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间充质干细胞治疗神经系统疾病:原力的光明面还是黑暗面?

英文原题:Mesenchymal stem cell therapy for neurological disorders: The light or the dark side of the force?

查看英文原题

Mesenchymal stem cell therapy for neurological disorders: The light or the dark side of the force?

PubMed 2023/02/28(内容时间) Front Bioeng Biotechnol Q1 · IF 5.8(JCR 2025)

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中文摘要

神经系统疾病是全球死亡和残疾的主要原因之一,因此构成重大公共卫生挑战。随着人们认识到这些疾病带来的巨大负担,也逐渐发现可用治疗选择极为有限,且往往疗效不佳。为应对这些问题,现代研究日益关注更先进、有效的神经系统疾病患者治疗方法,其中之一是细胞疗法。本综述批判性分析一种可用于治疗多种神经系统疾病的干细胞类型——间充质干细胞(MSC)的特征、挑战和前景。尽管多项研究已证实MSC疗法的安全性,该领域仍对其免疫相容性、异质性、干性稳定性及一系列不良作用存有顾虑,其中包括促肿瘤作用。我们还考察MSC在体内外研究中的作用机制,并详述既往和正在进行的帕金森病、阿尔茨海默病、缺血性卒中、多形性胶质母细胞瘤及多发性硬化症临床试验结果。最后,本综述讨论以生物材料为基础的MSC疗法前景,以及利用电磁场促进MSC增殖和分化为神经元细胞的可能性。

展开英文摘要原文

Neurological disorders are recognized as major causes of death and disability worldwide. Because of this, they represent one of the largest public health challenges. With awareness of the massive burden associated with these disorders, came the recognition that treatment options were disproportionately scarce and, oftentimes, ineffective. To address these problems, modern research is increasingly looking into novel, more effective methods to treat neurological patients; one of which is cell-based therapies.

In this review, we present a critical analysis of the features, challenges, and prospects of one of the stem cell types that can be employed to treat numerous neurological disorders-mesenchymal stem cells (MSCs). Despite the fact that several studies have already established the safety of MSC-based treatment approaches, there are still some reservations within the field regarding their immunocompatibility, heterogeneity, stemness stability, and a range of adverse effects-one of which is their tumor-promoting ability.

We additionally examine MSCs' mechanisms of action with respect to in vitro and in vivo research as well as detail the findings of past and ongoing clinical trials for Parkinson's and Alzheimer's disease, ischemic stroke, glioblastoma multiforme, and multiple sclerosis.

Finally, this review discusses prospects for MSC-based therapeutics in the form of biomaterials, as well as the use of electromagnetic fields to enhance MSCs' proliferation and differentiation into neuronal cells.

论文信息

作者
Isaković J、Šerer K、Barišić B、Mitrečić D
第一作者单位
Omnion Research International, Zagreb, Croatia.
通讯作者单位
Department of Histology and Embryology, University of Zagreb School of Medicine, Zagreb, Croatia.
文献类型
综述
期刊
Frontiers in bioengineering and biotechnology2023
原文标识
PubMed 36926687 · DOI 10.3389/fbioe.2023.1139359