Mesenchymal stem cells in the treatment of ischemic stroke

D. Namestnikova, Daria Borisovna Kovalenko, Irina Alekseevna Pokusaeva, Darya Chudakova, I. Gubskiy, K. Yarygin, VP Baklaushev
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Abstract

Over the past three decades, multiple preclinical studies have been conducted and have shown that transplantation of the mesenchymal stem has a pronounced positive effect in animals with experimental stroke. On the base of the promising results of the preclinical studies several clinical trials with the mesenchymal stem cell transplantation in stroke patients have also been conducted. In this review we presented and analyzed the results of completed clinical trials dedicated to the mesenchymal stem cells transplantation in patients with ischemic stroke. According to obtained results it can be concluded that transplantation of the mesenchymal stem cells is safe and feasible from an economic and medical-biological point of view. For further implementation of this promising approach into the clinical practice randomized, placebo-controlled, multicenter clinical trials on a large sample of patients and with the optimize cell transplantation protocols and patients’ inclusion criteria are needed. In this review we also discuss possible strategies to enhance the effectiveness of cell therapy with the use of the mesenchymal stem cells.
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治疗缺血性中风的间充质干细胞
在过去的三十年中,进行了多项临床前研究,结果表明间充质干细胞移植对实验性中风动物有明显的积极作用。基于临床前研究的良好结果,对中风患者进行间充质干细胞移植的几项临床试验也已开展。在这篇综述中,我们介绍并分析了间充质干细胞移植治疗缺血性中风患者的已完成临床试验结果。根据获得的结果,我们可以得出结论:从经济和医学生物学角度来看,间充质干细胞移植是安全可行的。为进一步将这一前景广阔的方法应用于临床实践,需要对大量患者样本进行随机、安慰剂对照、多中心临床试验,并优化细胞移植方案和患者纳入标准。在这篇综述中,我们还讨论了利用间充质干细胞提高细胞疗法有效性的可能策略。
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