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Mesenchymal stromal cells’ therapy for polyglutamine disorders: where do we stand and where should we go?

dc.contributor.authorBarros, Inês
dc.contributor.authorMarcelo, Adriana
dc.contributor.authorSilva, Teresa P.
dc.contributor.authorBarata, João
dc.contributor.authorRufino-Ramos, David
dc.contributor.authorPereira de Almeida, Luís
dc.contributor.authorMiranda, Catarina O.
dc.date.accessioned2020-11-11T16:32:45Z
dc.date.available2020-11-11T16:32:45Z
dc.date.issued2020-10
dc.description.abstractPolyglutamine (polyQ) diseases are a group of inherited neurodegenerative disorders caused by the expansion of the cytosine-adenine-guanine (CAG) repeat. This mutation encodes extended glutamine (Q) tract in the disease protein, resulting in the alteration of its conformation/physiological role and in the formation of toxic fragments/aggregates of the protein. This group of heterogeneous disorders shares common molecular mechanisms, which opens the possibility to develop a pan therapeutic approach. Vast efforts have been made to develop strategies to alleviate disease symptoms. Nonetheless, there is still no therapy that can cure or effectively delay disease progression of any of these disorders. Mesenchymal stromal cells (MSC) are promising tools for the treatment of polyQ disorders, promoting protection, tissue regeneration, and/or modulation of the immune system in animal models. Accordingly, data collected from clinical trials have so far demonstrated that transplantation of MSC is safe and delays the progression of some polyQ disorders for some time. However, to achieve sustained phenotypic amelioration in clinics, several treatments may be necessary. Therefore, efforts to develop new strategies to improve MSC's therapeutic outcomes have been emerging. In this review article, we discuss the current treatments and strategies used to reduce polyQ symptoms and major pre-clinical and clinical achievements obtained with MSC transplantation as well as remaining flaws that need to be overcome. The requirement to cross the blood-brain-barrier (BBB), together with a short rate of cell engraftment in the lesioned area and low survival of MSC in a pathophysiological context upon transplantation may contribute to the transient therapeutic effects. We also review methods like pre-conditioning or genetic engineering of MSC that can be used to increase MSC survival in vivo, cellular-free approaches-i.e., MSC-conditioned medium (CM) or MSC-derived extracellular vesicles (EVs) as a way of possibly replacing the use of MSC and methods required to standardize the potential of MSC/MSC-derived products. These are fundamental questions that need to be addressed to obtain maximum MSC performance in polyQ diseases and therefore increase clinical benefits.pt_PT
dc.description.sponsorshipPortuguese Foundation for Science and Technology: SFRH/BD/148877/2019; CENTRO01-0145-FEDER-000008 CENTRO-01-0145FEDER-022095 POCI-01-0145-FEDER-016719 POCI-01-0145-FEDER-029716 POCI01-0145-FEDER-016807 POCI-01-0145-FEDER016390 UID4950/2020 CENTRO-01-0145-FEDER-022118pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.3389/fncel.2020.584277pt_PT
dc.identifier.issn1662-5102
dc.identifier.urihttp://hdl.handle.net/10400.1/14815
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFrontiers Media
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectMesenchymal stromal cellspt_PT
dc.subjectNeurodegenerative disorderspt_PT
dc.subjectPolyglutamine disorderspt_PT
dc.titleMesenchymal stromal cells’ therapy for polyglutamine disorders: where do we stand and where should we go?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage584277pt_PT
oaire.citation.titleFrontiers in Cellular Neurosciencept_PT
oaire.citation.volume14pt_PT
person.familyNameMarcelo
person.givenNameAdriana
person.identifier.ciencia-id7613-00C2-1621
person.identifier.orcid0000-0002-7327-0170
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication3bed3cc3-e36a-445b-8d7d-4d4615ff4c4c
relation.isAuthorOfPublication.latestForDiscovery3bed3cc3-e36a-445b-8d7d-4d4615ff4c4c

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