Potential mechanisms and therapeutic targets of mesenchymal stem cell transplantation for ischemic stroke.

Potential mechanisms and therapeutic targets of mesenchymal stem cell transplantation for ischemic stroke.
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DOI:
10.1186/s13287-022-02876-2
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发表时间:
2022-05-12
影响因子:
7.5
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
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缺血性脑卒中是世界范围内死亡和致残的主要原因之一。目前,大多数患者不能选择静脉溶栓或血管内机械血栓切除术,因为治疗窗口狭窄和严重的并发症。干细胞移植是一种新兴的治疗方法,已在各种中枢神经系统疾病中进行了研究。动物和临床研究表明,骨髓间充质干细胞(MSCs)移植可以缓解神经功能缺损,为缺血性脑卒中的治疗带来希望。本文综述了MSCs的生物学特性、安全性、可行性和疗效,MSCs的潜在治疗靶点,以及药品生产质量管理规范级MSCs的生产工艺,探讨MSCs在生产和使用过程中的潜在治疗靶点,为缺血性脑卒中的治疗提供新的方向。
Ischemic stroke is one of the major causes of death and disability in the world. Currently, most patients cannot choose intravenous thrombolysis or intravascular mechanical thrombectomy because of narrow therapeutic windows and severe complications. Stem cell transplantation is an emerging treatment and has been studied in various central nervous system diseases. Animal and clinical studies showed that transplantation of mesenchymal stem cells (MSCs) could alleviate neurological deficits and bring hope for ischemic stroke treatment. This article reviewed biological characteristics, safety, feasibility and efficacy of MSCs therapy, potential therapeutic targets of MSCs, and production process of Good Manufacturing Practices-grade MSCs, to explore the potential therapeutic targets of MSCs in the process of production and use and provide new therapeutic directions for ischemic stroke.
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