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  4. Human Pluripotent Stem Cells-Based Therapies for Neurodegenerative Diseases: Current Status and Challenges

Human Pluripotent Stem Cells-Based Therapies for Neurodegenerative Diseases: Current Status and Challenges

Cells, 2020 · DOI: 10.3390/cells9112517 · Published: November 20, 2020

Regenerative MedicineNeurology

Simple Explanation

Neurodegenerative diseases involve irreversible cell damage and loss in the nervous system. Pluripotent stem cells, capable of becoming various cell types, offer potential for cell replacement therapies. Human embryonic and induced pluripotent stem cells are being studied for treating neurodegenerative conditions like Parkinson's, stroke, spinal cord injury, Alzheimer's, and multiple sclerosis. Clinical application of these stem cell therapies faces challenges including the risk of tumor formation, immune rejection, and regenerating the diverse cell types of the central nervous system.

Study Duration
Not specified
Participants
Studies were performed in animal models
Evidence Level
Review

Key Findings

  • 1
    hPSC-based therapies have shown potential for reversing motor defects in Parkinson's disease patients by replacing damaged dopamine neurons.
  • 2
    Transplantation of neuronal cells derived from hPSCs can lead to functional improvement in animal models of stroke through several mechanisms including neuronal replacement.
  • 3
    hESC-MGE grafts improved neurogenic bladder dysfunction and relieved central neuropathic pain, two of the most debilitating SCI-related symptoms.

Research Summary

Neurodegenerative diseases and nervous system injuries have been a major focus of regenerative medicine, with many studies dedicated to developing efficient and clinically relevant hPSC replacement therapies. The clinical feasibility of these therapies requires further assessment, especially concerning the risk of cancer caused by hiPSCs, raising reservations regarding autologous cell therapies. Future directions will concentrate on banking clinically safe and universally compatible hPSC to overcome the challenge of immune rejection and provide genuine hope for a wide range of devastating degenerative diseases.

Practical Implications

Parkinson's Disease Treatment

Replacement of damaged dopamine neurons can alleviate motor disabilities and reduce medication side effects.

Stroke Recovery

Transplantation of neuronal cells can promote functional improvement in stroke-damaged brains through various mechanisms, including neuronal replacement.

Spinal Cord Injury Management

hESC-MGE grafts can improve bladder dysfunction and relieve neuropathic pain associated with SCI.

Study Limitations

  • 1
    Tumor Formation Risk
  • 2
    Immune Rejection
  • 3
    Regenerating CNS Cell Heterogeneity

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