Anti-stroke biologics: from recombinant proteins to stem cells and organoids

The use of biologics in various diseases has dramatically increased in recent years. Stroke, a cerebrovascular disease, is the second most common cause of death, and the leading cause of disability with high morbidity worldwide. For biologics applied in the treatment of acute ischaemic stroke, altep...

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Main Authors: Shu-Na Wang, Chao-Yu Miao, Zhi Wang, Zhu-Wei Miao, Si-Li Zheng
Format: Article
Language:English
Published: BMJ Publishing Group
Series:Stroke and Vascular Neurology
Online Access:https://svn.bmj.com/content/early/2024/01/29/svn-2023-002883.full
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author Shu-Na Wang
Chao-Yu Miao
Zhi Wang
Zhu-Wei Miao
Si-Li Zheng
author_facet Shu-Na Wang
Chao-Yu Miao
Zhi Wang
Zhu-Wei Miao
Si-Li Zheng
author_sort Shu-Na Wang
collection DOAJ
description The use of biologics in various diseases has dramatically increased in recent years. Stroke, a cerebrovascular disease, is the second most common cause of death, and the leading cause of disability with high morbidity worldwide. For biologics applied in the treatment of acute ischaemic stroke, alteplase is the only thrombolytic agent. Meanwhile, current clinical trials show that two recombinant proteins, tenecteplase and non-immunogenic staphylokinase, are most promising as new thrombolytic agents for acute ischaemic stroke therapy. In addition, stem cell-based therapy, which uses stem cells or organoids for stroke treatment, has shown promising results in preclinical and early clinical studies. These strategies for acute ischaemic stroke mainly rely on the unique properties of undifferentiated cells to facilitate tissue repair and regeneration. However, there is a still considerable journey ahead before these approaches become routine clinical use. This includes optimising cell delivery methods, determining the ideal cell type and dosage, and addressing long-term safety concerns. This review introduces the current or promising recombinant proteins for thrombolysis therapy in ischaemic stroke and highlights the promise and challenges of stem cells and cerebral organoids in stroke therapy.
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id doaj-art-80ea9d6f6d8b4d99a91a958b4c34c230
institution Kabale University
issn 2059-8696
language English
publisher BMJ Publishing Group
record_format Article
series Stroke and Vascular Neurology
spelling doaj-art-80ea9d6f6d8b4d99a91a958b4c34c2302024-11-10T12:35:08ZengBMJ Publishing GroupStroke and Vascular Neurology2059-869610.1136/svn-2023-002883Anti-stroke biologics: from recombinant proteins to stem cells and organoidsShu-Na Wang0Chao-Yu Miao1Zhi Wang2Zhu-Wei Miao3Si-Li Zheng4Department of Pharmacology, Second Military Medical University/ Naval Medical University, Shanghai, ChinaDepartment of Pharmacology, Second Military Medical University/ Naval Medical University, Shanghai, ChinaDepartment of Anesthesiology, Shanxi Provincial Peoples Hospital, Taiyuan, Shanxi, ChinaDepartment of Pharmacology, Second Military Medical University/ Naval Medical University, Shanghai, ChinaDepartment of Pharmacology, Second Military Medical University/ Naval Medical University, Shanghai, ChinaThe use of biologics in various diseases has dramatically increased in recent years. Stroke, a cerebrovascular disease, is the second most common cause of death, and the leading cause of disability with high morbidity worldwide. For biologics applied in the treatment of acute ischaemic stroke, alteplase is the only thrombolytic agent. Meanwhile, current clinical trials show that two recombinant proteins, tenecteplase and non-immunogenic staphylokinase, are most promising as new thrombolytic agents for acute ischaemic stroke therapy. In addition, stem cell-based therapy, which uses stem cells or organoids for stroke treatment, has shown promising results in preclinical and early clinical studies. These strategies for acute ischaemic stroke mainly rely on the unique properties of undifferentiated cells to facilitate tissue repair and regeneration. However, there is a still considerable journey ahead before these approaches become routine clinical use. This includes optimising cell delivery methods, determining the ideal cell type and dosage, and addressing long-term safety concerns. This review introduces the current or promising recombinant proteins for thrombolysis therapy in ischaemic stroke and highlights the promise and challenges of stem cells and cerebral organoids in stroke therapy.https://svn.bmj.com/content/early/2024/01/29/svn-2023-002883.full
spellingShingle Shu-Na Wang
Chao-Yu Miao
Zhi Wang
Zhu-Wei Miao
Si-Li Zheng
Anti-stroke biologics: from recombinant proteins to stem cells and organoids
Stroke and Vascular Neurology
title Anti-stroke biologics: from recombinant proteins to stem cells and organoids
title_full Anti-stroke biologics: from recombinant proteins to stem cells and organoids
title_fullStr Anti-stroke biologics: from recombinant proteins to stem cells and organoids
title_full_unstemmed Anti-stroke biologics: from recombinant proteins to stem cells and organoids
title_short Anti-stroke biologics: from recombinant proteins to stem cells and organoids
title_sort anti stroke biologics from recombinant proteins to stem cells and organoids
url https://svn.bmj.com/content/early/2024/01/29/svn-2023-002883.full
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