干细胞与药物联合应用治疗神经系统疾病

Chia-Chi Chen, Ying-Ching Hung, Chia-Yu Lin, Hsiao-Yun Chen, Ping-Min Huang, S. Hung
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摘要

神经系统疾病(NDs)是影响全世界数亿人的中枢和周围神经系统疾病。颞叶癫痫(TLE)是一种常见的伴有幻觉和意识障碍的神经性疾病,可引起大脑任何部位的神经活动异常。从实验和临床证据来看,神经炎症(NI)已经在癫痫相关组织中被发现,并被怀疑参与神经元细胞死亡、反应性胶质增生和海马神经可塑性改变的形成,可能有助于癫痫的发生。NI受小胶质细胞的严格调控,但过度或慢性的小胶质细胞激活可导致神经退行性过程。因此,调节小胶质细胞反应可能为治疗严重或慢性NI疾病提供治疗靶点。尽管抗癫痫药物(aed)对该病反应良好,但仍有大约1/3的病例对aed无反应。神经干细胞是胚胎发育过程中各类神经细胞的来源。目前,干细胞疗法在动物实验和临床试验中的许多结果都证明了对ND症状的有效治疗效果。因此,干细胞与药物联合应用治疗可能是NDs特别是TLE治疗策略的一个很有前景的候选方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Combined Application Therapies of Stem Cells and Drugs in the Neurological Disorder Attenuation
Neurological disorders (NDs) are diseases of the central and peripheral nervous system that affected the hundreds of millions of people worldwide. Temporal lobe epilepsy (TLE) is a common NDs with hallucinations and disturbance of consciousness that cause the abnormal neurological activity in any part of brain. Neuroinflammation (NI) has been identified in epilepsy-related tissue from both experimental and clinical evidence and suspected to participate in the formation of neuronal cell death, reactive gliosis and neuroplastic changes in the hippocampus, may contribute to epileptogenesis. The NI is tightly regulated by microglia, but it is thought that excessive or chronic microglial activation can contribute to neurodegenerative processes. Therefore, the modulation of microglia responses may provide a therapeutic target for the treatment of severe or chronic NI conditions. Although the condition responds well to antiepileptic drugs (AEDs), there are still unresponsive to AEDs in about 1/3 of cases. Neural stem cells are the origin of various types of neural cells during embryonic development. Currently, many results of stem cell therapies in the animal experiments and clinical trials were demonstrated the efficacious therapeutic effects in the attenuated symptoms of ND. Therefore, the combined application therapies of stem cells and drugs may be a promising candidate for the therapeutic strategies of NDs, especially TLE.
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