Essential properties of stem cells for use in clinical transplantation
Disease | Principle function required of stem cells |
---|---|
Cell replacement | |
Parkinson’s disease | Nigrostriatal dopamine neurons |
Huntington’s disease | GABAergic striatal projection neurons |
Alzheimer’s (and other dementias) | Diffuse neuronal replacement, including basal forebrain cholinergic |
Multiple system atrophy (MSA) | Nigrostriatal and striatal output neurones |
Hippocampal damage (eg global ischaemia) | Hippocampal neurones especially those of CA1 |
Focal ischaemic damage | Broad phenotypes required; dependent on site |
Traumatic brain injury | Broad phenotypes required; dependent on site |
Spinal injury | Projection neurones (glutamate); remyelination |
Amyotrophic-lateral sclerosis | Replacement of alpha motorneurons |
Multiple sclerosis and other demyelinating conditions | Remyelination through oligodendrocytes |
Drug delivery | |
Epilepsy | Local GABA |
Chronic pain | Analgesic compounds such as met-enkephalin and endorphins |
Genetic defects, eg | Metabolic enzymes |
Mucopolysaccaroidosis VII | β-glucuronidase |
Tay-Sachs disease | β-hexosaminidase A |
Intracerebral malignancy | Anti-mitotic drug; modified viruses |
“growth factor responsive conditions” | Support of diverse neuronal populations |