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Stem Cell Therapy for Neuroprotection in the Growth-Restricted Newborn

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Date 2022 Apr 29
PMID 35485440
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Abstract

Fetal growth restriction (FGR) occurs when a fetus is unable to grow normally due to inadequate nutrient and oxygen supply from the placenta. Children born with FGR are at high risk of lifelong adverse neurodevelopmental outcomes, such as cerebral palsy, behavioral issues, and learning and attention difficulties. Unfortunately, there is no treatment to protect the FGR newborn from these adverse neurological outcomes. Chronic inflammation and vascular disruption are prevalent in the brains of FGR neonates and therefore targeted treatments may be key to neuroprotection. Tissue repair and regeneration via stem cell therapies have emerged as a potential clinical intervention for FGR babies at risk for neurological impairment and long-term disability. This review discusses the advancement of research into stem cell therapy for treating neurological diseases and how this may be extended for use in the FGR newborn. Leading preclinical studies using stem cell therapies in FGR animal models will be highlighted and the near-term steps that need to be taken for the development of future clinical trials.

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References
1.
Chand K, Patel J, Bjorkman S, Sim S, Miller S, Teo E . Combination of human endothelial colony-forming cells and mesenchymal stromal cells exert neuroprotective effects in the growth-restricted newborn. NPJ Regen Med. 2021; 6(1):75. PMC: 8602245. DOI: 10.1038/s41536-021-00185-5. View

2.
Mallard C, Ek C, Vexler Z . The myth of the immature barrier systems in the developing brain: role in perinatal brain injury. J Physiol. 2018; 596(23):5655-5664. PMC: 6265562. DOI: 10.1113/JP274938. View

3.
Hofstetter C, Schwarz E, Hess D, Widenfalk J, El Manira A, Prockop D . Marrow stromal cells form guiding strands in the injured spinal cord and promote recovery. Proc Natl Acad Sci U S A. 2002; 99(4):2199-204. PMC: 122342. DOI: 10.1073/pnas.042678299. View

4.
Nabetani M, Shintaku H, Hamazaki T . Future perspectives of cell therapy for neonatal hypoxic-ischemic encephalopathy. Pediatr Res. 2017; 83(1-2):356-363. DOI: 10.1038/pr.2017.260. View

5.
Kalanjati V, Wixey J, Miller S, Colditz P, Bjorkman S . GABA receptor expression and white matter disruption in intrauterine growth restricted piglets. Int J Dev Neurosci. 2017; 59:1-9. DOI: 10.1016/j.ijdevneu.2017.02.004. View