Abstract

The term neurodegeneration encompasses a broad range of diseases of central and peripheral nervous system. It’s only in less than 5% of the cases a clear genetic link has been established, however, majority is sporadic and driven by a combination of genetic and environmental factors. Alzheimer’s and Parkinson’s are the most common and renowned disorders that largely affect the elderly population. However, neural degeneration and associated loss of memory in these diseases is not a normal part of ageing as it occurs only in few, not all elderly people. It is considered that neurodegeneration is a generalized systemic disorder that also inflicts other organs, although it is most pervasive in neurons. Interestingly, it is not cell-autonomous, that means multiple cell types such as astrocytes, oligodendroglia, Schwann cells etc. are also involved. Thus investigating the cause of neurodegeneration at the cellular and sub-cellular levels is most challenging. Since initially only few cells are involved, it is impossible to access those cells in human and animal models. The post-mortem tissue although relevant but offer only retrospective indicator of disease. The current modalities are only symptomatic treatment with no cure in horizon. Therefore, therapeutic interventions for neurodegenerative diseases remain the most daunting task today. The emerging new technology like stem cells based therapeutics can offer some respite and is becoming an active area of research.

Highlights

  • There has been an unparallel development during the last 2-3 decades in small molecules and biologics such as insulin, growth factors, antibodies, promoters and inhibitors of various metabolic pathways to modify the disease process and these are known as the 1st and 2nd pillar of human therapeutics

  • There has been a significant progress to harness these potentials of stem cells so that they could be used potentially and effectively in human therapeutics

  • There are two broad categories of stem cells, pluripotent stem cells that are derived from embryos or by changing fate of the somatic cells and adult stem cells that are derived from adult tissues and are by and large multi-potent

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Summary

Introduction

There has been an unparallel development during the last 2-3 decades in small molecules and biologics such as insulin, growth factors, antibodies, promoters and inhibitors of various metabolic pathways to modify the disease process and these are known as the 1st and 2nd pillar of human therapeutics. There has been a significant progress to harness these potentials of stem cells so that they could be used potentially and effectively in human therapeutics. Both types of stem cells are progressing towards human therapeutics but adult stem cells have an edge over embryonic stem cells because of ethical and safety concerns with the latter.

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