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  4. Cell Therapy From Bench to Bedside Translation in CNS Neurorestoratology Era

Cell Therapy From Bench to Bedside Translation in CNS Neurorestoratology Era

Cell Medicine, 2010 · DOI: 10.3727/215517910X516673 · Published: January 1, 2010

Regenerative MedicineNeurologyNeurorehabilitation

Simple Explanation

Cell-based restorative treatment has become a new trend, and increasing data worldwide have strongly proven that it has a pivotal therapeutic value in CNS disease. Functional neurorestoration has been achieved to a certain extent in the CNS clinically. Based on the complexity of the processes of demyelination and remyelination, degeneration and regeneration, damage and repair, functional loss and recovery, it would be expected that effective therapeutic approaches will require a combination of strategies encompassing neuroplasticity, immunomodulation, neuroprotection, neurorepair, neuroreplacement, and neuromodulation.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    The emergence of the term “neurorestoratology,” however, signals the birth of a new discipline, which is equally important in comparison with neurology and neurosurgery
  • 2
    Generally, the patient’s functional restoration originated from some or all of the mechanisms as listed above.
  • 3
    Now people are more interested in and pay more attention to functional neurorestoration rather than the anatomical structure repair of the CNS.

Research Summary

Cell-based restorative treatment has become a new trend, and increasing data worldwide have strongly proven that it has a pivotal therapeutic value in CNS disease. Functional neurorestoration has been achieved to a certain extent in the CNS clinically. These achievements had already answered YES or NO to the question of whether the degeneration and damage in the CNS could be functionally restored.

Practical Implications

Clinical Translation

The review provides a comprehensive overview of various cell-based therapies and their potential for clinical translation in treating CNS diseases.

Therapeutic Strategies

Highlights the need for combined strategies, encompassing neuroplasticity, immunomodulation, neuroprotection, neurorepair, neuroreplacement, and neuromodulation, for effective therapeutic approaches.

Future Research Directions

Emphasizes the importance of solving unanswered questions regarding cell sources, therapeutic time windows, patient selection, and optimal routes for cell transplantation to improve treatment efficacy.

Study Limitations

  • 1
    The review acknowledges the diversity in clinical status of subjects, route of cell administration, and criteria to evaluate efficacy in clinical trials.
  • 2
    The current treatment results are far from an effective cure or the miracle effect, as the majority of people expect.
  • 3
    It remains unclear how to explain the exact mechanisms for clinical functional recovery.

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