Mesenchymal stem cells as a multimodal treatment for nervous system diseases

被引:60
|
作者
Badyra, Bogna [1 ]
Sulkowski, Maciej [1 ]
Milczarek, Olga [2 ]
Majka, Marcin [1 ]
机构
[1] Jagiellonian Univ, Coll Med, Dept Transplantat, Wielicka St 265, PL-30663 Krakow, Poland
[2] Jagiellonian Univ, Coll Med, Dept Children Surg, Krakow, Poland
关键词
immunomodulation; mesenchymal stem cells; nervous system regeneration; neurodegeneration; neuroprotective secretome; stem cells transplantation; MARROW STROMAL CELLS; SPINAL-CORD-INJURY; PROGRESSIVE MULTIPLE-SCLEROSIS; BONE-MARROW; UMBILICAL-CORD; NEUROTROPHIC FACTOR; ADIPOSE-TISSUE; PROGENITOR CELLS; FUNCTIONAL RECOVERY; OPEN-LABEL;
D O I
10.1002/sctm.19-0430
中图分类号
Q813 [细胞工程];
学科分类号
摘要
Neurological disorders are a massive challenge for modern medicine. Apart from the fact that this group of diseases is the second leading cause of death worldwide, the majority of patients have no access to any possible effective and standardized treatment after being diagnosed, leaving them and their families helpless. This is the reason why such great emphasis is being placed on the development of new, more effective methods to treat neurological patients. Regenerative medicine opens new therapeutic approaches in neurology, including the use of cell-based therapies. In this review, we focus on summarizing one of the cell sources that can be applied as a multimodal treatment tool to overcome the complex issue of neurodegeneration-mesenchymal stem cells (MSCs). Apart from the highly proven safety of this approach, beneficial effects connected to this type of treatment have been observed. In the following chapters of this review, we present modes of action of MSCs, explained on the basis of data from vast in vitro and preclinical studies, and we summarize the effects of using these cells in clinical trial settings. Finally, we stress what improvements have already been made to clarify the exact mechanism of MSCs action, and we discuss potential ways to improve the introduction of MSC-based therapies in clinics. In summary, we propose that more insightful and methodical optimization, by combining careful preparation and administration, can enable use of multimodal MSCs as an effective, tailored cell therapy suited to specific neurological disorders.
引用
收藏
页码:1174 / 1189
页数:16
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