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Stem Cells Therapy for Spinal Cord Injury: An Overview of Clinical Trials

机译:脊髓损伤的干细胞疗法:临床试验概述

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摘要

Spinal cord injury (SCI) is a traumatic lesion that causes disability with temporary or permanent sensory and/or motor deficits. The pharmacological approach still in use for the treatment of SCI involves the employment of corticosteroid drugs. However, SCI remains a very complex disorder that needs future studies to find effective pharmacological treatments. SCI actives a strong inflammatory response that induces a loss of neurons followed by a cascade of events that lead to further spinal cord damage. Many experimental studies demonstrate the therapeutic effect of stem cells in SCI due to their capacity to differentiate into neuronal cells and by releasing neurotrophic factors. Therefore, they appear to be a valid strategy to use in the field of regenerative medicine. The purpose of this paper is to provide an overview of clinical trials, recorded in clinical trial.gov during 2005–2019, aimed to evaluate the use of stem cell-based therapy in SCI. The results available thus far show the safety and efficacy of stem cell therapy in patients with SCI. However, future trials are needed to investigate the safety and efficacy of stem cell transplantation.
机译:脊髓损伤(SCI)是一种创伤性损伤,会导致暂时或永久的感觉和/或运动缺陷的残疾。仍用于治疗SCI的药理学方法涉及使用皮质类固醇药物。但是,SCI仍然是一种非常复杂的疾病,需要进一步的研究以找到有效的药物治疗方法。 SCI激活强烈的炎症反应,诱发神经元丧失,继之以一系列事件导致进一步的脊髓损伤。许多实验研究证明干细胞在SCI中具有治疗作用,这是由于干细胞具有分化为神经元细胞的能力以及释放神经营养因子的能力。因此,它们似乎是在再生医学领域中使用的有效策略。本文的目的是提供临床试验的概述,该试验记录在2005-2019年间的Clinical trial.gov中,旨在评估SCI中基于干细胞疗法的使用。迄今为止可获得的结果显示了干细胞治疗对SCI患者的安全性和有效性。但是,还需要进一步的试验来研究干细胞移植的安全性和有效性。

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