Update on cell therapy for stroke.

Update on cell therapy for stroke.
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DOI:
10.1136/svn-2017-000070
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发表时间:
2017-06
影响因子:
5.9
通讯作者:
Wechsler LR
Wechsler LR
中科院分区:
医学1区
文献类型:
--
作者:
Kenmuir CL;Wechsler LR

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缺血性卒中仍然是死亡和残疾的主要原因。目前的卒中治疗方案旨在使用静脉溶栓和血管内血栓切除术,最大限度地减少急性卒中期间即将发生的卒中造成的损害;然而,目前尚无获批的卒中完成后逆转神经损伤的治疗方案。临床前研究表明,细胞疗法可能是安全和有效的,在改善功能的结果。最近的几项临床试验报告了缺血性卒中细胞治疗的安全性和一些改善结果,这是审查。细胞疗法可能为中风提供一种有前途的新治疗方法,减少中风相关的残疾。需要进一步的研究来确定细胞治疗的具体效果,并优化可能受益于细胞治疗的细胞递送方法、细胞剂量、所用细胞类型、递送时间、梗死面积和梗死位置。
Ischaemic stroke remains a leading cause of death and disability. Current stroke treatment options aim to minimise the damage from a pending stroke during the acute stroke period using intravenous thrombolytics and endovascular thrombectomy; however, there are no currently approved treatment options for reversing neurological damage once a stroke is completed. Preclinical studies suggest that cell therapy may be safe and effective in improving functional outcomes. Several recent clinical trials have reported safety and some improvement in outcomes following cell therapy administration in ischaemic stroke, which are reviewed. Cell therapy may provide a promising new treatment for stroke reducing stroke-related disability. Further investigation is needed to determine specific effects of cell therapy and to optimise cell delivery methods, cell dosing, type of cells used, timing of delivery, infarct size and location of infarct that are likely to benefit from cell therapy.
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