Giorgi Chiara, Castelli Vanessa, d'Angelo Michele, Cimini Annamaria
Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy.
Biomedicines. 2024 Apr 16;12(4):877. doi: 10.3390/biomedicines12040877.
Stroke is a common neurological disorder, the second leading cause of death, and the third leading cause of disability. Unfortunately, the only approved drug for it is tissue plasminogen, but the therapeutic window is limited. In this context, preclinical studies are relevant to better dissect the underlying mechanisms of stroke and for the drug screening of potential therapies. Brain organoids could be relevant in this setting. They are derived from pluripotent stem cells or isolated organ progenitors that differentiate to form an organ-like tissue, exhibiting multiple cell types that self-organize to form a structure not unlike the organ in vivo. Brain organoids mimic many key features of early human brain development at molecular, cellular, structural, and functional levels and have emerged as novel model systems that can be used to investigate human brain diseases including stroke. Brain organoids are a promising and powerful tool for ischemic stroke studies; however, there are a few concerns that need to be addressed, including the lack of vascularization and the many cell types that are typically present in the human brain. The aim of this review is to discuss the potential of brain organoids as a novel model system for studying ischemic stroke, highlighting both the advantages and disadvantages in the use of this technology.
中风是一种常见的神经系统疾病,是第二大致死原因和第三大致残原因。不幸的是,唯一被批准用于治疗中风的药物是组织纤溶酶原,但治疗窗口有限。在此背景下,临床前研究对于更好地剖析中风的潜在机制以及筛选潜在治疗药物具有重要意义。脑类器官在这种情况下可能具有相关性。它们源自多能干细胞或分离的器官祖细胞,这些细胞分化形成类似器官的组织,呈现出多种细胞类型,这些细胞自我组织形成一种与体内器官相似的结构。脑类器官在分子、细胞、结构和功能水平上模拟了人类早期大脑发育的许多关键特征,并已成为可用于研究包括中风在内的人类脑部疾病的新型模型系统。脑类器官是缺血性中风研究中一种有前景且强大的工具;然而,仍有一些问题需要解决,包括缺乏血管化以及人类大脑中通常存在的多种细胞类型。本综述的目的是讨论脑类器官作为研究缺血性中风的新型模型系统的潜力,突出使用该技术的优缺点。