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Advanced Neurology                                   Stem cell therapy in stroke treatment: Advances and prospects



                                                               This problem can be addressed with MSCs, as they possess
                           References  91  91  92  93          multipotency and a high regeneration capacity. However,
                                                               it is still too early to conclude whether MSC therapy
                                                               can improve outcomes in stroke cases.  A recent meta-
                                                                                               95
                                             Abbreviations: MSCs: Mesenchymal stem cells; mRS: Modified Rankin scale; NIHSS: National Institutes of Health Stroke Scale; MRI: Magnetic resonance imaging; BM: Bone marrow;
                                                               analysis in the field of cardiology showed that adult bone-
                                                               marrow transplantation when compared to conventional
                           Primary outcomes  NIHSS, ESS, mRS  NIHSS, mRS  mRS, NIHSS  NIHSS, mRS, BI  therapy, improved infarct size, remodeling, and left
                                                               ventricular function in individuals with ischemia-related
                                                               cardiovascular disease.  This result was based on data from
                                                                                 96
                                                               50 studies involving 2625 patients. These studies utilized
                                                               echocardiograms and included long-term follow-ups for
                                                               patients receiving stem cell transplants. The first effective
                           Time point from   onset of infusion  6 months – 5 years  6 months – 5 years  1 – 3 days  2 – 4 weeks  cell transplantation – took 60 years to develop.  Therefore,
                                                               stem cell treatment in hematology – hematopoietic stem
                                                                                                    97
                                                               developing  important  and  innovative  treatments  will
                                                               necessitate ongoing collaboration between researchers and
                                                               medical professionals involved in clinical trials. The basic
                                                               principles of stem cell therapy will be better understood
                                                               through further advancements in both laboratory research
                           Dose  3 – 8×110 6  3 – 8×10 6  10 million cells/kg   b. wt.  1×10 6  and clinical settings, ultimately improving the therapeutic
                                                               efficacy of cell-based treatments for stroke cases.

                                                               9. Conclusion
                                                 FMA: Fugl–Meyer assessment; BMSCs: Bone marrow stem cells; b. wt.: Body weight; ESS: European stroke scale.

                                                               significant problems still need to be fixed to fully harness
                                                               its potential. In addition to improving delivery methods
                           Route of   administration  Intracranial   Stereotactic  Intravenous  Intra-arterial MNCs: Mononuclear cells; BM-MNCs: Bone marrow-mononuclear cells; BI: Barthel index; CT: Computed tomography; PET: Positron emission tomography; DTI: Diffusion tensor imaging;   Despite stem cell treatment for stroke shows great promise,
                                                               and developing protocols to ensure patient safety and
                                                               efficacy, the present study aims to enhance cell survival
                                                               and integration into ischemic brain tissue. Further
                                                               understanding of the therapeutic potential and mechanisms
                                                               of action of various types of stem cells is expected to lead
                           Interventional types  BM-MNCs  BM-MNC  to better treatment outcomes for stroke patients. Together,
                                                               basic research and clinical practice will be crucial in
                                                               overcoming present challenges and transforming these
                               CD34+
                                  PBSCs
                                                               findings into effective therapies, ultimately improving
                                                               the quality of life and recuperation of stroke survivors.
                                                               Furthermore, reaching this objective will require research
                                                               into innovative strategies. By investigating cutting-edge
                                                               treatments, including neuroprotective drugs,  robotic

                                                               can better address the various needs of stroke patients and
                           Cell types  Peripheral cells  PBSCs  Bone marrow harvest  Posterior iliac crest  rehabilitation, and individualized treatment programs, we
                                                               maximize their chances of recovery. Collaboration among
                                                               researchers, physicians, and patients will pave the way for
                           Sample   size  15/15  15/15  25/30  12/18  translating these developments into effective therapeutic
                                                               applications, which will transform the future of stroke
                                                               rehabilitation.
                       Table 2. (Continued)  Country/Region,   year  Taiwan region, 2014  China, 2014  USA, 2019  Egypt, 2016  Acknowledgments


                                                               None.

                                                               Funding




            Volume 4 Issue 3 (2025)                         10  None.                        doi: 10.36922/an.5582
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