Division of Pediatric Hematology, Oncology and Stem Cell Transplantation, Department of Women and Child's Health, University of Padova and Padova University Hospital, Padova, Italy.
Neurotherapeutics. 2024 Jul;21(4):e00440. doi: 10.1016/j.neurot.2024.e00440. Epub 2024 Sep 14.
Microglia play fundamental roles in multiple pathological primary and secondary processes affecting the central nervous system that ultimately result in neurodegeneration and for this reason they are considered as a key therapeutic target in several neurodegenerative diseases. Microglia-targeted therapies are directed at either restoring or modulating microglia function, to redirect their functional features toward neuroprotection. Among these strategies, hematopoietic stem cell gene therapy have proven to be endowed with a unique potential for replacing diseased microglia with engineered, transplant progeny cells that can integrate and exert relevant beneficial effects in the central nervous system of patients affected by inherited and acquired neurodegenerative conditions.
小胶质细胞在影响中枢神经系统的多种原发性和继发性病理过程中发挥着重要作用,最终导致神经退行性变,因此它们被认为是几种神经退行性疾病的关键治疗靶点。针对小胶质细胞的治疗方法旨在恢复或调节小胶质细胞的功能,以使它们的功能特征向神经保护方向转变。在这些策略中,造血干细胞基因治疗已被证明具有独特的潜力,可以用工程化的移植祖细胞替代病变的小胶质细胞,这些细胞可以整合并在受遗传性和获得性神经退行性疾病影响的患者的中枢神经系统中发挥相关的有益作用。