Autism Spectrum Disorder (ASD) is a multifactorial neurodevelopmental disorder with difficulties in social interaction, communication, and repetitive behavior. Conventional treatments such as behavioral therapies and educational interventions have been the cornerstone of treatment. Yet recent studies involving stem cell therapy hold promise for novel ways to treat the underlying biological substrates of ASD.
Understanding Stem Cell Therapy
Stem cell therapy is the use of stem cells—cells that have not developed into more specialized cell types yet, but can potentially do so—to restore or replace damaged tissue. For autism, the target is to utilize stem cells in order to regulate immune function and stimulate neural healing, with the hopes of reducing some of the defining features of ASD.
Current Research and Clinical Trials
There have been a number of clinical trials on the safety and effectiveness of stem cell treatment in autism patients. For example, one 2022 study reviewed different trials and determined that stem cell treatment had a positive effect on specific scales of autism symptomatology with no adverse event of severe nature.
The Duke Marcus Center for Cellular Cures has performed several trials with human umbilical cord tissue-derived mesenchymal stromal cells (hCT-MSCs) in children with ASD. These trials are intended to test the safety and efficacy of such therapies.
Also, Beike Biotechnology has claimed enhanced social interaction, communication, and behavioral control in children under treatment with umbilical cord-derived stem cells.
Considerations and Ethical Concerns
While preliminary results are promising, it’s essential to approach stem cell therapy for autism with caution. The field is still in its early stages, and more extensive, long-term studies are needed to fully understand the efficacy and safety of these treatments.Moreover, the rise of unregulated clinics offering stem cell treatments without proper oversight has raised ethical and safety concerns. Such practices can exploit vulnerable families seeking hope, leading to potential harm and financial burden.
Stem Cell Therapy for Autism
Conclusion
Stem cell therapy is a new frontier in research for autism treatment, holding promise to target some of the underlying biological causes of ASD. Nevertheless, it is important to base such treatments on evidence-based practices and to seek advice from health professionals. With each advance in research, it will be essential to weigh optimism against stringent scientific verification to ensure the safety and well-being of people with autism.
Masrori, P., & Van Damme, P. (2020). Amyotrophic lateral sclerosis: a clinical review. European Journal of Neurology: The Official Journal of the European Federation of Neurological Societies, 27(10), 1918-1929. https://doi.org/10.1111/ene.14393
Sivandzade, F., & Cucullo, L. (2021). Regenerative stem cell therapy for neurodegenerative diseases: An overview. International Journal of Molecular Sciences, 22(4), 2153. https://doi.org/10.3390/ijms22042153
Shen, Z., Huang, W., Liu, J., Tian, J., Wang, S., & Rui, K. (2021c). Effects of mesenchymal stem Cell-Derived exosomes on autoimmune diseases. Frontiers in Immunology, 12. https://doi.org/10.3389/fimmu.2021.749192
Rheumatoid arthritis
References
Scherer, H., Häupl, T., & Burmester, G. R. (2020). The etiology of rheumatoid arthritis. Journal of Autoimmunity, 110, 102400. https://doi.org/10.1016/j.jaut.2019.102400
