干细胞治疗在阿尔兹海默病中的研究进展
作者:
作者单位:

中国医科大学附属第一医院神经内科,辽宁 沈阳 110001

作者简介:

杨凌涵(1996―),女,硕士研究生,主要从事记忆障碍与老年性痴呆的研究。

通信作者:

曹云鹏(1963―),男,神经内科副主任,主任医师,博士后,主要从事记忆障碍与老年性痴呆的研究。Email:cypcmu@163.com。

基金项目:


Progress in stem cell therapy for Alzheimer’s disease
Author:
Affiliation:

Neurology Department, the First Hospital of China Medical University, Shenyang, Liaoning 110001, China

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 音频文件
  • |
  • 视频文件
    摘要:

    阿尔兹海默病(AD)是一种中枢神经系统退行性疾病,是当前最大的医疗挑战之一。其临床特征为进行性的认知功能下降和行为损害,伴有特征性的神经病理改变,常见的有神经炎性斑块和神经纤维缠结。目前的治疗多采用对症的综合治疗方式,旨在减轻衰退症状,延缓病情发展,但并不能真正起到治愈或预防作用。干细胞是一类具有自我更新和多向分化潜能的细胞,根据分化潜能可以分为全能干细胞、多能干细胞、单能干细胞等。干细胞治疗利用自体或异体来源的干细胞,通过分离、培养、定向诱导等在体外形成细胞、外泌体、组织或器官后,植入人体内进行治疗的过程。由于干细胞具有向不同类型神经细胞、胶质细胞等的强大分化能力,干细胞治疗成了AD治疗的新思路。干细胞被移植入体内后,不仅可以分化替代受损的神经细胞,也能够通过自分泌或旁分泌作用分泌一系列神经营养因子,改善神经微环境,促进神经细胞和突触再生;通过调节胶质细胞来抑制神经炎症。在AD治疗的研究中,常用到的干细胞包括间充质干细胞、神经干细胞和诱导多能干细胞等。该文章概述了各类干细胞的主要特点,以及在AD中应用的研究进展,归纳总结了相关动物实验和临床试验方面的情况,浅谈目前存在的问题与挑战。

    Abstract:

    Alzheimer’s disease (AD), a neurodegenerative disease of the central nervous system, is one of the greatest health challenges. The clinical symptoms of AD are progressive cognitive decline and behavior impairment, with characteristic neuropathological changes such as neuritic plaques and neurofibrillary tangles. Current treatment of AD mostly involves comprehensive therapies to alleviate the symptoms of decline and delay the progression of the disease, but AD cannot be cured or prevented. Stem cells have the ability of self-renewal and development into different cell types. According to differentiation potential, stem cells are divided into totipotent, multipotent, and unipotent cells. In stem cell therapy, autogenous and allogenous stem cells are separated, cultured, and specifically induced into cells, exosomes, tissue, or organs in vitro, which are transplanted into the body. Because stem cells have the ability to differentiate into different types of neural cells and glial cells, stem cell therapy has become a new strategy for the treatment of AD. After being transplanted into the body, stem cells can not only differentiate and replace damaged nerve cells, but also secrete a series of neurotrophic factors through autocrine or paracrine to improve the nerve microenvironment and the regeneration of nerve cells and synapses, and inhibit neuroinflammation by regulating glial cells. In the study of treatment of AD, the commonly used stem cells are mesenchymal stem cells, neural stem cells, and induced pluripotent stem cells. In this article, we outline the main characteristics of various types of stem cells, the research progress in the application of stem cells in AD, and the results of animal experiments and clinical trials. We also briefly discuss the existing problems and challenges.

    参考文献
    相似文献
    引证文献
引用本文

杨凌涵,曹云鹏456.干细胞治疗在阿尔兹海默病中的研究进展[J].国际神经病学神经外科学杂志,2022,49(4):62-68111YANG Ling-Han, CAO Yun-Peng222. Progress in stem cell therapy for Alzheimer’s disease[J]. Journal of International Neurology and Neurosurgery,2022,49(4):62-68

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2022-01-06
  • 最后修改日期:2022-07-10
  • 录用日期:
  • 在线发布日期: 2022-09-02
关闭
关闭