Traumatic Brain Injury and Stem Cells: An Overview of Clinical Trials, the Current Treatments and Future Therapeutic Approaches

Medicina (Kaunas). 2020 Mar 19;56(3):137. doi: 10.3390/medicina56030137.

Abstract

Traumatic brain injury represents physical damage to the brain tissue that induces transitory or permanent neurological disabilities. The traumatic injury activates an important inflammatory response, followed by a cascade of events that lead to neuronal loss and further brain damage. Maintaining proper ventilation, a normal level of oxygenation, and adequate blood pressure are the main therapeutic strategies performed after injury. Surgery is often necessary for patients with more serious injuries. However, to date, there are no therapies that completely resolve the brain damage suffered following the trauma. Stem cells, due to their capacity to differentiate into neuronal cells and through releasing neurotrophic factors, seem to be a valid strategy to use in the treatment of traumatic brain injury. The purpose of this review is to provide an overview of clinical trials, aimed to evaluate the use of stem cell-based therapy in traumatic brain injury. These studies aim to assess the safety and efficacy of stem cells in this disease. The results available so far are few; therefore, future studies need in order to evaluate the safety and efficacy of stem cell transplantation in traumatic brain injury.

Keywords: clinical studies; inflammation; stem cell transplantation; stem cells; traumatic brain injury.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Brain Damage, Chronic / metabolism
  • Brain Damage, Chronic / physiopathology
  • Brain Damage, Chronic / therapy
  • Brain Injuries, Traumatic / complications*
  • Brain Injuries, Traumatic / metabolism
  • Brain Injuries, Traumatic / physiopathology
  • Brain Injuries, Traumatic / therapy*
  • Child
  • Child, Preschool
  • Clinical Trials as Topic
  • Female
  • Humans
  • Inflammation / etiology*
  • Male
  • Middle Aged
  • Nerve Growth Factors / metabolism
  • Neurons / pathology
  • Safety
  • Stem Cell Transplantation / methods*
  • Treatment Outcome
  • Young Adult

Substances

  • Nerve Growth Factors

Grants and funding