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Regenerative Medicine for Stroke Recovery: A Breakthrough?

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Regenerative Medicine for Stroke Recovery: A Breakthrough?

Introduction

Stroke is a primary cause of chronic disability and mortality, accounting for 102 million disability-adjusted life years lost each year. Despite many neurorehabilitation therapies, the majority of stroke survivors have some degree of disability, notably upper limb dysfunction. Exercises, motor learning principles, and assistive technologies are used in physical therapy to help restore functional motions. The advent of regenerative medicine has piqued the interest of readers and physicians alike in researching its potential. Over the last decade, a tremendous amount of research has been conducted to investigate the potential of various cells such as adult stem cells, umbilical cord blood, and cells from adipose tissue and skin.


Translational Method for Regenerative Medicine Development in Brain Stroke

Brain stroke is one of many neurodegenerative diseases for which cell-based therapy has been developed. This therapy takes advantage of the special ability of stem cells to self-renew and differentiate. There have been a number of studies that indicate the use of stem cells in the treatment of various ailments. Different types of stem cells, including adult stem cells (mesenchymal stem cells and neural stem cells), embryonic stem cells, and the most recent type, induced pluripotent stem cells, have been used in these investigations. Researchers have claimed unique ways of action in addition to using various stem cell types to support the findings of their studies. Other factors to take into account, depending on the severity of the disease, include the dosage of stem cells, the method of administering stem cells, and whether or not booster doses are necessary. Through their research, numerous groups have tried to provide answers to these important concerns.


Ischemic stroke severely damages brain cells by damaging neural connections, diverse cell populations, and vascular systems. For the treatment of stroke, the regeneration potential of various stem cell types including embryonic stem cells, neural stem cells, adult stem cells (mesenchymal stem cells), and induced pluripotent stem cells has been studied.


Pre-Clinical Studies Using Stem Cells for Stroke

Over the past few years, there has been increasing experimental evidence of stem cells' potential to treat stroke. Numerous types of stem cells have been shown to be effective and safe at both the pre-clinical and clinical levels in treating a variety of neurological illnesses. The pre-clinical approval of stem cells for the treatment of stroke has been crucial. In terms of different characteristics, including the kind of stem cells, number/dose of stem cells, manner of delivery, localization and monitoring of stem cells, and safety and efficacy of stem cells, numerous study groups have verified the use of stem cells.


The stem cells that are most frequently utilised and researched for use in treating stroke are mesenchymal stem cells (MSCs). The two most frequent and well-researched tissue sources of MSCs are bone marrow and adipose tissue, with bone marrow being the oldest of all. But researchers have also looked into bone marrow-derived mononuclear stem cells and neural stem cells. The majority of pre-clinical research has examined different facets of stem cell transplantation in stroke using autologous bone marrow-derived MSCs. Other research has documented the utilisation of MSCs derived from adipose tissue, the umbilical cord, the placenta, etc. MSCs are classified for transplantation. The quantity/dose of cells to be supplied and the method of administration are additional crucial elements that must be taken into account for pre-clinical investigations.

The effectiveness of the transplantation of coaxed and naive stem cells in terms of functional recovery, BBB function, enhanced angiogenesis and vasculogenesis, and tissue regeneration is subject to conflicting results. A comprehensive stem cell therapy regimen for stroke needs to be developed through more in-depth research.


Future Prospects

As we get more data from past and present clinical studies in stroke, regenerative medicine is starting to look more and more alluring. Restoration of brain function may be a feasible objective, according to the neurophysiology characterising stem cells and their concatenated mechanisms. Certain problems, like the best cell administration method, the early engraftment and distribution style of injected cells, and how efficiently injected cells migrate toward the afflicted regions, still need to be addressed for this research to be useful as a stroke therapy.


Despite the fact that stem cells have shown to be an excellent resource for treating stroke, there are still a number of challenges that must be overcome in the near future. For the treatment of stroke, numerous stem cells with various characteristics have been tested. Starting with the types of stem cells in use, there are adult stem cells, neural stem cells, and pluripotent stem cells (MSCs from various tissues). Pluripotent stem cells are subject to ethical debate. Additionally, the in vitro growth of NSCs is constrained (in terms of the number of NSCs required to be transplanted). MSCs are able to address this issue. Immunological tolerance between the host body and the transplanted stem cells is another problem. By creating iPSCs of MSCs from the patient's own cells, this problem can be solved. To make stem cell therapy a sustainable treatment option for stroke in the future, all these issues must be resolved.



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