Stem Cell Secretions as a Potential Therapeutic Agent for Autism Spectrum Disorder: A Narrative Review

IF 4.5 3区 医学 Q2 CELL & TISSUE ENGINEERING Stem Cell Reviews and Reports Pub Date : 2024-04-17 DOI:10.1007/s12015-024-10724-4
Mariam Darwish, Rojine El Hajj, Luna Khayat, Nada Alaaeddine
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Abstract

Autism spectrum disorder (ASD) is a neurodevelopmental illness characterized by impaired social interaction and restricted repetitive behaviors or interests. The rising prevalence of ASD diagnosis has triggered a surge in research into investigating the underlying neuropathological processes and finding new therapeutic approaches. ASD is characterized by neuroinflammation and dysregulation of neuro-immune cross-talk, which suggests that stem cell treatment might be a potential therapeutic approach. The beneficial and restorative effects of stem cells are mainly due to their paracrine activity, in which stem cells generate and release extracellular vesicles such as exosomes and distinct secreted non-vesicle soluble proteins, including, growth factors, chemokines, cytokines, and immunomodulatory molecules referred to as the Secretome. In this paper, we reviewed the existing research exploring the therapeutic potential of stem cell secretome focusing on their role in addressing ASD pathology. Furthermore, we proposed a comprehensive mechanism of action for stem cell secretions, encompassing the broader secretome as well as the specific contribution of exosomes, in alleviating ASD neuropathology. Across the reviewed studies, exosomes and secreted soluble factors of the transplanted stem cell demonstrate a potential efficacy in ameliorating autistic-like behaviors. The proposed mechanism of action involves the modulation of signaling pathways implicated in neuroinflammation, angiogenesis, cellular apoptosis, and immunomodulation.

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干细胞分泌物作为自闭症谱系障碍的潜在治疗剂:叙述性综述
自闭症谱系障碍(ASD)是一种神经发育疾病,其特征是社交互动障碍和重复行为或兴趣受限。自闭症诊断率的上升引发了研究潜在神经病理过程和寻找新治疗方法的热潮。ASD的特点是神经炎症和神经-免疫交叉对话失调,这表明干细胞治疗可能是一种潜在的治疗方法。干细胞的有益和修复作用主要归功于其旁分泌活性,干细胞可产生和释放细胞外囊泡,如外泌体和独特的分泌型非囊泡可溶性蛋白,包括生长因子、趋化因子、细胞因子和免疫调节分子(称为 "分泌组")。在本文中,我们回顾了探索干细胞分泌组治疗潜力的现有研究,重点关注它们在解决ASD病理方面的作用。此外,我们提出了干细胞分泌物的综合作用机制,包括更广泛的分泌物群以及外泌体在缓解ASD神经病理学方面的特殊贡献。在所有综述研究中,移植干细胞的外泌体和分泌的可溶性因子在改善类似自闭症的行为方面显示出潜在的功效。拟议的作用机制涉及神经炎症、血管生成、细胞凋亡和免疫调节信号通路的调节。
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来源期刊
Stem Cell Reviews and Reports
Stem Cell Reviews and Reports 医学-细胞生物学
CiteScore
9.30
自引率
4.20%
发文量
0
审稿时长
3 months
期刊介绍: The purpose of Stem Cell Reviews and Reports is to cover contemporary and emerging areas in stem cell research and regenerative medicine. The journal will consider for publication: i) solicited or unsolicited reviews of topical areas of stem cell biology that highlight, critique and synthesize recent important findings in the field. ii) full length and short reports presenting original experimental work. iii) translational stem cell studies describing results of clinical trials using stem cells as therapeutics. iv) papers focused on diseases of stem cells. v) hypothesis and commentary articles as opinion-based pieces in which authors can propose a new theory, interpretation of a controversial area in stem cell biology, or a stem cell biology question or paradigm. These articles contain more speculation than reviews, but they should be based on solid rationale. vi) protocols as peer-reviewed procedures that provide step-by-step descriptions, outlined in sufficient detail, so that both experts and novices can apply them to their own research. vii) letters to the editor and correspondence. In order to facilitate this exchange of scientific information and exciting novel ideas, the journal has created five thematic sections, focusing on: i) the role of adult stem cells in tissue regeneration; ii) progress in research on induced pluripotent stem cells, embryonic stem cells and mechanism governing embryogenesis and tissue development; iii) the role of microenvironment and extracellular microvesicles in directing the fate of stem cells; iv) mechanisms of stem cell trafficking, stem cell mobilization and homing with special emphasis on hematopoiesis; v) the role of stem cells in aging processes and cancerogenesis.
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