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Brain repair mechanisms after cell therapy for stroke

Title: Brain repair mechanisms after cell therapy for stroke
Authors: Rust, Ruslan; Nih, Lina R; Liberale, Luca; Yin, Hao; El Amki, Mohamad; Ong, Lin Kooi; Zlokovic, Berislav V
Contributors: Rust, Ruslan; Nih, Lina R; Liberale, Luca; Yin, Hao; El Amki, Mohamad; Ong, Lin Kooi; Zlokovic, Berislav V
Publication Year: 2024
Collection: Università degli Studi di Genova: CINECA IRIS
Subject Terms: brain injury; iPSC; ischemia; regeneration; stem cell; therapy
Description: Cell-based therapies hold great promise for brain repair after stroke. While accumulating evidence confirms the preclinical and clinical benefits of cell therapies, the underlying mechanisms by which they promote brain repair remain unclear. Here, we briefly review endogenous mechanisms of brain repair after ischemic stroke and then focus on how different stem and progenitor cell sources can promote brain repair. Specifically, we examine how transplanted cell grafts contribute to improved functional recovery either through direct cell replacement or by stimulating endogenous repair pathways. Additionally, we discuss recently implemented preclinical refinement methods, such as preconditioning, microcarriers, genetic safety switches, and universal (immune evasive) cell transplants, as well as the therapeutic potential of these pharmacologic and genetic manipulations to further enhance the efficacy and safety of cell therapies. By gaining a deeper understanding of post-ischemic repair mechanisms, prospective clinical trials may be further refined to advance post-stroke cell therapy to the clinic.
Document Type: article in journal/newspaper
File Description: STAMPA
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/38916992; info:eu-repo/semantics/altIdentifier/wos/WOS:001314555200001; volume:147; issue:10; firstpage:3286; lastpage:3305; numberofpages:20; journal:BRAIN; https://hdl.handle.net/11567/1204315
DOI: 10.1093/brain/awae204
Availability: https://hdl.handle.net/11567/1204315; https://doi.org/10.1093/brain/awae204
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.5DF5354A
Database: BASE