Terapia celular na Esclerose Lateral Amiotrófica

Autores

  • Ronald Pallotta Hematologista, Mestre pela Universidade de São Paulo, Professor Assistente da EBMSP-FBDC, na disciplina de clínica médica, núcleo de oncohematologia e terapia celular, Salvador-BA, Brasil
  • Antônio Andrade Neurologista, Livre Docente pela UFBa, Professor Titular da EBMSPFBDC, na disciplina de clínica médica, núcleo de neurologia, Salvador-BA, Brasil
  • Clara Magalhaes Paiva Graduanda em medicina na EBMSP-FBDC, Salvador-BA, Brasil.

DOI:

https://doi.org/10.34024/rnc.2010.v18.8490

Palavras-chave:

Esclerose Amiotrófica Lateral, Transplante de célulastronco, Terapia Celular

Resumo

Introdução. A Esclerose Lateral Amiotrófica é a doença de neurônio motor mais comum na idade adulta, com prognóstico sombrio e limitadas opções de tratamento o que leva a exploração de terapias alternativas. Método. Este trabalho, através de uma revisão da literatura, buscou descrever os avanços da utilização de células-tronco no tratamento da esclerose lateral amiotrófica. Resultados. Foram analisados 12 artigos em modelos animais e oito estudos clínicos em modelos humanos, sendo observada melhora clínica ou estagnação do quadro na maioria dos trabalhos. Nenhuma piora foi relacionada ao procedimento, porém algumas dúvidas não foram elucidadas como a melhor fonte de células a ser utilizada, a via de aplicação mais adequada, a população a ser mais beneficiada, bem como a necessidade ou não de se utilizar imunossupressão previamente a terapia celular. Conclusão. Desta forma, pode-se concluir que a terapia celular guarda grande potencial terapêutico, porém novos ensaios clínicos devem ser elaborados com a finalidade de elucidar estas dúvidas remanescentes.

Downloads

Não há dados estatísticos.

Métricas

Carregando Métricas ...

Referências

Rowland LP, Sheider NA. Amyotrophic lateral sclerosis. N Engl J Med 2001;344:1688-700.

Cluskey S, Ramsden DB. Mechanisms of neurodegeneration in amyotrophic lateral sclerosis. J Clin Pathol: Mol Pathol 2001;54:386-92.

Mitchell JD, Borasio GD. Amyotrophic lateral sclerosis. The Lancet 2007;369:2031-41.

Przedborski S. Programmed cell death in amyotrophic lateral sclerosis: a mechanism of pathogenic and therapeutic importance. Neurologist 2004;10:1-7.

Palmieri RL. Unraveling the mystery of amyotrophic lateral sclerosis. J Neuroophthalmol 2007;3:28-34.

Bromberg MB. Pathogenesis of amyotrophic lateral sclerosis: a critical review. Curr Opin Neurol. 1999;12:581-8.

Martin LJ, Liu Z. Adult olfactory bulb neural precursor cell grafts provide temporary protection from motor neuron degeneration, improve motor function, and extend survival in amyotrophic lateral sclerosis mice. J Neuropathol Exp Neurol. 2007;66:1002-18.

Huang H, Chen L, Xi H, Wang H, Zhang J, Zhang F et al. Fetal olfactory ensheathing cells transplantation in amyotrophic lateral sclerosis patients: a controlled pilot study. Clin Transplant.2008;22:710-8.

Clement AM, Nguyen MD, Roberts EA, Garcia ML, Boilee S, Rule M, et al. Wild-type nonneuronal cells extend survival of SOD1 mutant motor neurons in ALS mice. Science 2003;302:113-7.

Zhao W, Xie W, Le W, Beers D, He Y, Henkel J et al. Actived microglia initiate motor neuron injury by a nitric oxide and glutamate-mediate mechanism. J Neuropathol Exp Neurol. 2004;63:964-77.

Anneser JMH, Chali C, Ince GP, Borasio DG, Shaw PJ. Glial Proliferation and metatobrotic glutamate receptor expression in amyotrophic lateral sclerosis. J Neuropathol Exp Neurol 2004;8:831-40.

Silani V, Cova L, Corbo M, Ciammola A, Polli E. Stem-cell therapy for amyotrophic lateral sclerosis. The Lancet 2004,364;9429:200-2.

Corti S, Locatelli F, Papadimitriou D, Del Bo R, Nizzardo M, Nardini M et al. Neural stem cells LewisX+ CXCR4+ modify disease progression in an amyotrophic lateral sclerosis model. Brain. 2007;130:1289-305.

Cabanes C, Bonilla S, Tabares L, Martínez S. Neuroprotective effect of adult hematopoietic stem cells in a mouse model of motoneuron degeneration. Neurobiol Dis. 2007;26:408-18.

