Traumatic Brain Injury and Stem Cells: An Overview of Clinical Trials, the Current Treatments and Future Therapeutic Approaches

Traumatic brain injury represents physical damage to the brain tissue that induces transitory or permanent neurological disabilities. The traumatic injury activates an important inflammatory response, followed by a cascade of events that lead to neuronal loss and further brain damage. Maintaining pr...

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Main Authors: Giovanni Schepici, Serena Silvestro, Placido Bramanti, Emanuela Mazzon
Format: Article
Language:English
Published: MDPI AG 2020-03-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/56/3/137
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spelling doaj-c1147b1177f34b69acebc221175d36832020-11-25T02:52:24ZengMDPI AGMedicina1010-660X2020-03-0156313710.3390/medicina56030137medicina56030137Traumatic Brain Injury and Stem Cells: An Overview of Clinical Trials, the Current Treatments and Future Therapeutic ApproachesGiovanni Schepici0Serena Silvestro1Placido Bramanti2Emanuela Mazzon3IRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, ItalyIRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, ItalyIRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, ItalyIRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, ItalyTraumatic brain injury represents physical damage to the brain tissue that induces transitory or permanent neurological disabilities. The traumatic injury activates an important inflammatory response, followed by a cascade of events that lead to neuronal loss and further brain damage. Maintaining proper ventilation, a normal level of oxygenation, and adequate blood pressure are the main therapeutic strategies performed after injury. Surgery is often necessary for patients with more serious injuries. However, to date, there are no therapies that completely resolve the brain damage suffered following the trauma. Stem cells, due to their capacity to differentiate into neuronal cells and through releasing neurotrophic factors, seem to be a valid strategy to use in the treatment of traumatic brain injury. The purpose of this review is to provide an overview of clinical trials, aimed to evaluate the use of stem cell-based therapy in traumatic brain injury. These studies aim to assess the safety and efficacy of stem cells in this disease. The results available so far are few; therefore, future studies need in order to evaluate the safety and efficacy of stem cell transplantation in traumatic brain injury.https://www.mdpi.com/1010-660X/56/3/137traumatic brain injurystem cellsinflammationclinical studiesstem cell transplantation
collection DOAJ
language English
format Article
sources DOAJ
author Giovanni Schepici
Serena Silvestro
Placido Bramanti
Emanuela Mazzon
spellingShingle Giovanni Schepici
Serena Silvestro
Placido Bramanti
Emanuela Mazzon
Traumatic Brain Injury and Stem Cells: An Overview of Clinical Trials, the Current Treatments and Future Therapeutic Approaches
Medicina
traumatic brain injury
stem cells
inflammation
clinical studies
stem cell transplantation
author_facet Giovanni Schepici
Serena Silvestro
Placido Bramanti
Emanuela Mazzon
author_sort Giovanni Schepici
title Traumatic Brain Injury and Stem Cells: An Overview of Clinical Trials, the Current Treatments and Future Therapeutic Approaches
title_short Traumatic Brain Injury and Stem Cells: An Overview of Clinical Trials, the Current Treatments and Future Therapeutic Approaches
title_full Traumatic Brain Injury and Stem Cells: An Overview of Clinical Trials, the Current Treatments and Future Therapeutic Approaches
title_fullStr Traumatic Brain Injury and Stem Cells: An Overview of Clinical Trials, the Current Treatments and Future Therapeutic Approaches
title_full_unstemmed Traumatic Brain Injury and Stem Cells: An Overview of Clinical Trials, the Current Treatments and Future Therapeutic Approaches
title_sort traumatic brain injury and stem cells: an overview of clinical trials, the current treatments and future therapeutic approaches
publisher MDPI AG
series Medicina
issn 1010-660X
publishDate 2020-03-01
description Traumatic brain injury represents physical damage to the brain tissue that induces transitory or permanent neurological disabilities. The traumatic injury activates an important inflammatory response, followed by a cascade of events that lead to neuronal loss and further brain damage. Maintaining proper ventilation, a normal level of oxygenation, and adequate blood pressure are the main therapeutic strategies performed after injury. Surgery is often necessary for patients with more serious injuries. However, to date, there are no therapies that completely resolve the brain damage suffered following the trauma. Stem cells, due to their capacity to differentiate into neuronal cells and through releasing neurotrophic factors, seem to be a valid strategy to use in the treatment of traumatic brain injury. The purpose of this review is to provide an overview of clinical trials, aimed to evaluate the use of stem cell-based therapy in traumatic brain injury. These studies aim to assess the safety and efficacy of stem cells in this disease. The results available so far are few; therefore, future studies need in order to evaluate the safety and efficacy of stem cell transplantation in traumatic brain injury.
topic traumatic brain injury
stem cells
inflammation
clinical studies
stem cell transplantation
url https://www.mdpi.com/1010-660X/56/3/137
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AT placidobramanti traumaticbraininjuryandstemcellsanoverviewofclinicaltrialsthecurrenttreatmentsandfuturetherapeuticapproaches
AT emanuelamazzon traumaticbraininjuryandstemcellsanoverviewofclinicaltrialsthecurrenttreatmentsandfuturetherapeuticapproaches
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