Update on stem cell therapy for cerebral palsy.

Update on stem cell therapy for cerebral palsy.
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DOI:
10.1517/14712598.2011.557060
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发表时间:
2011-04
影响因子:
4.6
通讯作者:
Mays RW
Mays RW
中科院分区:
医学3区
文献类型:
--
作者:
Carroll JE;Mays RW

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由于干细胞移植治疗脑瘫的宣传,许多家庭寻求治疗信息,许多人前往海外进行细胞移植。即使如此,也没有科学证实其益处,因此必须总结该领域的现有知识。本文讨论了研究问题的临床方案,可用于移植的干细胞类型,用于测试细胞益处的实验模型,可能的作用机制,细胞治疗的潜在并发症,以及该领域需要什么来帮助加速基于细胞的治疗。虽然干细胞在中枢神经系统的急性损伤中可能是有益的,但干细胞的生物学在慢性损伤或疾病如脑瘫中还没有得到足够的理解。在干细胞生物学的基础水平、动物模型的开发以及最终的精心设计的临床试验方面,还需要做更多的工作。
Due to the publicity about stem cell transplantation for the treatment of cerebral palsy, many families seek information on treatment, and many travel overseas for cell transplantation. Even so, there is little scientific confirmation of benefit, and therefore existing knowledge in the field must be summarized. This paper addresses the clinical protocols examining the problem, types of stem cells available for transplant, experimental models used to test the benefit of the cells, possible mechanisms of action, potential complications of cell treatment, and what is needed in the field to help accelerate cell-based therapies. While stem cells may be beneficial in acute injuries of the central nervous system, the biology of stem cells is not well enough understood in chronic injuries or disorders such as cerebral palsy. More work is required at the basic level of stem cell biology, in the development of animal models, and finally in well-conceived clinical trials.
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