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Stem cell-based ischemic stroke therapy: Novel modifications and clinical challenges.

Yuankai Sun1, Xinchi Jiang1, Jianqing Gao1,2,3,4

  • 1Institute of Pharmaceutics, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China.

Asian Journal of Pharmaceutical Sciences
|February 15, 2024
PubMed
Summary

Stem cell (SC) therapy shows promise for treating ischemic stroke (IS) by enhancing neuroprotection. Modifications to SCs improve their effectiveness, but clinical application faces challenges in production, stability, and regulation.

Keywords:
Cell therapy challengeIschemic strokeStem cell modificationStem cell therapy

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Area of Science:

  • Regenerative Medicine
  • Neuroscience
  • Biotechnology

Background:

  • Ischemic stroke (IS) is a leading cause of global disability and mortality.
  • Current IS treatments are limited, highlighting the need for novel therapeutic strategies.
  • Stem cell (SC) therapy offers unique neuroprotective potential through cell homing, differentiation, and paracrine effects.

Purpose of the Study:

  • To review the pathogenesis of IS.
  • To explore the multi-mechanism therapeutic advantages of SCs for IS treatment.
  • To discuss SC modification strategies and clinical application challenges.

Main Methods:

  • Review of recent studies on SC modification techniques for IS.
  • Analysis of SC properties: homing, differentiation, and paracrine abilities.
  • Examination of challenges in SC production, storage, transportation, and regulation.

Main Results:

  • SC modifications (gene transfection, nanoparticle/biomaterial modification, pretreatment) enhance SC survival, homing, neural differentiation, and paracrine function in ischemic areas.
  • SCs possess multi-mechanism advantages for IS treatment.
  • Significant challenges impede the clinical translation of SC therapy for IS.

Conclusions:

  • SC therapy holds significant potential for treating IS.
  • Further research and development are needed to overcome clinical application hurdles.
  • Innovative SC modification strategies are crucial for advancing IS treatment.