The Application of Brain Organoid Technology in Stroke Research: Challenges and Prospects DOI Creative Commons
Guini Song, Min Zhao, Han‐Min Chen

et al.

Frontiers in Cellular Neuroscience, Journal Year: 2021, Volume and Issue: 15

Published: June 21, 2021

Stroke is a neurological disease responsible for significant morbidity and disability worldwide. However, there remains dearth of effective therapies. The failure many therapies stroke in clinical trials has promoted the development human cell-based models, such as brain organoids. Brain organoids differ from pluripotent stem cells that they recapitulate various key features central nervous system (CNS) three-dimensional (3D) space. Recent studies have demonstrated could serve new platform to study diseases. are several limitations, scarcity glia vasculature organoids, which important studying stroke. Herein, we summarized application organoid technology research, modeling transplantation purposes. We also discuss methods overcome limitations technology, well future prospects its research. Although difficulties challenges associated with it clear this approach will play critical role exploration treatment.

Language: Английский

Mesenchymal stem/stromal cell-based therapy: mechanism, systemic safety and biodistribution for precision clinical applications DOI Creative Commons

Wei-Zhan Zhuang,

Yiheng Lin,

Long‐Jyun Su

et al.

Journal of Biomedical Science, Journal Year: 2021, Volume and Issue: 28(1)

Published: April 13, 2021

Abstract Mesenchymal stem/stromal cells (MSCs) are a promising resource for cell-based therapy because of their high immunomodulation ability, tropism towards inflamed and injured tissues, easy access isolation. Currently, there more than 1200 registered MSC clinical trials globally. However, lack standardized methods to characterize cell safety, efficacy, biodistribution dramatically hinders the progress utility in practice. In this review, we summarize current state MSC-based therapy, focusing on systemic safety MSCs. MSC-associated risks tumor initiation promotion underlying mechanisms these discussed. addition, methodology pharmacokinetics pharmacodynamics therapies addressed. Better understanding MSCs will facilitate future applications precision medicine using stem cells.

Language: Английский

Citations

188

Clinical Trials of Stem Cell Therapy for Cerebral Ischemic Stroke DOI Open Access
Masahito Kawabori, Hideo Shichinohe, Satoshi Kuroda

et al.

International Journal of Molecular Sciences, Journal Year: 2020, Volume and Issue: 21(19), P. 7380 - 7380

Published: Oct. 6, 2020

Despite recent developments in innovative treatment strategies, stroke remains one of the leading causes death and disability worldwide. Stem cell therapy is currently attracting much attention due to its potential for exerting significant therapeutic effects on patients. Various types cells, including bone marrow mononuclear marrow/adipose-derived stem/stromal umbilical cord blood neural stem olfactory ensheathing cells have enhanced neurological outcomes animal models. These also been tested via clinical trials involving In this article, authors review molecular mechanisms underlying recovery associated with treatment, as well advances therapy, particular reference future prospects such treating stroke.

Language: Английский

Citations

146

In vivo Neuroregeneration to Treat Ischemic Stroke Through NeuroD1 AAV-Based Gene Therapy in Adult Non-human Primates DOI Creative Commons

Longjiao Ge,

Fuhan Yang, Wen Li

et al.

Frontiers in Cell and Developmental Biology, Journal Year: 2020, Volume and Issue: 8

Published: Nov. 5, 2020

Stroke is a leading cause of death and disability but most the clinical trials have failed in past, partially because majority current approaches are focusing on neural protection rather than neuroregeneration. In this study, we report an vivo regeneration approach through AAV NeuroD1-based gene therapy to repair damaged brains after ischemic stroke adult non-human primates (NHPs). We demonstrate that ectopic expression transcription factor NeuroD1 reactive astrocytes monkey cortical can convert 90% infected into neurons. Interestingly, not depleted NeuroD1-converted areas, consistent with proliferative capability astrocytes. Following cortex, NeuroD1-mediated astrocyte-to-neuron (AtN) conversion significantly increased local neuronal density, reduced microglia, surprisingly protected parvalbumin interneurons converted areas. Furthermore, showed broad time window AtN conversion, from 10 days 30 following stroke. The astrocyte-converted neurons Tbr1+ neuron identity, similar our earlier findings rodent animal models. Unexpectedly, significant decrease 6 months viral infection, indicating downregulation maturation NHPs. These results suggest cell may be effective regenerate new for tissue primate brains.

Language: Английский

Citations

80

Oxidative Stress, Inflammation, and Autophagy: Potential Targets of Mesenchymal Stem Cells-Based Therapies in Ischemic Stroke DOI Creative Commons
Jialin He, Jianyang Liu, Yan Huang

et al.

Frontiers in Neuroscience, Journal Year: 2021, Volume and Issue: 15

Published: Feb. 26, 2021

Ischemic stroke is a leading cause of death worldwide; currently available treatment approaches for ischemic are to restore blood flow, which reduce disability but time limited. The interruption flow in contributes intricate pathophysiological processes. Oxidative stress and inflammatory activity two early events the cascade cerebral injury. These factors reciprocal causation directly trigger development autophagy. Appropriate autophagy brain recovery by reducing oxidative activity, while dysfunction aggravates Abundant evidence demonstrates beneficial impact mesenchymal stem cells (MSCs) secretome on MSCs through suppressing reactive oxygen species (ROS) nitrogen (RNS) generation transferring healthy mitochondria damaged cells. Meanwhile, exert anti-inflammation properties production cytokines extracellular vesicles, inhibiting proinflammatory activation, pyroptosis, alleviating blood–brain barrier leakage. Additionally, regulation imbalances gives rise neuroprotection against Altogether, have been promising candidate due their pleiotropic effect.

