Combined Cell Therapy in the Treatment of Neurological Disorders.
Daria D NamestnikovaElvira A CherkashovaKirill K SukhinichIlya L GubskiyGeorgy E LeonovLeonid V GubskyAlexander G MajougaKonstantin N YaryginPublished in: Biomedicines (2020)
Cell therapy of neurological diseases is gaining momentum. Various types of stem/progenitor cells and their derivatives have shown positive therapeutic results in animal models of neurological disorders and in clinical trials. Each tested cell type proved to have its advantages and flaws and unique cellular and molecular mechanism of action, prompting the idea to test combined transplantation of two or more types of cells (combined cell therapy). This review summarizes the results of combined cell therapy of neurological pathologies reported up to this point. The number of papers describing experimental studies or clinical trials addressing this subject is still limited. However, its successful application to the treatment of neurological pathologies including stroke, spinal cord injury, neurodegenerative diseases, Duchenne muscular dystrophy, and retinal degeneration has been reported in both experimental and clinical studies. The advantages of combined cell therapy can be realized by simple summation of beneficial effects of different cells. Alternatively, one kind of cells can support the survival and functioning of the other by enhancing the formation of optimum environment or immunomodulation. No significant adverse events were reported. Combined cell therapy is a promising approach for the treatment of neurological disorders, but further research needs to be conducted.
Keyphrases
- cell therapy
- stem cells
- mesenchymal stem cells
- clinical trial
- induced apoptosis
- spinal cord injury
- duchenne muscular dystrophy
- cell cycle arrest
- cerebral ischemia
- cell death
- randomized controlled trial
- spinal cord
- oxidative stress
- study protocol
- diabetic retinopathy
- brain injury
- blood brain barrier
- replacement therapy
- neuropathic pain
- phase ii
- muscular dystrophy