Hippocampal neural stem cells in Alzheimer's disease: bridging neurogenesis, extracellular vesicles, and multimodal therapeutic paradigms.

IF 1.5 4区 医学 Q4 NEUROSCIENCES
Ruoyu Li, Wenrui Xiong, Chong Sun
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引用次数: 0

Abstract

Alzheimer's disease (AD) presents a formidable challenge in neurodegenerative medicine because of its complex pathophysiology and the absence of effective disease-modifying therapies. Emerging evidence suggests that impaired adult hippocampal neurogenesis (AHN), a dynamic process essential for cognitive plasticity, is a mechanistic contributor to AD progression. This review highlights the role of hippocampal neural stem cells (NSCs) in the pathogenesis of AD, including the molecular mechanisms underlying the neurogenic decline in AD and their potential impact on cognitive resilience. We summarize current therapeutic approaches, including pharmacological agents and non-pharmacological interventions (e.g. exercise, cognitive training, dietary strategies, and neurostimulation therapies), and explore their influence on neurogenesis. Additionally, we explore the potential application of NSCs in AD treatment, specifically through the use of NSC-derived extracellular vesicles (NSC-EVs) as a novel therapeutic modality. By integrating insights from AHN research and cutting-edge therapeutic advancements, this review emphasizes the therapeutic potential of promoting neurogenesis to address cognitive decline and advance treatment strategies for AD.

阿尔茨海默病中的海马神经干细胞:桥接神经发生、细胞外囊泡和多模式治疗范例。
阿尔茨海默病(AD)由于其复杂的病理生理和缺乏有效的治疗方法,在神经退行性医学领域提出了一个巨大的挑战。新出现的证据表明,受损的成人海马神经发生(AHN)是认知可塑性必不可少的动态过程,是AD进展的机制因素。本文综述了海马神经干细胞(NSCs)在阿尔茨海默病发病机制中的作用,包括阿尔茨海默病神经源性衰退的分子机制及其对认知弹性的潜在影响。我们总结了目前的治疗方法,包括药物和非药物干预(如运动、认知训练、饮食策略和神经刺激疗法),并探讨了它们对神经发生的影响。此外,我们探索了NSCs在AD治疗中的潜在应用,特别是通过使用NSCs衍生的细胞外囊泡(nsc - ev)作为一种新的治疗方式。通过整合AHN研究和前沿治疗进展的见解,本综述强调了促进神经发生以解决认知能力下降和推进AD治疗策略的治疗潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.10
自引率
0.00%
发文量
132
审稿时长
2 months
期刊介绍: The International Journal of Neuroscience publishes original research articles, reviews, brief scientific reports, case studies, letters to the editor and book reviews concerned with problems of the nervous system and related clinical studies, epidemiology, neuropathology, medical and surgical treatment options and outcomes, neuropsychology and other topics related to the research and care of persons with neurologic disorders.  The focus of the journal is clinical and transitional research. Topics covered include but are not limited to: ALS, ataxia, autism, brain tumors, child neurology, demyelinating diseases, epilepsy, genetics, headache, lysosomal storage disease, mitochondrial dysfunction, movement disorders, multiple sclerosis, myopathy, neurodegenerative diseases, neuromuscular disorders, neuropharmacology, neuropsychiatry, neuropsychology, pain, sleep disorders, stroke, and other areas related to the neurosciences.
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