On the Viability and Potential Value of Stem Cells for Repair and Treatment of Central Neurotrauma: Overview and Speculations

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, manufac...

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Main Authors: Samantha Wu, Kevin T. FitzGerald, James Giordano
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fneur.2018.00602/full
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author Samantha Wu
Kevin T. FitzGerald
Kevin T. FitzGerald
James Giordano
James Giordano
author_facet Samantha Wu
Kevin T. FitzGerald
Kevin T. FitzGerald
James Giordano
James Giordano
author_sort Samantha Wu
collection DOAJ
description 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.
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spelling doaj.art-0d1c63d0352e4faaaf518d775202229f2022-12-22T01:02:34ZengFrontiers Media S.A.Frontiers in Neurology1664-22952018-08-01910.3389/fneur.2018.00602338168On the Viability and Potential Value of Stem Cells for Repair and Treatment of Central Neurotrauma: Overview and SpeculationsSamantha Wu0Kevin T. FitzGerald1Kevin T. FitzGerald2James Giordano3James Giordano4Pellegrino Center for Clinical Bioethics, Georgetown University Medical Center, Washington, DC, United StatesPellegrino Center for Clinical Bioethics, Georgetown University Medical Center, Washington, DC, United StatesDepartment of Oncology, Georgetown University Medical Center, Washington, DC, United StatesPellegrino Center for Clinical Bioethics, Georgetown University Medical Center, Washington, DC, United StatesDepartments of Neurology and Biochemistry, Georgetown University Medical Center, Washington, DC, United StatesCentral 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.https://www.frontiersin.org/article/10.3389/fneur.2018.00602/fullnervous system traumaneural stem cellsautologous transplantationregenerationcell and tissue based therapyspinal cord injury
spellingShingle Samantha Wu
Kevin T. FitzGerald
Kevin T. FitzGerald
James Giordano
James Giordano
On the Viability and Potential Value of Stem Cells for Repair and Treatment of Central Neurotrauma: Overview and Speculations
Frontiers in Neurology
nervous system trauma
neural stem cells
autologous transplantation
regeneration
cell and tissue based therapy
spinal cord injury
title On the Viability and Potential Value of Stem Cells for Repair and Treatment of Central Neurotrauma: Overview and Speculations
title_full On the Viability and Potential Value of Stem Cells for Repair and Treatment of Central Neurotrauma: Overview and Speculations
title_fullStr On the Viability and Potential Value of Stem Cells for Repair and Treatment of Central Neurotrauma: Overview and Speculations
title_full_unstemmed On the Viability and Potential Value of Stem Cells for Repair and Treatment of Central Neurotrauma: Overview and Speculations
title_short On the Viability and Potential Value of Stem Cells for Repair and Treatment of Central Neurotrauma: Overview and Speculations
title_sort on the viability and potential value of stem cells for repair and treatment of central neurotrauma overview and speculations
topic nervous system trauma
neural stem cells
autologous transplantation
regeneration
cell and tissue based therapy
spinal cord injury
url https://www.frontiersin.org/article/10.3389/fneur.2018.00602/full
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