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  4. Neural stem cells and strategies for the regeneration of the central nervous system

Neural stem cells and strategies for the regeneration of the central nervous system

Proc. Jpn. Acad., Ser. B, 2010 · DOI: 10.2183/pjab.86.438 · Published: January 4, 2010

Regenerative MedicineNeurology

Simple Explanation

The adult mammalian central nervous system (CNS), especially that of adult humans, is a representative example of organs that do not regenerate. However, increasing interest has focused on the development of innovative therapeutic methods that aim to regenerate damaged CNS tissue by taking advantage of recent advances in stem cell and neuroscience research. Normal CNS development is initiated by the induction of stem cells in the CNS, i.e., neural stem cells (NSCs). Thus, the introduction or mobilization of NSCs could be expected to lead to CNS regeneration by recapitulating normal CNS development, in terms of the activation of the endogenous regenerative capacity and cell transplantation therapy. These lines of research will, hopefully, contribute to a basic understanding of the nature of NSCs, which should in turn lead to feasible strategies for the development of ideal ‘‘stem cell therapies’’ for the treatment of damaged brain and spinal cord tissue.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    NSCs are defined as undifferentiated cells that can both self-renew and generate the three major cell types that constitute the CNS, i.e. neurons, astrocytes, and oligodendrocytes, a characteristic known as multipotency.
  • 2
    COUP-TF was found to play a crucial role in the temporal identity transition of NSCs. During ontogenic development, NSCs undergo a temporal identity transition from the neurogenic to the gliogenic stage.
  • 3
    Transplantation of the gliogenic secondary neurospheres, but not of the neurogenic primary neurospheres, promoted axonal growth { including that of the 5-HT-positive raphe-spinal tract { remyelination, and angiogenesis, and resulted in significant locomotor functional recovery after SCI

Research Summary

This review summarizes recent progress in basic stem cell biology, including the identification of NSCs, the mechanisms of ontogenic changes in NSC differentiation potential, the induction of neural fate and NSCs from pluripotent stem cells, and their therapeutic applications. The development of selective marker molecules, selective culture methods, and methods for the prospective identification and isolation of NSCs have contributed to this progress. There is accumulating evidence that the recapitulation of normal developmental processes { including neurogenesis, gliogenesis, migration, axonal sprouting, synaptogenesis, and neuron-glia interactions, including myelination { is important for repairing the damaged CNS and functional recovery.

Practical Implications

Stem Cell Therapies for CNS Damage

A better understanding of NSCs can lead to the development of stem cell therapies for brain and spinal cord injuries.

Temporal Specification of NSCs

Elucidating the mechanisms behind the temporal identity switch of NSCs can improve strategies for treating neurological disorders.

Safer iPS Cell Therapies

Addressing the tumorigenicity risks associated with iPS-derived cells is crucial for developing safe cell therapies for SCI patients.

Study Limitations

  • 1
    Limited number of fetal tissues for transplantation.
  • 2
    Difficulties in the validation of grafted cells.
  • 3
    Potential side effects including graft-induced dyskinesia.

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