Cell-Based Therapy for Cerebral Palsy: A Puzzle in Progress

Cell-based therapy has shown promising outcomes in the treatment of cerebral palsy (CP). However, there is noconsensus on a standard therapeutic protocol regarding the source of cells, optimal cell dose, timing and frequencyof cell injections, route of administration, or the use of combination thera...

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Main Authors: Masoumeh Nouri, Morteza Zarrabi, Safdar Masoumi, Elaheh Khodadoust, Anahita Majmae, Man Amanat, Mahmoud Reza Ashrafi, Massoud Vosough
Format: Article
Language:English
Published: Royan Institute (ACECR), Tehran 2024-09-01
Series:Cell Journal
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Online Access:https://www.celljournal.org/article_715940_427179cef4e370f585aea4aee2e405bd.pdf
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author Masoumeh Nouri
Morteza Zarrabi
Safdar Masoumi
Elaheh Khodadoust
Anahita Majmae
Man Amanat
Mahmoud Reza Ashrafi
Massoud Vosough
author_facet Masoumeh Nouri
Morteza Zarrabi
Safdar Masoumi
Elaheh Khodadoust
Anahita Majmae
Man Amanat
Mahmoud Reza Ashrafi
Massoud Vosough
author_sort Masoumeh Nouri
collection DOAJ
description Cell-based therapy has shown promising outcomes in the treatment of cerebral palsy (CP). However, there is noconsensus on a standard therapeutic protocol regarding the source of cells, optimal cell dose, timing and frequencyof cell injections, route of administration, or the use of combination therapy. This lack of consensus necessitates acomprehensive investigation to clarify these crucial yet undefined factors in cell-based therapy for CP patients. In thiscommentary, we discuss and compare the trends in Gross Motor Function Measure-66 following intrathecal injectionof umbilical cord blood mononuclear cells (UCB-MNCs) and umbilical cord tissue mesenchymal stromal cells (UCTMSCs)in children with CP. Our study revealed that MNC injections led to earlier improvements in gross motor function,whereas MSC applications resulted in more sustainable changes. These findings provide key insights into the efficacyof different cell types, which will be beneficial for future studies and for refining cell-based therapy protocols for CPtreatment.
format Article
id doaj-art-f42e73b2bf294d6b84e9aaac9cfa325d
institution Kabale University
issn 2228-5806
2228-5814
language English
publishDate 2024-09-01
publisher Royan Institute (ACECR), Tehran
record_format Article
series Cell Journal
spelling doaj-art-f42e73b2bf294d6b84e9aaac9cfa325d2025-01-19T09:34:58ZengRoyan Institute (ACECR), TehranCell Journal2228-58062228-58142024-09-0126956957410.22074/cellj.2024.2032098.1600715940Cell-Based Therapy for Cerebral Palsy: A Puzzle in ProgressMasoumeh Nouri0Morteza Zarrabi1Safdar Masoumi2Elaheh Khodadoust3Anahita Majmae4Man Amanat5Mahmoud Reza Ashrafi6Massoud Vosough7R&D Department, Royan Stem Cell Technology Company, Tehran, IranDepartment of Regenerative Medicine, Cell Science Research Center, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran, IranEndocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IranR&D Department, Royan Stem Cell Technology Company, Tehran, IranChildren’s Medical Center, Pediatrics Center of Excellence, Tehran, IranDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USAPediatric Neurology Division, Children’s Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, IranDepartment of Regenerative Medicine, Cell Science Research Center, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran, IranCell-based therapy has shown promising outcomes in the treatment of cerebral palsy (CP). However, there is noconsensus on a standard therapeutic protocol regarding the source of cells, optimal cell dose, timing and frequencyof cell injections, route of administration, or the use of combination therapy. This lack of consensus necessitates acomprehensive investigation to clarify these crucial yet undefined factors in cell-based therapy for CP patients. In thiscommentary, we discuss and compare the trends in Gross Motor Function Measure-66 following intrathecal injectionof umbilical cord blood mononuclear cells (UCB-MNCs) and umbilical cord tissue mesenchymal stromal cells (UCTMSCs)in children with CP. Our study revealed that MNC injections led to earlier improvements in gross motor function,whereas MSC applications resulted in more sustainable changes. These findings provide key insights into the efficacyof different cell types, which will be beneficial for future studies and for refining cell-based therapy protocols for CPtreatment.https://www.celljournal.org/article_715940_427179cef4e370f585aea4aee2e405bd.pdfcerebral palsymononuclear cellsmesenchymal stromal cellsgross motor function measure-66  
spellingShingle Masoumeh Nouri
Morteza Zarrabi
Safdar Masoumi
Elaheh Khodadoust
Anahita Majmae
Man Amanat
Mahmoud Reza Ashrafi
Massoud Vosough
Cell-Based Therapy for Cerebral Palsy: A Puzzle in Progress
Cell Journal
cerebral palsy
mononuclear cells
mesenchymal stromal cells
gross motor function measure-66  
title Cell-Based Therapy for Cerebral Palsy: A Puzzle in Progress
title_full Cell-Based Therapy for Cerebral Palsy: A Puzzle in Progress
title_fullStr Cell-Based Therapy for Cerebral Palsy: A Puzzle in Progress
title_full_unstemmed Cell-Based Therapy for Cerebral Palsy: A Puzzle in Progress
title_short Cell-Based Therapy for Cerebral Palsy: A Puzzle in Progress
title_sort cell based therapy for cerebral palsy a puzzle in progress
topic cerebral palsy
mononuclear cells
mesenchymal stromal cells
gross motor function measure-66  
url https://www.celljournal.org/article_715940_427179cef4e370f585aea4aee2e405bd.pdf
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