Sharma Anjna, Sharma Ameya, Dheer Divya, Sharma Raghu Rai, Puri Vivek, Bibi Shabana, Shamas Amina, Memon Sameeullah, Goyal Rajat, Chopra Hitesh
Chitkara University School of Pharmacy, Chitkara University, Himachal Pradesh.
Chemical Biology Unit, Institute of Nano Science and Technology, Knowledge City, Punjab, India.
Int J Surg. 2024 Nov 1;110(11):6873-6882. doi: 10.1097/JS9.0000000000002001.
Hepatic encephalopathy and other neurodegenerative disorders have profound implications for extensive liver impairment, calling for new ways of treating the condition. The application of stem cell transplantation to treat these severe disorders is a new and encouraging technique. This review article digs deep into the subject of stem cell transplantation therapy, neurodegenerative disorders associated with advanced liver damage, and liver transplantation. It comprehensively analyses the background, rationale, scope, and objectives of using stem cells to treat such challenging conditions. The topic of discussion includes the subtleties of neurodegenerative disorders, the function of liver transplantation, and the possible advantages and disadvantages associated with it. The relevance of patient selection, intraoperative concerns and post-transplant care is discussed. Further, the article explores how stem cell-based therapies can benefit from nanotechnology, specifically how it can improve stem cell distribution, survival, and integration for better therapeutic results. This review aims to offer a thorough analysis of regenerative medicine's present and future possibilities in dealing with the intricate relationship between neurodegeneration and liver damage. It does this by examining the efficacy, safety, and long-term impacts of stem cell transplantation in treating neurodegenerative disorders associated with advanced liver damage. This will incorporate insights from ongoing clinical trials, the patent landscape, and future directions. The goal is to pave the way for innovative and personalized treatment approaches in this evolving research and clinical practice field. Therefore, these efforts represent a promising frontier in medical research that can alleviate the burden of HE and associated neurological complications combined with liver cirrhosis.
肝性脑病和其他神经退行性疾病对广泛的肝脏损害具有深远影响,因此需要新的治疗方法。应用干细胞移植治疗这些严重疾病是一项新的且令人鼓舞的技术。这篇综述文章深入探讨了干细胞移植治疗、与晚期肝损伤相关的神经退行性疾病以及肝移植等主题。它全面分析了使用干细胞治疗此类具有挑战性疾病的背景、原理、范围和目标。讨论的主题包括神经退行性疾病的细微差别、肝移植的作用以及与之相关的可能的优缺点。还讨论了患者选择的相关性、术中注意事项和移植后护理。此外,文章探讨了基于干细胞的疗法如何从纳米技术中受益,特别是纳米技术如何改善干细胞的分布、存活和整合以获得更好的治疗效果。这篇综述旨在全面分析再生医学在处理神经退行性变与肝损伤之间复杂关系方面的现状和未来可能性。它通过研究干细胞移植治疗与晚期肝损伤相关的神经退行性疾病的疗效、安全性和长期影响来实现这一目标。这将纳入正在进行的临床试验的见解、专利情况和未来方向。目标是在这个不断发展的研究和临床实践领域为创新和个性化的治疗方法铺平道路。因此,这些努力代表了医学研究中一个有前景的前沿领域,有望减轻肝性脑病及相关神经并发症合并肝硬化的负担。