Sarsenova, M., Issabekova, A. S., Abisheva, S. D., Rutskaya-Moroshan, K., Ogay, V., & Saparov, A. (2021). Mesenchymal stem Cell-Based therapy for rheumatoid arthritis. International Journal of Molecular Sciences, 22(21), 11592. https://doi.org/10.3390/ijms222111592
Systemic Lupus Erythematosus
References
Fava, A., & Petri, M. (2019). Systemic lupus erythematosus: Diagnosis and clinical management. Journal of Autoimmunity, 96, 1–13. https://doi.org/10.1016/j.jaut.2018.11.001
Li, A., Guo, F., Pan, Q., Chen, S., Chen, J., & Liu, H. (2021). Mesenchymal stem cell therapy: hope for patients with systemic lupus erythematosus. Frontiers in Immunology, 12. https://doi.org/10.3389/fimmu.2021.728190
Multiple Sclerosis
References
Dobson, R., & Giovannoni, G. (2019). Multiple sclerosis – a review. European Journal of Neurology: The Official Journal of the European Federation of Neurological Societies, 26(1), 27–40. https://doi.org/10.1111/ene.13819
Jafarzadeh Bejargafshe, M., Hedayati, M., Zahabiasli, S., Tahmasbpour,E.,Rahmanzadeh,S., & Nejad-Moghaddam, A. (2019). Safety and efficacy of stem cell therapy for treatment of neural damage in patients with multiple sclerosis. Stem Cell Investigation, 6, 44. https://doi.org/10.21037/sci.2019.10.06
Masrori, P., & Van Damme, P. (2020). Amyotrophic lateral sclerosis: a clinical review. European Journal of Neurology, 27(10), 1918–1929. https://doi.org/10.1111/ene.14393
Sivandzade, F., & Cucullo, L. (2021). Regenerative stem cell therapy for Neurodegenerative Diseases: An Overview. International Journal of Molecular Sciences, 22(4), 2153. https://doi.org/10.3390/ijms22042153
IBD Inflammatory bowel disease
References
Inflammatory bowel disease (IBD). (2023b, April 17). Centers for Disease Control and Prevention. https://www.cdc.gov/ibd/
Ko, J. Z., Johnson, S., & Dave, M. (2021c). Efficacy and Safety of Mesenchymal Stem/Stromal cell therapy for inflammatory bowel Diseases: An Up-to-Date Systematic Review. Biomolecules, 11(1), 82. https://doi.org/10.3390/biom11010082
Systemic vasculitis
References
Shen, Z., Huang, W., Liu, J., Tian, J., Wang, S., & Rui, K. (2021e). Effects of mesenchymal stem Cell-Derived exosomes on autoimmune diseases. Frontiers in Immunology, 12. https://doi.org/10.3389/fimmu.2021.749192
Liu, Y., Yan, L. M., Wan, L., Xiang, T. X., Le, A., Liu, J. M., … & Zhang, W. (2020). Viral dynamics in mild and severe cases of COVID-19. Cell & Bioscience, 10(1), 1-7. https://www.nature.com/articles/s41419-020-2542-9
Angina/Coronary Heart Disease
References
National Center for Biotechnology Information. (2016). Drinking Water Arsenic and Cardiovascular Disease. Environmental Health Perspectives, 124(6), A106-A107. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958723/
Yun, C. W., & Lee, S. Y. (2019). Enhancement of functionality and therapeutic efficacy of Cell-Based therapy using mesenchymal stem cells for cardiovascular disease. International Journal of Molecular Sciences, 20(4), 982. https://doi.org/10.3390/ijms20040982
Xiong, Y., Gong, Z., Tang, R., & Yang, Y. (2021). The pivotal roles of exosomes derived from endogenous immune cells and exogenous stem cells in myocardial repair after acute myocardial infarction. Theranostics, 11(3), 1046–1058. https://doi.org/10.7150/thno.53326
Cushing, K., & Higgins, P. D. R. (2021). Management of Crohn disease: A review: A review. JAMA: The Journal of the American Medical Association, 325(1), 69-80. https://doi.org/10.1001/jama.2020.18936
Wang, R., Yao, Q., Chen, W., Gao, F., Li, P., Wu, J., Yu, J., & Cao, H. (2021). Stem cell therapy for Crohn’s disease: systematic review and meta-analysis of preclinical and clinical studies. Stem Cell Research & Therapy, 12(1). https://doi.org/10.1186/s13287-021-02533-0
