2016
DOI: 10.5853/jos.2016.01263
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Adult Stem Cell Therapy for Stroke: Challenges and Progress

Abstract: Stroke is one of the leading causes of death and physical disability among adults. It has been 15 years since clinical trials of stem cell therapy in patients with stroke have been conducted using adult stem cells like mesenchymal stem cells and bone marrow mononuclear cells. Results of randomized controlled trials showed that adult stem cell therapy was safe but its efficacy was modest, underscoring the need for new stem cell therapy strategies. The primary limitations of current stem cell therapies include (… Show more

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Cited by 93 publications
(98 citation statements)
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References 111 publications
(106 reference statements)
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“…Furthermore, administration of exosomes could represent an alternative therapy for AD (Fang et al 2018;El Andaloussi et al 2013). Intravenous administration of MSC-derived exosomes enhances functional recovery in stroke-induced rats (Bang et al 2016); this might be attributed to "miR delivery to target cells," thereby regulating the expression of genetic information and promoting a therapeutic response (Juranek et al 2013). For instance, MSC transplantation raised miR-133b expression in the brains of stroke-induced rats and regulated neurite outgrowth (Xin et al 2012).…”
Section: Mesenchymal Stem Cells (Mscs)mentioning
confidence: 99%
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“…Furthermore, administration of exosomes could represent an alternative therapy for AD (Fang et al 2018;El Andaloussi et al 2013). Intravenous administration of MSC-derived exosomes enhances functional recovery in stroke-induced rats (Bang et al 2016); this might be attributed to "miR delivery to target cells," thereby regulating the expression of genetic information and promoting a therapeutic response (Juranek et al 2013). For instance, MSC transplantation raised miR-133b expression in the brains of stroke-induced rats and regulated neurite outgrowth (Xin et al 2012).…”
Section: Mesenchymal Stem Cells (Mscs)mentioning
confidence: 99%
“…Recently, three-dimensional (3D) modeling aimed to simulate the in vivo-like microenvironment of the stem cells, to preserve their characteristics and to enhance their mechanism of action (Sart et al 2014;Frith et al 2010); this approach could assist the clinical application of stem cells (Bang et al 2016). For example, "3D MSCs" expresses higher neuromodulating factors (Frith et al 2010); thereby this type of MSCs could present a higher therapeutic potential.…”
Section: Mesenchymal Stem Cells (Mscs)mentioning
confidence: 99%
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“…Recently, there have been significant advances in overcoming the limitations of current stem cell therapies including advances in biotechnology and the cell-free paradigm [53,54].…”
Section: Recent Advances and Guidelinesmentioning
confidence: 99%
“…Loss of proliferative capacity under standard culture conditions as well as the method for the delivery of adult stem cells to the patient may impact on their ability to survive posttransplantation [35,36].…”
mentioning
confidence: 99%