Vercelli A, Mereuta Om, Garbossa D, Muraca G, Mareschi K, Rustichelli D et al. Human mesenchymal stem cell transplantation extends survival, improves motor performance and decreases neuroinflammation in mouse model of amyotrophic lateral sclerosis. Neurobiol Dis. 2008;31:395-405.

Morita E, Watanabe Y, Ishimoto M, Nakano T, Kitayama M, Yasui K, Fukada Y et al. A novel cell transplantation protocol and its application to an ALS mouse model. Exp Neurol. 2008;213:431-8.

Ende N, Weinstein F, Chen R, Ende M. Human umbilical cord blood effect on sod mice (amyotrophic lateral sclerosis). Life Sci. 2000;67:53-9.

Willing AE, Garbuzova-Davis S, Saporta S, Milliken M, Cahill DW, Sanberg PR. hNT neurons delay onset of motor deficits in a model of amyotrophic lateral sclerosis. Brain Res Bull. 2001;56:525-30.

Garbuzova-Davis S, Willing AE, Milliken M, Saporta S, Zigova T, Cahill DW, et al. Positive effect of transplantation of hNT neurons (Ntera 2/D1 cell-line) in a model of familial amyotrophic lateral sclerosis. Exp Neurol. 2002;174:169-80.

Garbuzova-Davis S, Willing AE, Zigova T, Saporta S, Justen EB, Lane JC, et al. Intravenous administration of human umbilical cord blood cells in a mouse model of amyotrophic lateral sclerosis: distribution, migration, and differentiation. J Hematother Stem Cell Res. 2003;12:255-70.

Corti S, Locatelli F, Donadoni C, Guglieri M, Papadimitriou D, Strazzer S et al. Wild-type bone marrow cells ameliorate the phenotype of SOD1-G93A ALS mice and contribute to CNS, heart and skeletal muscle tissues. Brain. 2004;127:2518-32.

Gao J, Coggeshall RE, Tarasenko YI, Wu P. Human neural stem cell-derived cholinergic neurons innervate muscle in motoneuron deficient adult rats. Neuroscience. 2005;131:257-62.

Habisch HJ, Janowski M, Binder D, Kuzma-Kozakiewicz M, Widmann A, Habich A et al. Intrathecal application of neuroectodermally converted stem cells into a mouse model of ALS: limited intraparenchymal migration and survival narrows therapeutic effects. Neural Transm. 2007;114:1395-406.

Janson CG, Ramesh TM, During MJ, Leone P, Heywood J. Human intrathecal transplantation of peripheral blood stem cells in amyotrophic lateral sclerosis. J Hematother Stem Cell Res. 2001;10:913-5.

Ghen MJ, Roshan R, Roshan RO, Blyweiss DJ, Corso N G, Zenga WT. Potential clinical applications using stem cells derived from human umbilical cord blood. Reprod Biomed Online. 2006;13:562-72.

Mazzini L, Fagioli F, Boccaletti R, Mareschi K, Oliveri G, Olivieri C, et al. Stem cell therapy in amyotrophic lateral sclerosis: a methodological approach in humans. Amyotroph Lateral Scler Other Motor Neuron Disord. 2003;4: 158-61.

Mazzini L, Mareschi K, Ferrero I, Vassallo E, Oliveri G, Boccaletti R, et al. Autologous mesenchymal stem cells: clinical applications in amyotrophic lateral sclerosis. Neurol Res. 2006;28:523-26.

Mazzini L, Mareschi K, Ferrero I, Vassallo E, Oliveri G, Nasuelli N, et al. Stem cell treatment in Amyotrophic Lateral Sclerosis. Neurol Sci. 2008;265:78-83.

Appel SH, Engelhardt JI, Henkel JS, Siklos L, Beers DR, Yen AA, et al. Hematopoietic stem cell transplantation in patients with sporadic amyotrophic lateral sclerosis. Neurology. 2008;71:1326-34.

Pallotta R, Torres A, Brito D, Lima DF, Gomes IML, Santo TE, et al. Células Tronco Mesenquimais, Aspectos Gerais e Possibilidades de Utilização na Terapeutica de Doenças Neurodegenerativas: Relato de Caso e Revisão de literatura. RBNP 2008;13:83-7.

Downloads

Publicado

2010-06-30

Como Citar

Pallotta, R., Andrade, A., & Paiva, C. M. (2010). Terapia celular na Esclerose Lateral Amiotrófica. Revista Neurociências, 18(2), 256–266. https://doi.org/10.34024/rnc.2010.v18.8490

Edição

Seção

Revisão de Literatura
Recebido: 2019-02-17
Publicado: 2010-06-30

Artigos mais lidos pelo mesmo(s) autor(es)