Department of Medicine, University of Montreal, 2335 Bennett Avenue, Montreal, QC, H1V 2T6, Canada.
Neurochem Res. 2024 Jun;49(6):1450-1467. doi: 10.1007/s11064-024-04137-5. Epub 2024 May 9.
Wernicke's encephalopathy (WE) is a major central nervous system disorder resulting from thiamine deficiency (TD) in which a number of brain regions can develop serious damage including the thalamus and inferior colliculus. Despite decades of research into the pathophysiology of TD and potential therapeutic interventions, little progress has been made regarding effective treatment following the development of brain lesions and its associated cognitive issues. Recent developments in our understanding of stem cells suggest they are capable of repairing damage and improving function in different maladys. This article puts forward the case for the potential use of stem cell treatment as a therapeutic strategy in WE by first examining the effects of TD on brain functional integrity and its consequences. The second half of the paper will address the future benefits of treating TD with these cells by focusing on their nature and their potential to effectively treat neurodegenerative diseases that share some overlapping pathophysiological features with TD. At the same time, some of the obstacles these cells will have to overcome in order to become a viable therapeutic strategy for treating this potentially life-threatening illness in humans will be highlighted.
威尼克脑病(WE)是一种主要的中枢神经系统疾病,由硫胺素缺乏(TD)引起,其中许多大脑区域会发生严重损伤,包括丘脑和下丘。尽管几十年来一直在研究 TD 的病理生理学和潜在的治疗干预措施,但在发生脑损伤及其相关认知问题后,在有效治疗方面几乎没有取得进展。我们对干细胞的理解的最新进展表明,它们有能力修复不同疾病中的损伤并改善功能。本文通过首先检查 TD 对脑功能完整性的影响及其后果,提出将干细胞治疗作为 WE 治疗策略的可能性。论文的后半部分将通过关注这些细胞的性质及其有效治疗与 TD 具有一些重叠病理生理特征的神经退行性疾病的潜力,来探讨用这些细胞治疗 TD 的未来益处。同时,将强调这些细胞在成为治疗这种可能危及生命的人类疾病的可行治疗策略方面必须克服的一些障碍。