Ulcerative Colitis
References
Gajendran, M., Loganathan, P., Jimenez, G., Catinella, A. P., Ng, N., Umapathy, C., Ziade, N., & Hashash, J. G. (2019). A comprehensive review and update on ulcerative colitis. Disease-a-Month: DM, 65(12), 100851. https://doi.org/10.1016/j.disamonth.2019.02.004
Hosseini-Asl, S.-K., Mehrabani, D., & Karimi-Busheri, F. (2020). Therapeutic effect of mesenchymal stem cells in ulcerative colitis: A review on achievements and challenges. Journal of Clinical Medicine, 9(12), 3922. https://doi.org/10.3390/jcm9123922
Neurological conditions
References
Guy, R., & Offen, D. (2020). Promising opportunities for treating neurodegenerative diseases with mesenchymal stem cell-derived exosomes. Biomolecules, 10(9), 1320. https://doi.org/10.3390/biom10091320
Barthels, D., & Das, H. (2020). Current advances in ischemic stroke research and therapies. Biochimica et Biophysica Acta. Molecular Basis of Disease, 1866(4), 165260. https://doi.org/10.1016/j.bbadis.2018.09.012
Campbell, B. C. V., De Silva, D. A., Macleod, M. R., Coutts, S. B., Schwamm, L. H., Davis, S. M., & Donnan, G. A. (2019). Ischaemic stroke. Nature Reviews. Disease Primers, 5(1), 70. https://doi.org/10.1038/s41572-019-0118-8
Kawabori, M., Shichinohe, H., Kuroda, S., & Houkin, K. (2020). Clinical trials of stem cell therapy for cerebral ischemic stroke. International Journal of Molecular Sciences, 21(19), 7380. https://doi.org/10.3390/ijms21197380
Parkinson’s
References
Pradhan, A. U., Uwishema, O., Onyeaka, H., Adanur, I., & Dost, B. (2022). A review of stem cell therapy: An emerging treatment for dementia in Alzheimer’s and Parkinson’s disease. Brain and Behavior, 12(9). https://doi.org/10.1002/brb3.2740
Multiple system atrophy (MSA)
References
Goh YY, Saunders E, Pavey S, Rushton E, Quinn N, Houlden H, Chelban V. Multiple system atrophy. Pract Neurol. 2023 Jun;23(3):208-221. doi: 10.1136/pn-2020-002797. Epub 2023 Mar 16. PMID: 36927875.
Khellaf A, Khan DZ, Helmy A. Recent advances in traumatic brain injury. J Neurol. 2019 Nov;266(11):2878-2889. doi: 10.1007/s00415-019-09541-4. Epub 2019 Sep 28. PMID: 31563989; PMCID: PMC6803592.
Chronic traumatic encephalopathy
References
Pierre K, Molina V, Shukla S, Avila A, Fong N, Nguyen J, Lucke-Wold B. Chronic traumatic encephalopathy: Diagnostic updates and advances. AIMS Neurosci. 2022 Dec 19;9(4):519-535. doi: 10.3934/Neuroscience.2022030. PMID: 36660076; PMCID: PMC9826753.
Spinal cord injury
References
Alizadeh, A., Dyck, S. M., & Karimi-Abdolrezaee, S. (2019). Traumatic spinal cord injury: An overview of pathophysiology, models and acute injury mechanisms. Frontiers in neurology, 10. https://doi.org/10.3389/fneur.2019.00282
Cofano, F., Boido, M., Monticelli, M., Zenga, F., Ducati, A., Vercelli, A., & Garbossa, D. (2019). Mesenchymal stem cells for spinal cord injury: Current options, limitations, and future of cell therapy. International Journal of Molecular Sciences, 20(11), 2698. https://doi.org/10.3390/ijms20112698
Looi, Q. H., Eng, S. P., Liau, L. L., Tor, Y. S., Bajuri, M. Y., Ng, M. H., & Law, J. X. (2020). Mesenchymal stem cell therapy for sports injuries – from research to clinical practice. Sains malaysiana, 49(4), 825-838. https://doi.org/10.17576/jsm-2020-4904-12
Arthritis & Osteoarthritis
References
Jang, S., Lee, K., & Ju, J. H. (2021). Recent updates of diagnosis, pathophysiology, and treatment on osteoarthritis of the knee. International Journal of Molecular Sciences, 22(5). https://doi.org/10.3390/ijms22052619