Cell therapy for central nervous system disorders: Current obstacles to progress

CNS Neurosci Ther. 2020 Jun;26(6):595-602. doi: 10.1111/cns.13247. Epub 2019 Oct 17.

Abstract

Cell therapy for disorders of the central nervous system has progressed to a new level of clinical application. Various clinical studies are underway for Parkinson's disease, stroke, traumatic brain injury, and various other neurological diseases. Recent biotechnological developments in cell therapy have taken advantage of the technology of induced pluripotent stem (iPS) cells. The advent of iPS cells has provided a robust stem cell donor source for neurorestoration via transplantation. Additionally, iPS cells have served as a platform for the discovery of therapeutics drugs, allowing breakthroughs in our understanding of the pathology and treatment of neurological diseases. Despite these recent advances in iPS, adult tissue-derived mesenchymal stem cells remain the widely used donor for cell transplantation. Mesenchymal stem cells are easily isolated and amplified toward the cells' unique trophic factor-secretion property. In this review article, the milestone achievements of cell therapy for central nervous system disorders, with equal consideration on the present translational obstacles for clinic application, are described.

Keywords: Parkinson's disease; cell therapy; iPS cells; stroke; traumatic brain injury.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Cell- and Tissue-Based Therapy / methods*
  • Cell- and Tissue-Based Therapy / trends
  • Central Nervous System Diseases / diagnosis
  • Central Nervous System Diseases / therapy*
  • Humans
  • Induced Pluripotent Stem Cells / transplantation*
  • Parkinson Disease / diagnosis
  • Parkinson Disease / therapy
  • Stem Cell Transplantation / methods
  • Stem Cell Transplantation / trends
  • Stroke / diagnosis
  • Stroke / therapy