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Granulocyte-Colony Stimulating Factor (G-Csf): An Emerging Therapeutic Approach for Amyotrophic Lateral Sclerosis (Als) Publisher Pubmed



Vafaei Mastanabad M1 ; Nooraei A2 ; Hassan Zadeh Tabatabaei MS3 ; Akbari Fakhrabadi A4 ; Jafarzadeh F5
Authors
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Authors Affiliations
  1. 1. Medical Doctor of Saveh Healthcare Network, Saveh, Iran
  2. 2. Comparative Anatomy and Embryology, School of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran
  3. 3. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Research Committee, Medical School, Arak University of Medical Sciences, Arak, Iran
  5. 5. Department of Internal Medicine, School of Medicine, North Khorasan University of Medical Sciences, Bojnourd, Iran

Source: Acta Neurologica Belgica Published:2023


Abstract

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disorder characterized by neuronal degeneration and inflammation in the nerves. G-CSF is a 19.6-kDa hematopoietic growth factor which is essential for the proliferation and differentiation of granulocyte hematopoietic progenitors. G-CSF exerts neuroprotective activities by induction of neuronal regeneration, inhibition of neuronal apoptosis, mobilization of Hematopoietic stem cells (HSCs), regulation of pro and anti-inflammatory cytokines, and activation of angiogenesis. Pre-clinical studies have shown significant efficacy of G-CSF therapy in mSOD1G93A mice models. G-CSF treatments were able to increase the survival of mice. However, clinical studies on ALS patients failed to clone pre-clinical results. Considering the potential role of G-CSF in nervous system regeneration, this study aimed to comprehensively review the clinical and pre-clinical studies addressing G-CSF in ALS treatment. © 2022, The Author(s) under exclusive licence to Belgian Neurological Society.
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