自体干细胞移植治疗帕金森病的进展。

IF 2.1 4区 医学 Q4 CELL & TISSUE ENGINEERING
Jia-Xin Shi, Ke-Zhong Zhang
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引用次数: 0

摘要

帕金森病(PD)是一种进行性神经退行性疾病,以中脑黑质多巴胺能神经元相对局灶性变性和纹状体多巴胺丢失为特征,引起运动和非运动症状。目前,药物治疗和脑深部刺激(DBS)是临床上治疗帕金森病的主要方法。虽然这些方法可以暂时控制症状,但并不能解决潜在的神经退行性过程,而且经常会出现并发症。考虑到免疫抑制的成本和潜在的免疫功能障碍,自体干细胞移植有望成为替代异体干细胞移植治疗帕金森病的重要方法。在这篇综述中,我们讨论了与移植相关的致瘤性和并发症的安全性问题,以及用于评估此类手术疗效的方法。随后,我们总结了自体干细胞移植治疗帕金森病的临床前和临床研究,最后谈到了自体干细胞移植相对于异体移植的优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advancements in Autologous Stem Cell Transplantation for Parkinson's Disease.

Parkinson's disease (PD) is a progressive neurodegenerative disease marked by comparatively focal dopaminergic neuron degeneration in the substantia nigra of the midbrain and dopamine loss in the striatum, which causes motor and non-motor symptoms. Currently, pharmacological therapy and deep brain stimulation (DBS) are the primary treatment modalities for PD in clinical practice. While these approaches offer temporary symptom control, they do not address the underlying neurodegenerative process, and complications often arise. Stem cell replacement therapy is anticipated to prevent further progression of the disease due to its regenerative capacity, and considering the cost of immunosuppression and the potential immune dysfunctions, autologous stem cell transplantation holds promise as a significant method against allogeneic one to treat Parkinson's disease. In this review, the safety concerns surrounding tumorigenicity and complications associated with transplantation are discussed, along with methods utilized to evaluate the efficacy of such procedures. Subsequently, we summarize the preclinical and clinical studies involving autologous stem cell transplantation for PD, and finally talk about the benefits of autologous stem cell transplantation against allogeneic transplants.

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来源期刊
Current stem cell research & therapy
Current stem cell research & therapy CELL & TISSUE ENGINEERING-CELL BIOLOGY
CiteScore
4.20
自引率
3.70%
发文量
197
审稿时长
>12 weeks
期刊介绍: Current Stem Cell Research & Therapy publishes high quality frontier reviews, drug clinical trial studies and guest edited issues on all aspects of basic research on stem cells and their uses in clinical therapy. The journal is essential reading for all researchers and clinicians involved in stem cells research.
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