Skip to content
2000
image of Current Applications and Future Directions for Vascular Stents with Stem Cells in the Treatment of Intracranial Aneurysms: A Mini-Review

Abstract

Vascular stents and stem cells have been used in high-acuity cases for many decades, particularly in cardiology. Providing the physician with another avenue of treatment, they have had a reasonable amount of success. However, there has been very little research conducted on seeding vascular stents with stem cells when treating intracranial aneurysms. Our work aims to understand the current literature available on the viability of such stents and the future directions one should take when choosing stents seeded with stem cells. Three computerized searches in PubMed were used. Four papers met the criteria, and two were excluded. There have been some experiments where the efficacy of vascular stents seeded with different materials was tested. G/PLL-coated stents provided multiple advantages and bioactive benefits to the mesenchymal stem cells. On the other hand, SF/SDF-1α also promoted similar benefits but provoked multiple unwanted inflammatory responses. G/PLL and SF/SDF-1α coated stents were able to provide satisfactory results but still require more extensive research to thoroughly understand their efficacies and safety. Future directions may include researching and discovering a wider array of biocompatible materials to seed the stents.

Loading

Article metrics loading...

/content/journals/cscr/10.2174/011574888X329158241015053444
2025-01-09
2025-05-03
Loading full text...

Full text loading...

References

  1. Fargen K.M. Soriano-Baron H.E. Rushing J.T. Mack W. Mocco J. Albuquerque F. Ducruet A.F. Mokin M. Linfante I. Wolfe S.Q. Wilson J.A. Hirsch J.A. A survey of intracranial aneurysm treatment practices among United States physicians. J. Neurointerv. Surg. 2018 10 1 44 49 10.1136/neurintsurg‑2016‑012808 28184003
    [Google Scholar]
  2. Mokin M. Primiani C.T. Ren Z. Piper K. Fiorella D.J. Rai A.T. Orlov K. Kislitsin D. Gorbatykh A. Mocco J. De Leacy R. Lee J. Vargas Machaj J. Turner R. Chaudry I. Turk A.S. Stent-assisted coiling of cerebral aneurysms: multi-center analysis of radiographic and clinical outcomes in 659 patients. J. Neurointerv. Surg. 2020 12 3 289 297 10.1136/neurintsurg‑2019‑015182 31530655
    [Google Scholar]
  3. Sarathy D. Update on Clinical Management with Neurovascular Stents. J. Exp. Neurol. 2022 3 2 49 59
    [Google Scholar]
  4. Brinjikji W. Kallmes D.F. Kadirvel R. Mechanisms of healing in coiled intracranial aneurysms: a review of the literature. AJNR Am. J. Neuroradiol. 2015 36 7 1216 1222 10.3174/ajnr.A4175 25430855
    [Google Scholar]
  5. Bavinzski G. Talazoglu V. Killer M. Richling B. Gruber A. Gross C.E. Plenk H. Jr Gross and microscopic histopathological findings in aneurysms of the human brain treated with Guglielmi detachable coils. J. Neurosurg. 1999 91 2 284 293 10.3171/jns.1999.91.2.0284 10433317
    [Google Scholar]
  6. Raymond J. Venne D. Allas S. Roy D. Oliva V.L. Denbow N. Salazkin I. Leclerc G. Healing mechanisms in experimental aneurysms. I. Vascular smooth muscle cells and neointima formation. J. Neuroradiol. 1999 26 1 7 20 10363438
    [Google Scholar]
  7. Adibi A. Sen A. Mitha A.P. Cell Therapy for Intracranial Aneurysms: A Review. World Neurosurg. 2016 86 390 398 10.1016/j.wneu.2015.10.082 26547001
    [Google Scholar]
  8. Raymond J. Darsaut T. Salazkin I. Gevry G. Bouzeghrane F. Mechanisms of occlusion and recanalization in canine carotid bifurcation aneurysms embolized with platinum coils: an alternative concept. AJNR Am. J. Neuroradiol. 2008 29 4 745 752 10.3174/ajnr.A0902 18202238
    [Google Scholar]
  9. Tian Z. Liu J. Zhang Y. Zhang Y. Zhang X. Zhang H. Yang M. Yang X. Wang K. Risk Factors of Angiographic Recurrence After Endovascular Coil Embolization of Intracranial Saccular Aneurysms: A Retrospective Study Using a Multicenter Database. Front. Neurol. 2020 11 1026 10.3389/fneur.2020.01026 33041975
    [Google Scholar]
  10. Abdihalim M. Watanabe M. Chaudhry S.A. Jagadeesan B. Suri M.F.K. Qureshi A.I. Are coil compaction and aneurysmal growth two distinct etiologies leading to recurrence following endovascular treatment of intracranial aneurysm? J. Neuroimaging 2014 24 2 171 175 10.1111/j.1552‑6569.2012.00786.x 23317437
    [Google Scholar]
  11. Wollert K.C. Drexler H. Clinical applications of stem cells for the heart. Circ. Res. 2005 96 2 151 163 10.1161/01.RES.0000155333.69009.63 15692093
    [Google Scholar]
  12. Bhattacharya N. Fetal cell/tissue therapy in adult disease: a new horizon in regenerative medicine. Clin. Exp. Obstet. Gynecol. 2004 31 3 167 173 15491058
    [Google Scholar]
  13. Peng Q. Guo R. Zhou Y. Teng R. Cao Y. Mu S. Comparison of Gelatin/Polylysine‐ and Silk Fibroin/SDF‐1 α ‐Coated Mesenchymal Stem Cell‐Seeded Intracranial Stents. Macromol. Biosci. 2023 23 4 2200402 10.1002/mabi.202200402 36541928
    [Google Scholar]
  14. Metz R.P. Patterson J.L. Wilson E. Vascular smooth muscle cells: Isolation, culture, and characterization. Methods Mol Biol. 2012 843 169 176 10.1007/978‑1‑61779‑523‑7_16
    [Google Scholar]
  15. Marbacher S. Frösén J. Marjamaa J. Anisimov A. Honkanen P. von Gunten M. Abo-Ramadan U. Hernesniemi J. Niemelä M. Intraluminal cell transplantation prevents growth and rupture in a model of rupture-prone saccular aneurysms. Stroke 2014 45 12 3684 3690 10.1161/STROKEAHA.114.006600 25370586
    [Google Scholar]
  16. Cortese J. Rasser C. Even G. Bardet S.M. Choqueux C. Mesnier J. Perrin M.L. Janot K. Caroff J. Nicoletti A. Michel J.B. Spelle L. Caligiuri G. Rouchaud A. CD31 Mimetic Coating Enhances Flow Diverting Stent Integration into the Arterial Wall Promoting Aneurysm Healing. Stroke 2021 52 2 677 686 10.1161/STROKEAHA.120.030624 33412905
    [Google Scholar]
  17. Yang Y. Gao P. Wang J. Tu Q. Bai L. Xiong K. Qiu H. Zhao X. Maitz M.F. Wang H. Li X. Zhao Q. Xiao Y. Huang N. Yang Z. Endothelium-Mimicking Multifunctional Coating Modified Cardiovascular Stents via a Stepwise Metal-Catechol-(Amine) Surface Engineering Strategy. Research 2020 2020 2020/9203906 10.34133/2020/9203906 32405627
    [Google Scholar]
  18. Zhu W. Tian Y. Zhou L.F. Wang Y. Song D. Mao Y. Yang G.Y. Development of a novel endothelial cell‐seeded endovascular stent for intracranial aneurysm therapy. J. Biomed. Mater. