1. Stem-Cell Challenges in the Treatment of Alzheimer's Disease: A Long Way from Bench to Bedside
- Author
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Zheng Qin Yin, Xiaotong Tang, Xiaotang Fan, Dayu Sun, Haiwei Xu, and Yulong Cai
- Subjects
Pharmacology ,business.industry ,Somatic cell ,Mesenchymal stem cell ,medicine.disease ,Embryonic stem cell ,Neuroprotection ,Neural stem cell ,Drug Discovery ,Immunology ,medicine ,Molecular Medicine ,Alzheimer's disease ,Stem cell ,business ,Induced pluripotent stem cell ,Neuroscience - Abstract
Alzheimer's disease (AD) is the most prevalent type of dementia, and its neuropathology is characterized by deposition of insoluble β-amyloid peptides, intracellular neurofibrillary tangles, and the loss of diverse neurons. Current pharmacological treatments for AD relieve symptoms without affecting the major pathological characteristics of the disease. Therefore, it is essential to develop new and effective therapies. Stem-cell types include tissue-specific stem cells, such as neural stem cells and mesenchymal stem cells, embryonic stem cells derived from blastocysts, and induced pluripotent stem cells (iPSCs) reprogrammed from somatic cells. Recent preclinical evidence suggests that stem cells can be used to treat or model AD. The mechanisms of stem cell based therapies for AD include stem cell mediated neuroprotection and trophic actions, antiamyloidogenesis, beneficial immune modulation, and the replacement of the lost neurons. iPSCs have been recently used to model AD, investigate sporadic and familial AD pathogenesis, and screen for anti-AD drugs. Although considerable progress has been achieved, a series of challenges must be overcome before stem cell based cell therapies are used clinically for AD patients. This review highlights the recent experimental and preclinical progress of stem-cell therapies for AD, and discusses the translational challenges of their clinical application.
- Published
- 2014