Language: Английский

Citations

79

Recent Advances in Cell-Based Therapies for Ischemic Stroke DOI Open Access
Satoshi Suda,

Chikako Nito,

Shoji Yokobori

et al.

International Journal of Molecular Sciences, Journal Year: 2020, Volume and Issue: 21(18), P. 6718 - 6718

Published: Sept. 14, 2020

Stroke is the most prevalent cardiovascular disease worldwide, and still one of leading causes death disability. Stem cell-based therapy actively being investigated as a new potential treatment for certain neurological disorders, including stroke. Various types cells, bone marrow mononuclear mesenchymal stem dental pulp neural inducible pluripotent genetically modified cells have been found to improve outcomes in animal models stroke, there are some ongoing clinical trials assessing their efficacy humans. In this review, we aim summarize recent advances therapies treat

Language: Английский

Citations

71

Neuroinflammation, Stem Cells, and Stroke DOI Open Access
Stefan Anthony, Dorothy Anne Galang Cabantan, Molly Monsour

et al.

Stroke, Journal Year: 2022, Volume and Issue: 53(5), P. 1460 - 1472

Published: April 5, 2022

Stroke remains a significant unmet clinical need with few treatment options that have very narrow therapeutic window, thereby causing massive mortality and morbidity in the United States around world. Accordingly, finding safe effective novel treatments wider window stands as an urgent stroke. The progressive inflammation occurs centrally peripherally after stroke serves unique target to retard even halt secondary cell death. Stem therapy represents potent approach can diminish both brain periphery (eg, spleen), advancing paradigm shift from traditionally brain-focused treating neurological disorder peripheral pathology. purpose of this review article is highlight inflammation-mediated death plagues spleen evaluate potential stem dampening these inflammatory responses.

Language: Английский

Citations

60

Beneath the radar: immune-evasive cell sources for stroke therapy DOI Creative Commons
Beatriz Achón Buil, Nora H. Rentsch, R. Weber

et al.

Trends in Molecular Medicine, Journal Year: 2024, Volume and Issue: 30(3), P. 223 - 238

Published: Jan. 25, 2024

Stem cell therapy is an emerging treatment paradigm for stroke patients with remaining neurological deficits. While allogeneic transplants overcome the manufacturing constraints of autologous grafts, they can be rejected by recipient's immune system, which identifies foreign cells through human leukocyte antigen (HLA) system. The heterogeneity HLA molecules in population would require a very high number lines, may still inadequate rare genetic HLAs. Here, we outline key progress engineering pluripotent stem and derived to evade host's reducing lines required, examine safety measures explored both preclinical studies upcoming clinical trials.

Language: Английский

Citations

10

Recent advances in tissue repair of the blood-brain barrier after stroke DOI Creative Commons

Liujie Qi,

Fei Wang,

Xiaojing Sun

et al.

Journal of Tissue Engineering, Journal Year: 2024, Volume and Issue: 15

Published: Jan. 1, 2024

The selective permeability of the blood-brain barrier (BBB) enables necessary exchange substances between brain parenchyma and circulating blood is important for normal functioning central nervous system. Ischemic stroke inflicts damage upon BBB, triggering adverse outcomes such as cerebral edema, hemorrhagic transformation, aggravated neuroinflammation. Therefore, effective repair damaged BBB after neovascularization that allows unique transfer from recovery function. This review focuses on four therapies have effects tissue in last seven years. Most these new show increased expression tight-junction proteins, some beneficial results terms enhanced pericyte coverage at injured vessels. also briefly outlines three classes approaches their mechanisms promoting neoangiogenesis following a stroke.

Language: Английский

Citations

10

Mesenchymal stem cells biological and biotechnological advances: Implications for clinical applications DOI

Jana Pharoun,

Jana Berro,

Jeanine Sobh

et al.

European Journal of Pharmacology, Journal Year: 2024, Volume and Issue: 977, P. 176719 - 176719

Published: June 6, 2024

Language: Английский

Citations

10

Pervasive White Matter Fiber Degeneration in Ischemic Stroke DOI Open Access
Natalia Egorova, Thijs Dhollander, Mohamed Salah Khlif

et al.

Stroke, Journal Year: 2020, Volume and Issue: 51(5), P. 1507 - 1513

Published: April 16, 2020

Background and Purpose- We examined if ischemic stroke is associated with white matter degeneration predominantly confined to the ipsi-lesional tracts or widespread bilateral axonal loss independent of lesion laterality. Methods- applied a novel fixel-based analysis, sensitive fiber tract-specific differences within voxel, assess in (N=104, 32 women) compared control participants (N=40, 15 across whole brain. studied microstructural density macrostructural (morphological) changes cross-section. Results- In stroke, we observed significantly lower cross-section areas adjacent, connected, lesions (eg, corticospinal tract). addition, extended beyond directly connected tracts, laterality corpus callosum, inferior fronto-occipital fasciculus, right superior longitudinal fasciculus). Conclusions- conclude that extensive neurodegeneration affects integrity These findings expand our understanding mechanisms brain volume delayed cognitive decline stroke.

Language: Английский

Citations

64