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Development of Mesenchymal Stem Cells Therapy for the Treatment of Polyglutamine SCA: From Bench to Bedside

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Trials for Cerebellar Ataxias

Part of the book series: Contemporary Clinical Neuroscience ((CCNE))

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Abstract

This chapter focuses on the clinical application of mesenchymal stem cells (MSCs) for the treatment of spinocerebellar ataxia (SCA). SCA is a progressive neurodegenerative disease with complex etiologies. The therapy of SCA is an unmet medical need and the effective drug for this disease is yet to be developed. Fastly progressing gene- and cell-based therapies offer the alternative therapeutic approaches and may provide more potentials to treat the diseases resulting from multiple pathogenesis pathways. This chapter covers the overview of SCA, MSCs, and their potentials, functional assessment of MSCs on treating SCA in pre-clinical disease models, and potential mechanisms of actions (MoAs) exerted by MSCs. Moreover, clinical trials of utilizing adipose-derived MSCs (ADMSCs) for the treatment of spinocerebellar ataxia type 2 (SCA2) and spinocerebellar ataxia type 3 (SCA3) will be discussed in this chapter. Finally, the opportunities and challenges facing the development of MSCs as the therapeutics for SCA as well as other neurodegenerative diseases will also be discussed in this chapter.

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Abbreviations

18F-FDG:

18F-fluorodeoxyglucose

AD:

Alzheimer’s disease

ADL:

Activities of daily living

ADMSCs:

adipose-derived MSCs

ALS:

amyotrophic lateral sclerosis

ATMP:

Advanced therapy medicinal products

ATP:

adenosine triphosphate

ATXN1:

ataxin-1 protein

ATXN2:

ataxin-2 protein

ATXN3 :

ataxin-3 gene

ATXN3:

ataxin-3 protein

ATXN7:

ataxin-7 protein

Aβ:

amyloid-β

BBB:

blood-brain barrier

BBS:

Berg Balance Scale

Bcl-2 :

B-cell lymphoma 2

BDNF:

brain-derived neurotrophic factor

BLA:

Biologics License Application

BMMSCs:

bone marrow-derived MSCs

CA :

cerebellar ataxia

CD:

cluster of differentiation

CM:

conditioned medium

CNS :

central nervous system

CO2:

carbon dioxide

CSF :

cerebrospinal fluid

DNA:

deoxyribonucleic acid

EMA:

European Medicines Agency

ESCs:

embryonic stem cells

EVs :

exosomes

FDA:

Food and Drug Administration

FGF2:

fibroblast growth factor 2

GDNF:

glial cell line-derived neurotrophic factor

GFP:

green fluorescent protein

GPx:

glutathione peroxidase

HD:

Huntington’s disease

HLA-DR:

human leukocyte antigen-DR

ICAM-1:

intercellular adhesion molecule 1

ICARS:

International Cooperative Ataxia Rating Scale

IL-10:

interleukin-10

IL-1β:

interleukin-1 beta

iPSCs:

induced pluripotent stem cells

LPS :

lipopolysaccharide

miRNA:

microRNA

MoAs:

mechanisms of actions

MSA:

multiple system atrophy

MSA-C:

multiple system atrophy, cerebellar type

MSCs:

mesenchymal stem cells

mtDNA:

mitochondrial DNA

NT-3:

neurotrophin-3

ODAC:

Oncologic Drugs Advisory Committee

PD:

Parkinson’s disease

PET:

positron emission tomography

PGE2:

prostaglandin E2

PMDA:

Pharmaceuticals and Medical Devices Agency

polyQ:

polyglutamine

RMAT:

regenerative medicine advanced therapy

RNA:

ribonucleic acid

ROS:

reactive oxygen species

SARA:

Scale for the Assessment and Rating of Ataxia

SCA:

spinocerebellar ataxia

SCA1:

spinocerebellar ataxia type 1

SCA17:

spinocerebellar ataxia type 17

SCA2:

spinocerebellar ataxia type 2

SCA3:

spinocerebellar ataxia type 3

SCA6:

spinocerebellar ataxia type 6

SCA7:

spinocerebellar ataxia type 7

SOT:

Sensory Organization Testing

SR-aGVHD:

steroid-refractory acute graft versus host disease

TNFα:

tumor necrosis factor alpha

TSG6:

TNFα-stimulated gene-6

UCBMSCs:

umbilical cord blood-derived MSCs

UCMSCs:

umbilical cord-derived MSCs

VCAM-1:

vascular cell adhesion molecule

VEGF:

vascular endothelial growth factor

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Correspondence to Bing-wen Soong .

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Ho, CY., Lai, HY., Wang, LM., Soong, Bw. (2023). Development of Mesenchymal Stem Cells Therapy for the Treatment of Polyglutamine SCA: From Bench to Bedside. In: Soong, Bw., Manto, M., Brice, A., Pulst, S.M. (eds) Trials for Cerebellar Ataxias. Contemporary Clinical Neuroscience. Springer, Cham. https://doi.org/10.1007/978-3-031-24345-5_19

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