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间充质干细胞在帕金森病中的预期作用。

The prospective role of mesenchymal stem cells in Parkinson's disease.

机构信息

Department of Pharmacology, Dr. D. Y. Patil Institute of Pharmaceutical Sciences and Research, Pimpri, Pune, 411018, India.

Department of Pharmacology, Dr. D. Y. Patil Institute of Pharmaceutical Sciences and Research, Pimpri, Pune, 411018, India.

出版信息

Parkinsonism Relat Disord. 2024 Oct;127:107087. doi: 10.1016/j.parkreldis.2024.107087. Epub 2024 Aug 10.

Abstract

Parkinson's disease (PD) is a stressful neurodegenerative disorder affecting millions worldwide. PD leads to debilitating motor and cognitive symptoms such as tremors, rigidity, and difficulty walking. Current therapies for PD are symptomatic and don't address the root cause. Therefore, there is an urgent need for better management and intensive research into alternative therapies. Mesenchymal stem cell (MSC) therapy is among the leading contenders among these promising avenues. We examined preclinical and clinical evidence demonstrating the neuroprotective, anti-inflammatory, and regenerative properties of the MSCs. This review focuses on the complex pathophysiological mechanisms of PD, as well as the perspectives of MSCs and their derivatives, such as secretomes and exosomes, in the clinical management of PD. We also analyzed the challenges and limitations of each approach, including delivery methods, timing of administration, and long-term safety considerations.

摘要

帕金森病(PD)是一种影响全球数百万人的应激性神经退行性疾病。PD 导致震颤、僵硬和行走困难等致残性运动和认知症状。目前 PD 的治疗方法是对症治疗,不能解决根本原因。因此,迫切需要更好的管理和对替代疗法的深入研究。间充质干细胞(MSC)疗法是这些有前途的方法中最主要的候选方法之一。我们研究了临床前和临床证据,证明了 MSC 的神经保护、抗炎和再生特性。本综述重点介绍了 PD 的复杂病理生理学机制,以及 MSC 及其衍生物(如分泌组和外泌体)在 PD 临床管理中的观点。我们还分析了每种方法的挑战和局限性,包括给药方法、给药时间和长期安全性考虑。

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