Research progress in clinical trials of stem cell therapy for stroke and neurodegenerative diseases

Ibrain Pub Date : 2023-03-05 DOI:10.1002/ibra.12095
Shan-Shan Yan, Senio Campos de Souza, Zhen-Dong Xie, Yong-Xin Bao
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Abstract

The incidence of stroke and neurodegenerative diseases is gradually increasing in modern society, but there is still no treatment that is effective enough. Stem cells are cells that can reproduce (self-renew) and differentiate into the body, which have shown significance in basic research, while doctors have also taken them into clinical trials to determine their efficacy and safety. Existing clinical trials mainly include middle-aged and elderly patients with stroke or Parkinson's disease (mostly 40–80 years old), mainly involving injection of mesenchymal stem cells and bone marrow mesenchymal stem cells through the veins and the putamen, with a dosage of mostly 106–108 cells. The neural and motor functions of the patients were restored after stem cell therapy, and the safety was found to be good during the follow-up period of 3 months to 5 years. Here, we review all clinical trials and the latest advances in stroke, Alzheimer's disease, and Parkinson's disease, with the hope that stem cell therapy will be used in the clinic in the future to achieve effective treatment rates and benefit patients.

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干细胞治疗脑卒中和神经退行性疾病的临床试验研究进展。
在现代社会中,中风和神经退行性疾病的发病率正在逐渐增加,但仍然没有足够有效的治疗方法。干细胞是可以繁殖(自我更新)并分化到体内的细胞,这在基础研究中已显示出重要意义,同时医生也将其纳入临床试验,以确定其疗效和安全性。现有的临床试验主要包括中老年中风或帕金森病患者(多为40-80岁),主要涉及通过静脉和壳核注射间充质干细胞和骨髓间充质细胞,剂量多为106-108个细胞。干细胞治疗后,患者的神经和运动功能得到恢复,在3个月至5年的随访期间,安全性良好。在这里,我们回顾了中风、阿尔茨海默病和帕金森病的所有临床试验和最新进展,希望干细胞疗法将来能在临床上使用,以实现有效的治疗率并使患者受益。
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