Abstract
Cell-based therapy has demonstrated safety and efficacy in experimental animal models of stroke, as well as safety in stroke patients. However, various questions remain regarding the therapeutic window, dosage, route of administration, and the most appropriate cell type and source, as well as mechanisms of action and immune-modulation to optimize treatment based on stem cell therapy. Various delivery routes have been used in experimental stroke models, including intracerebral, intraventricular, subarachnoid, intra-arterial, intraperitoneal, intravenous, and intranasal routes. From a clinical point of view, it is necessary to demonstrate which is the most feasible, safest, and most effective for use with stroke patients. Therefore, further experimental studies concerning the safety, efficacy, and mechanisms of action involved in these therapeutic effects are required to determine their optimal clinical use.
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Acknowledgments
We would like to thank Juliette Siegfried at ServingMed.com for linguistic assistance. Supported by research grants PS12/01754, INVICTUS (RD12/0014/0006) (Spanish Neurovascular Network) from the Research Institute Carlos III, Spanish Ministry of Science and Innovation and European Regional Development Fund.
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Berta Rodríguez-Frutos, Laura Otero-Ortega and María Gutiérrez-Fernández contributed equally to this work.
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Rodríguez-Frutos, B., Otero-Ortega, L., Gutiérrez-Fernández, M. et al. Stem Cell Therapy and Administration Routes After Stroke. Transl. Stroke Res. 7, 378–387 (2016). https://doi.org/10.1007/s12975-016-0482-6
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DOI: https://doi.org/10.1007/s12975-016-0482-6