 Aug;207:106736. doi: 10.1016/j.clineuro.2021.106736. Epub 2021 Jun 8.
9
Antioxidant activity of mesenchymal stem cell-derived extracellular vesicles restores hippocampal neurons following seizure damage.骨髓间充质干细胞来源的细胞外囊泡的抗氧化活性可修复癫痫损伤后的海马神经元。
Theranostics. 2021 Apr 3;11(12):5986-6005. doi: 10.7150/thno.58632. eCollection 2021.
10
Multipronged Attack of Stem Cell Therapy in Treating the Neurological and Neuropsychiatric Symptoms of Epilepsy.干细胞疗法对癫痫神经和神经精神症状的多管齐下治疗
Front Pharmacol. 2021 Mar 17;12:596287. doi: 10.3389/fphar.2021.596287. eCollection 2021.