Frontiers in Medicine, 2024 · DOI: 10.3389/fmed.2024.1361723 · Published: March 27, 2024
This systematic review investigates the use of mesenchymal stem cells (MSCs) to treat neurological conditions like ALS, Parkinson’s Disease, Multiple Sclerosis, Spinal Cord Injury, and Traumatic Brain Injury. It focuses on the safety, tolerability, and effectiveness of MSC therapies based on published clinical trials. The review analyzed 43 clinical trials using MSCs derived from various sources, including the patient's own bone marrow or tissue, or from umbilical cords. The MSCs were administered through different routes, such as intravenous infusion or injection into the spinal cord. The study found that MSC transplantation is generally safe and tolerable, with common adverse events being mild, such as fever or pain at the injection site. However, some studies reported deaths attributed to the progression of the underlying disease, not the treatment.
Future studies should focus on larger sample sizes and longer follow-up periods to better assess the efficacy and long-term effects of MSC therapies.
Further research is needed to determine the optimal administration route for MSCs in treating neurological disorders, comparing intravenous infusion, intrathecal administration, and direct injection.
Consider patient-specific factors, such as age, disease stage, and source of MSCs, to optimize treatment outcomes and address the heterogeneity observed in current studies.