细胞疗法在治疗神经疾病中的作用与局限性。
Role and limitation of cell therapy in treating neurological diseases.
作者信息
Li Yu-Qi, Li Peng-Fei, Tao Qian, Abuqeis Issam J A, Xiyang Yan-Bin
机构信息
State Key Laboratory of Primate Biomedical Research, Institute of Primate Translational Medicine Kunming University of Science and Technology Kunming China.
School of Basic Medicine Kunming Medical University Kunming China.
出版信息
Ibrain. 2024 Mar 12;10(1):93-105. doi: 10.1002/ibra.12152. eCollection 2024 Spring.
The central role of the brain in governing systemic functions within human physiology underscores its paramount significance as the focal point of physiological regulation. The brain, a highly sophisticated organ, orchestrates a diverse array of physiological processes encompassing motor control, sensory perception, cognition, emotion, and the regulation of vital functions, such as heartbeat, respiration, and hormonal equilibrium. A notable attribute of neurological diseases manifests as the depletion of neurons and the occurrence of tissue necrosis subsequent to injury. The transplantation of neural stem cells (NSCs) into the brain exhibits the potential for the replacement of lost neurons and the reconstruction of neural circuits. Furthermore, the transplantation of other types of cells in alternative locations can secrete nutritional factors that indirectly contribute to the restoration of nervous system equilibrium and the mitigation of neural inflammation. This review summarized a comprehensive investigation into the role of NSCs, hematopoietic stem cells, mesenchymal stem cells, and support cells like astrocytes and microglia in alleviating neurological deficits after cell infusion. Moreover, a thorough assessment was undertaken to discuss extant constraints in cellular transplantation therapies, concurrently delineating indispensable model-based methodologies, specifically on organoids, which were essential for guiding prospective research initiatives in this specialized field.
大脑在人体生理学中对全身功能的调控起着核心作用,这凸显了其作为生理调节焦点的至关重要性。大脑是一个高度复杂的器官,它协调着各种各样的生理过程,包括运动控制、感觉感知、认知、情感以及诸如心跳、呼吸和激素平衡等 vital 功能的调节。神经疾病的一个显著特征表现为神经元的耗竭以及损伤后组织坏死的发生。将神经干细胞(NSCs)移植到大脑中显示出替代丢失神经元和重建神经回路的潜力。此外,在其他位置移植其他类型的细胞可以分泌营养因子,间接有助于恢复神经系统平衡和减轻神经炎症。本综述总结了对神经干细胞、造血干细胞、间充质干细胞以及星形胶质细胞和小胶质细胞等支持细胞在细胞输注后减轻神经功能缺损方面作用的全面研究。此外,还进行了全面评估,以讨论细胞移植疗法中现有的限制,同时描绘了基于模型的不可或缺的方法,特别是关于类器官的方法,这些方法对于指导该专业领域未来的研究计划至关重要。