Current advances in stem cell therapy in the treatment of multiple sclerosis.

IF 3.4 3区 医学 Q2 NEUROSCIENCES Reviews in the Neurosciences Pub Date : 2023-08-28 DOI:10.1515/revneuro-2022-0102
Parnian Zolfaghari Baghbadorani, Amirmasoud Rayati Damavandi, Samira Moradi, Meysam Ahmadi, Peyman Bemani, Hamid Aria, Hossein Mottedayyen, Amirhossein Rayati Damavandi, Nahid Eskandari, Farshid Fathi
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Abstract

Multiple sclerosis (MS) is an inflammatory disease related to the central nervous system (CNS) with a significant global burden. In this illness, the immune system plays an essential role in its pathophysiology and progression. The currently available treatments are not recognized as curable options and, at best, might slow the progression of MS injuries to the CNS. However, stem cell treatment has provided a new avenue for treating MS. Stem cells may enhance CNS healing and regulate immunological responses. Likewise, stem cells can come from various sources, including adipose, neuronal, bone marrow, and embryonic tissues. Choosing the optimal cell source for stem cell therapy is still a difficult verdict. A type of stem cell known as mesenchymal stem cells (MSCs) is obtainable from different sources and has a strong immunomodulatory impact on the immune system. According to mounting data, the umbilical cord and adipose tissue may serve as appropriate sources for the isolation of MSCs. Human amniotic epithelial cells (hAECs), as novel stem cell sources with immune-regulatory effects, regenerative properties, and decreased antigenicity, can also be thought of as a new upcoming contender for MS treatment. Overall, the administration of stem cells in different sets of animal and clinical trials has shown immunomodulatory and neuroprotective results. Therefore, this review aims to discuss the different types of stem cells by focusing on MSCs and their mechanisms, which can be used to treat and improve the outcomes of MS disease.

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干细胞治疗多发性硬化的最新进展。
多发性硬化症(MS)是一种与中枢神经系统(CNS)相关的炎症性疾病,具有重大的全球负担。在这种疾病中,免疫系统在其病理生理和进展中起着至关重要的作用。目前可用的治疗方法不被认为是可治愈的选择,充其量只能减缓多发性硬化症对中枢神经系统损伤的进展。然而,干细胞治疗为治疗多发性硬化症提供了新的途径。干细胞可以促进中枢神经系统的愈合和调节免疫反应。同样,干细胞可以来自多种来源,包括脂肪、神经元、骨髓和胚胎组织。选择干细胞治疗的最佳细胞来源仍然是一个困难的判断。一种被称为间充质干细胞(MSCs)的干细胞可以从不同的来源获得,并对免疫系统具有很强的免疫调节作用。根据越来越多的数据,脐带和脂肪组织可作为分离间充质干细胞的合适来源。人羊膜上皮细胞(hAECs)作为一种具有免疫调节作用、再生特性和抗原性降低的新型干细胞来源,也被认为是即将出现的MS治疗的新竞争者。总的来说,在不同的动物和临床试验中,干细胞的施用显示出免疫调节和神经保护的结果。因此,本文旨在探讨不同类型的干细胞,重点关注MSCs及其机制,以用于治疗和改善多发性硬化症的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Reviews in the Neurosciences
Reviews in the Neurosciences 医学-神经科学
CiteScore
9.40
自引率
2.40%
发文量
54
审稿时长
6-12 weeks
期刊介绍: Reviews in the Neurosciences provides a forum for reviews, critical evaluations and theoretical treatment of selective topics in the neurosciences. The journal is meant to provide an authoritative reference work for those interested in the structure and functions of the nervous system at all levels of analysis, including the genetic, molecular, cellular, behavioral, cognitive and clinical neurosciences. Contributions should contain a critical appraisal of specific areas and not simply a compilation of published articles.
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