4.6 Review

Stem Cell Therapy in Treating Epilepsy

Journal

FRONTIERS IN NEUROSCIENCE
Volume 16, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fnins.2022.934507

Keywords

stem cells; seizure; epilepsy; disease-modifying; genetic engineering; graft; disease models

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Funding

  1. Chang Gung Memorial Hospital, Taipei, Taiwan [CMRPG3I0521, CMRPG3K1021, CMRPG3L0661, BMRPJ26]
  2. Ministry of Science and Technology, Taiwan [MOST 108-2314-B-182A-153 -, MOST 109-2314-B-182-079, MOST 110-2314-B-182-055-]

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Stem cell therapy is a promising novel approach for epilepsy treatment. Different types of stem cells, such as embryonic stem cells, mesenchymal stem cells, neural stem cells, induced pluripotent stem cells, and adipose-derived regenerative cells, have been applied in preclinical animal research and clinical trials.
Epilepsy is a common disabling chronic neurological disorder characterized by an enduring propensity for the generation of seizures that result from abnormal hypersynchronous firing of neurons in the brain. Over 20-30% of epilepsy patients fail to achieve seizure control or soon become resistant to currently available therapies. Prolonged seizures or uncontrolled chronic seizures would give rise to neuronal damage or death, astrocyte activation, reactive oxygen species production, and mitochondrial dysfunction. Stem cell therapy is potentially a promising novel therapeutic strategy for epilepsy. The regenerative properties of stem cell-based treatment provide an attractive approach for long-term seizure control, particularly in drug-resistant epilepsy. Embryonic stem cells (ESCs), mesenchymal stem cells (MSCs), neural stem cells (NSCs), induced pluripotent stem cells (iPSCs), and adipose-derived regenerative cells (ADRCs) are capable of differentiating into specialized cell types has been applied for epilepsy treatment in preclinical animal research and clinical trials. In this review, we focused on the advances in stem cell therapy for epilepsies. The goals of stem cell transplantation, its mechanisms underlying graft effects, the types of grafts, and their therapeutic effects were discussed. The cell and animal models used for investigating stem cell technology in epilepsy treatment were summarized.

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