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帕金森病中的未成熟神经组织移植

Immature neural tissue grafts in Parkinson's disease.

作者信息

Widner H

机构信息

Department of Neurology, University Hospital, Lund, Sweden.

出版信息

Acta Neurol Scand Suppl. 1993;146:43-5.

PMID:8333253
Abstract

Intracerebral transplantation of immature neural tissue is a promising therapeutical approach that has the potential of restoring damaged neuronal circuitries and reversing functional deficits. The development of the technique as a human application has progressed the furthest in Parkinson's disease (PD), with the demonstration of significant longlasting functional improvements, in combination with evidence of surviving grafted tissue, using a fluorodopa positron emission tomography (PET) scanning technique in a few patients. Although the technique is promising, and the effects observed are significant and of clinical importance for the grafted patients in the best cases so far, there are still incomplete effects and no transplantation treatment is suggested since there are still several technical aspects that might further improve the outcome. The progress of the development in the field is briefly reviewed.

摘要

未成熟神经组织的脑内移植是一种很有前景的治疗方法,具有恢复受损神经回路和逆转功能缺陷的潜力。作为一种人类应用技术,该技术在帕金森病(PD)中的发展最为深入,通过氟多巴正电子发射断层扫描(PET)技术,在少数患者中证明了显著的长期功能改善以及移植组织存活的证据。尽管该技术很有前景,且迄今为止在最佳案例中观察到的效果对移植患者具有显著的临床意义,但仍存在不完全的效果,并且由于仍有几个技术方面可能进一步改善结果,因此尚未建议进行移植治疗。本文简要回顾了该领域的发展进程。

相似文献

1
Immature neural tissue grafts in Parkinson's disease.帕金森病中的未成熟神经组织移植
Acta Neurol Scand Suppl. 1993;146:43-5.
2
Fetal nigral grafts survive and mediate clinical benefit in a patient with Parkinson's disease.胎儿黑质移植在一名帕金森病患者体内存活并产生临床益处。
Mov Disord. 1998 May;13(3):383-93. doi: 10.1002/mds.870130303.
3
Update on fetal transplantation: the Swedish experience.胎儿移植的最新进展:瑞典的经验。
Mov Disord. 1998;13 Suppl 1:83-7.
4
A functional assessment of embryonic dopaminergic grafts in the marmoset.
Prog Brain Res. 1990;82:535-42. doi: 10.1016/s0079-6123(08)62644-8.
5
Transplanted allogeneic fetal dopamine neurons survive and improve motor function in idiopathic Parkinson's disease.移植的同种异体胎儿多巴胺神经元在特发性帕金森病中存活并改善运动功能。
Transplant Proc. 1991 Feb;23(1 Pt 1):793-5.
6
Histological analysis of fetal dopamine cell suspension grafts in two patients with Parkinson's disease gives promising results.对两名帕金森病患者的胎儿多巴胺细胞悬浮移植体进行的组织学分析给出了有前景的结果。
Brain. 2005 Jul;128(Pt 7):1478-9. doi: 10.1093/brain/awh570.
7
Evidence for target-specific nerve fiber outgrowth from subpopulations of grafted dopaminergic neurons: a retrograde tracing study using in oculo and intracranial grafting.移植的多巴胺能神经元亚群中靶标特异性神经纤维生长的证据:一项使用眼内和颅内移植的逆行追踪研究。
Exp Neurol. 2001 Jun;169(2):329-39. doi: 10.1006/exnr.2001.7658.
8
Clinical application of neuronal grafts in Parkinson's disease.神经元移植在帕金森病中的临床应用。
J Neurol. 1994 Dec;242(1 Suppl 1):S54-6. doi: 10.1007/BF00939243.
9
Evidence for long-term survival and function of dopaminergic grafts in progressive Parkinson's disease.多巴胺能移植在进展性帕金森病中的长期存活及功能证据。
Ann Neurol. 1994 Feb;35(2):172-80. doi: 10.1002/ana.410350208.
10
Embryonic dopamine cell implants as a treatment for the second phase of Parkinson's disease. Replacing failed nerve terminals.胚胎多巴胺细胞植入作为帕金森病第二阶段的一种治疗方法。替代失效的神经末梢。
Adv Neurol. 1993;60:721-8.

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