Cell based therapy in Parkinsonism
Johannes Pjm de Munter1, Chongsik Lee, Erik Ch Wolters
1Department of Neurosciences University Maastricht, Maastricht, The Netherlands. h.demunter@hetnet.nl.
Abstract:
Parkinson's disease (PD) is a synucleinopathy-induced chronic progressive neurodegenerative disorder, worldwide affecting about 5 million humans. As of yet, actual therapies are symptomatic, and neuroprotective strategies are an unmet need. Due to their capability to transdifferentiate, to immune modulate and to increase neuroplasticity by producing neurotrophic factors, adult stem cells (ASC) might fill this gap. Preclinical research in 6-hydroxydopamine (6-OHDA) and/or 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) lesioned animals established persistent improvements of motor behavior after ASC-treatment. Histological/histochemical measurements in these animals evidenced an intracerebral applied ASC-induced increase of Tyrosine Hydroxylase-positive (TH+) cells with increased striatal dopamine levels, suggesting cell rescue. Likewise, clinical experience with subventricular applied ASCs in PD patients, although limited, is encouraging, evidencing neurorescue especially during the early phase of the disease. In multiple system atrophy (MSA) or progressive supranuclear palsy (PSP) patients, though, only marginal reduced progression of natural progression could be established after subventricular or intravasal ASC implantations.
Insights
Adult stem cells (ASC) show promise for treating Parkinson's disease (PD) by potentially rescuing neurons and improving motor function. Clinical trials suggest neurorescue effects, particularly in early PD stages.
Area of Science:
- Neuroscience
- Regenerative Medicine
- Stem Cell Biology
Background:
- Parkinson's disease (PD) is a progressive neurodegenerative disorder affecting millions globally.
- Current PD therapies are symptomatic, highlighting the need for neuroprotective strategies.
- Adult stem cells (ASC) possess properties like transdifferentiation and immunomodulation, suggesting therapeutic potential.
Purpose of the Study:
- To evaluate the efficacy of adult stem cells (ASC) as a neuroprotective strategy for Parkinson's disease (PD).
- To investigate the potential of ASCs to promote neurorescue and improve motor function in PD models and patients.
Main Methods:
- Preclinical studies utilized 6-hydroxydopamine (6-OHDA) and MPTP-lesioned animal models.
- Histological and histochemical analyses assessed changes in Tyrosine Hydroxylase-positive (TH+) cells and dopamine levels.
- Limited clinical investigations involved subventricular or intravasal ASC applications in PD, MSA, and PSP patients.
Main Results:
- ASC treatment in animal models led to persistent motor behavior improvements.
- Intracerebral ASC application increased TH+ cells and striatal dopamine levels, indicating cell rescue.
- Early-phase PD patients showed encouraging neurorescue with subventricular ASCs, while MSA/PSP patients had marginal benefits.
Conclusions:
- ASCs demonstrate potential for neuroprotection and motor function improvement in Parkinson's disease.
- Evidence suggests ASCs can promote neurorescue, particularly in the early stages of PD.
- Further research is needed to optimize ASC therapy for various neurodegenerative conditions like MSA and PSP.
Related Concept Videos
Parkinson's Disease: Treatment
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of its...
Parkinson's Disease: Overview
Parkinson Disease ll: Pathophysiology
Parkinson Disease l: Introduction
EPS and iPS Cells in Disease Research
Neural Regulation


