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Published 28 November 2008, doi:10.1136/bmj.a1934
Cite this as: BMJ 2008;337:a1934
Siddharthan Chandran, consultant neurologist
1 Anne McLaren Laboratory for Regenerative Medicine and Cambridge Centre for Brain Repair, Department of Clinical Neurosciences, University of Cambridge, Cambridge CB2 0SZ
sc222@cam.ac.uk
Effective treatments for neurological diseases have proved elusive. Siddharthan Chandran examines the potential of stem cells to provide the answers
| The first 150 words of the full text of this article appear below. |
The use of stem cells for regenerative medicine has captured the publics imagination and fuelled rising expectations of clinical benefit. Clinicians increasingly need to manage patients expectations of what stem cells may, or indeed may not, offer. This article examines some key problems that need to be resolved before the promise of stem cells for regenerative neurology can be realised.
Regenerative medicine is not a new discipline. It can be summarised as treatments that seek to restore structure and function after injury and, by this definition, includes solid organ transplantation. Stem cells are routinely used in haematology (blood stem cells for malignancy), plastic surgery (cultured autologous keratinocytes for skin loss or burns), and orthopaedics (autologous chondrocyte transplantation for articular cartilage defects1). But their potential in many other conditions has yet to be realised. The lack of restorative treatment for patients with progressive neurological disorders such as Parkinsons disease, multiple
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