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干细胞减轻缺血性中风与多发性硬化症的炎症串扰:综述。

Stem Cells Attenuate the Inflammation Crosstalk Between Ischemic Stroke and Multiple Sclerosis: A Review.

机构信息

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

Center of Excellence for Aging & Brain Repair, Department of Neurosurgery & Brain Repair, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.

出版信息

Cell Transplant. 2023 Jan-Dec;32:9636897231184596. doi: 10.1177/09636897231184596.

DOI:10.1177/09636897231184596
PMID:37515536
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10387781/
Abstract

The immense neuroinflammation induced by multiple sclerosis (MS) promotes a favorable environment for ischemic stroke (IS) development, making IS a deadly complication of MS. The overlapping inflammation in MS and IS is a prelude to the vascular pathology, and an inherent cell death mechanism that exacerbates neurovascular unit (NVU) impairment in the disease progression. Despite this consequence, no therapies focus on reducing IS incidence in patients with MS. To this end, the preclinical and clinical evidence we review here argues for cell-based regenerative medicine that will augment the NVU dysfunction and inflammation to ameliorate IS risk.

摘要

多发性硬化症(MS)引起的巨大神经炎症促进了缺血性中风(IS)的发展,使 IS 成为 MS 的致命并发症。MS 和 IS 中的重叠炎症是血管病理学的前奏,也是一种内在的细胞死亡机制,加剧了疾病进展中神经血管单元(NVU)的损伤。尽管有这样的后果,但没有任何治疗方法专注于降低 MS 患者的 IS 发病率。为此,我们在这里回顾的临床前和临床证据表明,细胞再生医学将增强 NVU 的功能障碍和炎症,以降低 IS 的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b332/10387781/7afd9d25b97b/10.1177_09636897231184596-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b332/10387781/7afd9d25b97b/10.1177_09636897231184596-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b332/10387781/7afd9d25b97b/10.1177_09636897231184596-fig1.jpg

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本文引用的文献

1
No evidence of oligoclonal bands, intrathecal immunoglobulin synthesis and B cell recruitment in acute ischemic stroke.在急性缺血性脑卒中患者中并未发现寡克隆带、鞘内免疫球蛋白合成和 B 细胞募集。
PLoS One. 2023 Mar 31;18(3):e0283476. doi: 10.1371/journal.pone.0283476. eCollection 2023.
2
The central role of peripheral inflammation in ischemic stroke.外周炎症在缺血性脑卒中的核心作用。
J Cereb Blood Flow Metab. 2023 May;43(5):622-641. doi: 10.1177/0271678X221149509. Epub 2023 Jan 5.
3
The role of the gut microbiota in multiple sclerosis.
肠道微生物群在多发性硬化症中的作用。
Nat Rev Neurol. 2022 Sep;18(9):544-558. doi: 10.1038/s41582-022-00697-8. Epub 2022 Aug 5.
4
The Role of Concomitant Nrf2 Targeting and Stem Cell Therapy in Cerebrovascular Disease.Nrf2靶向与干细胞疗法联合应用在脑血管疾病中的作用
Antioxidants (Basel). 2022 Jul 26;11(8):1447. doi: 10.3390/antiox11081447.
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Metabolic Switching of Cultured Mesenchymal Stem Cells Creates Super Mitochondria in Rescuing Ischemic Neurons.培养间充质干细胞的代谢转换在拯救缺血神经元中产生超级线粒体。
Neuromolecular Med. 2023 Mar;25(1):120-124. doi: 10.1007/s12017-022-08720-3. Epub 2022 Jul 20.
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Adipose-derived mesenchymal stem cells reduced transient cerebral ischemia injury by modulation of inflammatory factors and AMPK signaling.脂肪间充质干细胞通过调节炎症因子和 AMPK 信号通路减轻短暂性脑缺血损伤。
Behav Brain Res. 2022 Sep 5;433:114001. doi: 10.1016/j.bbr.2022.114001. Epub 2022 Jul 7.
7
Bone marrow hematopoiesis drives multiple sclerosis progression.骨髓造血驱动多发性硬化症进展。
Cell. 2022 Jun 23;185(13):2234-2247.e17. doi: 10.1016/j.cell.2022.05.020. Epub 2022 Jun 15.
8
The Blood-Brain Barrier-A Key Player in Multiple Sclerosis Disease Mechanisms.血脑屏障——多发性硬化症发病机制中的关键因素。
Biomolecules. 2022 Apr 2;12(4):538. doi: 10.3390/biom12040538.
9
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