Review Article

Mesenchymal Stem Cell Therapy for Huntington Disease: A Meta-Analysis

Table 6

Molecular mechanisms of MSC therapy for HD.

StudyFunctionMechanism

Bayat [12]AntinecroptosisDownregulating RIP-3, a vitally crucial mediator involved in necroptosis
Immune regulationDownregulating the number of activated microglia and the levels of TNFα
Yu-Taeger [16]Immune regulationSecretion of cytokines and growth factors
Restoring Iba1 expression and the thickness of the processes of striatum-resident microglia
Dopaminergic dysfunction repairmentIncreasing expression of TH and DARPP-32 protein expressions
Elbaz [17]Immune regulationDownregulation of TNF-α and FOXP3 levels
Secretion of VEGF, which can significantly decrease cytosolic Ca2+concentration, CaN levels, and NFATc4 expression
Neurotrophic functionUpregulation of BDNF
AntiapoptosisRegulating the Wnt/β-catenin signaling pathways
Ebrahimi [18]Antioxidative stress-induced cell deathSecreting factors such as GDNF and VEGF, decreasing oxidative stress-induced cell death
Rossignol [20]Neural protectionSecreting BDNF and regulating other NTFs
Sadan [23]Neural protectionSecreting NTFs
Moraes [24]AntiapoptosisSecreting FGF-2 to activate the PI3K/Akt pathway, which is related to cell survival
Lin [25]Cell proliferation and differentiationImproving cell proliferation and differentiation, which might be related to chemokine secretion
Improve cell migration to the injuryInducing microglia activation and neuroblasts migration into the QA-lesioned region
Improve angiogenic activityIntegrating with the host cells and increasing the levels of laminin, VWF, SDF-1, and the SDF-1 receptor CXCR4
AntiapoptosisRegulating the expression of p-Erk1/2 and Bax
Lee [28]Antioxidative stress-induced cell deathIncreasing the expressions of CREB, PGC-1α, and molecules that defend against ROS
AntiapoptosisIncreasing CREB expression, and secreting soluble factors to reduce the levels of N-terminal fragments of mutant huntingtin

RIP-3: receptor-interacting protein 3; TNFα: tumor necrosis factor α; VEGF: vascular endothelial growth factor; NFATc4: nuclear factor of activated T cells 4; FOXP3: forkhead box protein P3; GDNF: glial cell derived neurotrophic factor; BDNF: brain-derived neurotrophic factor; NTFs: neurotrophic factors; FGF-2: fibroblast growth factor-2; PI3K: phosphatidylinositol 3-kinase; VWF: von Willebrand factor; SDF-1: stromal cell-derived factor-1; CXCR4: C-X-C motif chemokine receptor 4; NGF: nerve growth factor; CTNF: ciliary neurotrophic factor; CREB: cAMP response element binding; PGC-1α: peroxisome proliferator-activated receptor-gamma coactivator-1α; ROS: reactive oxygen species.