Role and limitation of cell therapy in treating neurological diseases

Ibrain Pub Date : 2024-03-12 DOI:10.1002/ibra.12152
Yu-Qi Li, Peng-Fei Li, Qian Tao, Issam J. A. Abuqeis, Yan-Bin Xiyang
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Abstract

The central role of the brain in governing systemic functions within human physiology underscores its paramount significance as the focal point of physiological regulation. The brain, a highly sophisticated organ, orchestrates a diverse array of physiological processes encompassing motor control, sensory perception, cognition, emotion, and the regulation of vital functions, such as heartbeat, respiration, and hormonal equilibrium. A notable attribute of neurological diseases manifests as the depletion of neurons and the occurrence of tissue necrosis subsequent to injury. The transplantation of neural stem cells (NSCs) into the brain exhibits the potential for the replacement of lost neurons and the reconstruction of neural circuits. Furthermore, the transplantation of other types of cells in alternative locations can secrete nutritional factors that indirectly contribute to the restoration of nervous system equilibrium and the mitigation of neural inflammation. This review summarized a comprehensive investigation into the role of NSCs, hematopoietic stem cells, mesenchymal stem cells, and support cells like astrocytes and microglia in alleviating neurological deficits after cell infusion. Moreover, a thorough assessment was undertaken to discuss extant constraints in cellular transplantation therapies, concurrently delineating indispensable model-based methodologies, specifically on organoids, which were essential for guiding prospective research initiatives in this specialized field.

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细胞疗法在治疗神经系统疾病中的作用和局限性
大脑在调节人体生理系统功能方面发挥着核心作用,这凸显了它作为生理调节焦点的重要意义。大脑作为一个高度精密的器官,协调着各种生理过程,包括运动控制、感官知觉、认知、情感以及对心跳、呼吸和激素平衡等生命功能的调节。神经系统疾病的一个显著特征是神经元耗竭和损伤后组织坏死。将神经干细胞(NSCs)移植到大脑中可替代失去的神经元,重建神经回路。此外,在其他位置移植其他类型的细胞可分泌营养因子,间接促进神经系统平衡的恢复和神经炎症的缓解。这篇综述总结了对NSCs、造血干细胞、间充质干细胞以及星形胶质细胞和小胶质细胞等支持细胞在缓解细胞输注后神经功能缺损方面作用的全面研究。此外,研究人员还进行了全面评估,讨论了细胞移植疗法中的现有限制因素,同时界定了不可或缺的基于模型的方法,特别是关于器官组织的方法,这些方法对于指导这一专业领域的前瞻性研究计划至关重要。
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