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Stem cell therapy for Alzheimer’s disease and related disorders: current status and future perspectivesOpen

机译:干细胞疗法治疗阿尔茨海默氏病及相关疾病的现状和未来展望

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摘要

Underlying cognitive declines in Alzheimer’s disease (AD) are the result of neuron and neuronal process losses due to a wide range of factors. To date, all efforts to develop therapies that target specific AD-related pathways have failed in late-stage human trials. As a result, an emerging consensus in the field is that treatment of AD patients with currently available drug candidates might come too late, likely as a result of significant neuronal loss in the brain. In this regard, cell-replacement therapies, such as human embryonic stem cell- or induced pluripotent stem cell-derived neural cells, hold potential for treating AD patients. With the advent of stem cell technologies and the ability to transform these cells into different types of central nervous system neurons and glial cells, some success in stem cell therapy has been reported in animal models of AD. However, many more steps remain before stem cell therapies will be clinically feasible for AD and related disorders in humans. In this review, we will discuss current research advances in AD pathogenesis and stem cell technologies; additionally, the potential challenges and strategies for using cell-based therapies for AD and related disorders will be discussed.
机译:阿尔茨海默氏病(AD)潜在的认知能力下降是由于多种因素导致神经元和神经元过程损失的结果。迄今为止,在晚期人体试验中,开发针对特定AD相关途径的疗法的所有努力均告失败。结果,该领域的一个新的共识是,使用可能存在的候选药物治疗AD患者可能为时已晚,这很可能是由于大脑中神经元的大量丢失所致。在这方面,诸如人类胚胎干细胞或诱导的多能干细胞衍生的神经细胞等细胞替代疗法具有治疗AD患者的潜力。随着干细胞技术的出现以及将这些细胞转化为不同类型的中枢神经系统神经元和神经胶质细胞的能力,已经在AD动物模型中报道了干细胞治疗方面的一些成功。然而,在干细胞疗法对人的AD和相关疾病临床上可行之前,还有许多步骤要做。在这篇综述中,我们将讨论AD发病机制和干细胞技术的最新研究进展。此外,将讨论使用基于细胞的疗法治疗AD和相关疾病的潜在挑战和策略。

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