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Published on: February 12, 2016
Stem Cells Attenuate the Inflammation Crosstalk Between Ischemic Stroke and Multiple Sclerosis: A Review
Molly Monsour1, Jonah Gordon1, Gavin Lockard1
1Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
Abstract:
The immense neuroinflammation induced by multiple sclerosis (MS) promotes a favorable environment for ischemic stroke (IS) development, making IS a deadly complication of MS. The overlapping inflammation in MS and IS is a prelude to the vascular pathology, and an inherent cell death mechanism that exacerbates neurovascular unit (NVU) impairment in the disease progression. Despite this consequence, no therapies focus on reducing IS incidence in patients with MS. To this end, the preclinical and clinical evidence we review here argues for cell-based regenerative medicine that will augment the NVU dysfunction and inflammation to ameliorate IS risk.
Insights
Multiple sclerosis (MS) increases ischemic stroke (IS) risk due to overlapping inflammation. Cell-based regenerative medicine may reduce IS incidence by improving neurovascular unit function in MS patients.
Area of Science:
- Neuroscience
- Immunology
- Regenerative Medicine
Background:
- Multiple sclerosis (MS) involves significant neuroinflammation.
- This inflammation creates conditions conducive to ischemic stroke (IS) development.
- Ischemic stroke is a severe complication in MS patients, worsening neurovascular unit (NVU) impairment.
Purpose of the Study:
- To review evidence supporting cell-based regenerative medicine for MS.
- To explore its potential in mitigating IS risk in MS patients.
- To address the lack of therapies targeting IS incidence in MS.
Main Methods:
- Review of preclinical and clinical evidence.
- Analysis of the interplay between MS-induced inflammation and IS pathology.
- Evaluation of NVU dysfunction and its role in disease progression.
Main Results:
- Neuroinflammation in MS significantly elevates IS risk.
- Shared inflammatory pathways exacerbate NVU damage in both conditions.
- Current therapies do not specifically target IS reduction in MS.
Conclusions:
- Cell-based regenerative medicine offers a promising therapeutic strategy.
- Augmenting NVU function and reducing inflammation can ameliorate IS risk in MS.
- This approach holds potential for improving outcomes for MS patients at risk of stroke.
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