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  4. Combined Cell Therapy in the Treatment of Neurological Disorders

Combined Cell Therapy in the Treatment of Neurological Disorders

Biomedicines, 2020 · DOI: 10.3390/biomedicines8120613 · Published: December 15, 2020

Regenerative MedicineNeurology

Simple Explanation

Cell therapy is being explored for neurological diseases, using stem cells and their derivatives. The idea is to combine multiple cell types in transplantation to see if the combined approach is more effective than using a single cell type. This review looks at studies and trials of combined cell therapies for neurological conditions like stroke, spinal cord injury, neurodegenerative diseases, muscular dystrophy and retinal degeneration, exploring the advantages of using combined cell therapy. Combined cell therapy may work by adding up the benefits of different cells, or by one cell type helping the survival and function of another, by improving the environment around the cells or modulating the immune system.

Study Duration
Not specified
Participants
Description of studies in both animal models and clinical trials
Evidence Level
Review article

Key Findings

  • 1
    Combined cell therapy has shown successful application in treating neurological pathologies, including stroke, spinal cord injury, neurodegenerative diseases, Duchenne muscular dystrophy, and retinal degeneration, in both experimental and clinical studies.
  • 2
    The advantages of combined cell therapy can include simple summation of beneficial effects of different cells, or one kind of cells can support the survival and functioning of the other by enhancing the formation of optimum environment or immunomodulation.
  • 3
    No significant adverse events were reported, making combined cell therapy a promising approach for treating neurological disorders, though further research is necessary.

Research Summary

Cell therapy is gaining traction as a potential treatment for neurological diseases. Researchers are exploring the possibility of combining multiple types of cells to enhance therapeutic effects. This review examines the existing research on combined cell therapy for various neurological conditions, analyzing its advantages in animal studies and clinical trials. Despite the limited number of publications, available data suggest that cotransplantation can have significant advantages over single cell type therapy. The review highlights that the mechanisms underlying synergistic effects of combined cell therapy are diverse. In most studies the authors focused on the efficacy of cotransplantation, while the mechanisms underlying synergistic effects of combined cell therapy were examined less extensively.

Practical Implications

Enhanced Therapeutic Efficacy

Combined cell therapy can lead to better functional recovery, enhanced survival, proliferation, migration, and differentiation of transplanted cells compared to single-cell therapies.

Neurovascular Niche Restoration

Combining neural cells with vascular/endothelial progenitor cells can restore the neurovascular niche, improving neural cell graft survival and promoting a more supportive microenvironment.

Immunomodulation and Neuroprotection

The immunomodulatory and neuroprotective properties of cells like MSCs can enhance the regenerative potential of other cell types, such as neural stem cells or retinal progenitor cells.

Study Limitations

  • 1
    The number of publications on combined cell therapy, particularly clinical trials, is still limited.
  • 2
    The exact mechanisms underlying the synergistic effects of combined cell therapy are not fully understood.
  • 3
    Further research is needed to optimize cell selection, delivery routes, and transplantation timing for different neurological disorders.

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