Cellular and Molecular Neurobiology, 2023 · DOI: https://doi.org/10.1007/s10571-022-01204-9 · Published: February 7, 2022
Ischemic damage to the central nervous system (CNS) is a catastrophic postoperative complication of aortic occlusion subsequent to cardiovascular surgery that can cause brain impairment and sometimes even paraplegia. Given the limited ability of the CNS to repair itself, it is of great clinical value to make full use of the proliferative and differentiation potential of stem cells to repair nerves in degenerated and necrotic regions by stem cell transplantation or mobilization This review summarizes the most recent advances in stem cell therapy for ischemia–reperfusion injury in the brain and spinal cord, aiming to advance basic research and the clinical use of stem cell therapy as a promising treatment for this condition.
More clinical trials are needed to establish the safety, durability, and feasibility of stem cell therapies for nerve ischemia and ischemia-reperfusion injury.
Optimize the replacement and neuroprotective effects of transplanted cells by developing stem cells with improved functional abilities, such as hypoxia, drug pretreatment, or combination with biomaterials.
A better understanding of the mechanisms underlying ischemia-reperfusion injury in the CNS is needed to optimize stem cell transplantation efficiency.