中枢神经外伤,如脊髓损伤或创伤性脑损伤,可能会损害关键的轴突通路和神经元,并导致部分到完全的神经功能丧失,这在成熟的中枢神经系统中很难解决。在发展中改进和创新,制造,以及提供基于干细胞的疗法,以及不断探索新形式的干细胞,允许专业和公共领域解决以前阻碍中枢神经系统损伤干细胞研究的技术和伦理问题。最近的体外和体内模型已经证明了重新编程自体干细胞的潜力,特别是,必须恢复功能并诱导再生-同时可能减轻免疫原性的技术问题,拒绝,和胚胎衍生的伦理问题。这些新的基于干细胞的方法不是,然而,没有担心和安全问题,功效,使用和分配。这篇评论是对科学现状的评估,已经和目前正在探索的潜在解决方案,以及从似乎有希望的前进道路中出现的问题和问题(即,基于自体干细胞的疗法)-目的是推进对中枢神经创伤急需的治疗干预措施的研究。
Central neurotrauma, such as spinal cord injury or traumatic brain injury, can damage critical axonal pathways and neurons and lead to partial to complete loss of neural function that is difficult to address in the mature central nervous system. Improvement and innovation in the development, manufacture, and delivery of stem-cell based therapies, as well as the continued exploration of newer forms of stem cells, have allowed the professional and public spheres to resolve technical and ethical questions that previously hindered stem cell research for central nervous system injury. Recent in vitro and in vivo models have demonstrated the potential that reprogrammed autologous stem cells, in particular, have to restore functionality and induce regeneration-while potentially mitigating technical issues of immunogenicity, rejection, and ethical issues of embryonic derivation. These newer stem-cell based approaches are not, however, without concerns and problems of safety, efficacy, use and distribution. This review is an assessment of the current state of the science, the potential solutions that have been and are currently being explored, and the problems and questions that arise from what appears to be a promising way forward (i.e., autologous stem cell-based therapies)-for the purpose of advancing the research for much-needed therapeutic interventions for central neurotrauma.