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干细胞诱导周围神经再生的潜力:从动物模型到临床试验

Potential of Stem-Cell-Induced Peripheral Nerve Regeneration: From Animal Models to Clinical Trials.

作者信息

Wynne Taylor M, Fritz Virginia Grey, Simmons Zachary T, Zahed Malek, Seth Ananya, Abbasi Tamir, Reymundi Michael J, Roballo Kelly C S

机构信息

Department of Biomedical, Edward Via College of Osteopathic Medicine, Blacksburg, VA 24060, USA.

Department of Biomedical Sciences and Pathobiology, Virginia Maryland College of Veterinary Medicine, Virginia Tech, Blacksburg, VA 24061, USA.

出版信息

Life (Basel). 2024 Nov 23;14(12):1536. doi: 10.3390/life14121536.

Abstract

Peripheral nerve injury has become an increasingly prevalent clinical concern, causing great morbidity in the community. Although there have been significant advancements in the treatment of peripheral nerve damage in recent years, the issue of long-term nerve regeneration remains. Furthermore, Wallerian degeneration has created an obstacle to long-term nerve regeneration. For this reason, there has been extensive research on the use of exogenous and endogenous stem cells as an adjunct or even primary treatment option for peripheral nerve injury. The plasticity and inducibility of stem cells make them an enticing option for initiating neuronal cell regrowth and optimal sensory and functional nerve regeneration. Peripheral nerve injury has a broad range of causative factors and etiologies. As such, unique stem cell-induced peripheral nerve treatments are being investigated to ameliorate the damage incited by all causes, including trauma, neuropathy, and systemic neurodegenerative diseases. This review is oriented to outline the potential role of stem cell therapies in peripheral nerve injury versus the current standards of care, compare the benefits and drawbacks of specific stem cell lines under investigation, and highlight the current models of stem cell therapy in the peripheral nervous system, with the ultimate goal of narrowing down and optimizing the role and scope of stem cell therapy in peripheral nerve injury.

摘要

周围神经损伤已成为临床上日益普遍关注的问题,在社会中造成了巨大的发病率。尽管近年来周围神经损伤的治疗取得了重大进展,但长期神经再生问题依然存在。此外,沃勒变性对长期神经再生造成了障碍。因此,人们对外源性和内源性干细胞作为周围神经损伤的辅助甚至主要治疗选择进行了广泛研究。干细胞的可塑性和诱导性使其成为启动神经元细胞再生以及实现最佳感觉和功能性神经再生的诱人选择。周围神经损伤有多种致病因素和病因。因此,正在研究独特的干细胞诱导的周围神经治疗方法,以改善包括创伤、神经病变和全身性神经退行性疾病等各种原因引起的损伤。本综述旨在概述干细胞疗法相对于当前护理标准在周围神经损伤中的潜在作用,比较正在研究的特定干细胞系的优缺点,并突出周围神经系统中当前的干细胞治疗模型,最终目标是缩小并优化干细胞疗法在周围神经损伤中的作用和范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5369/11679741/de585dd58b53/life-14-01536-g001.jpg

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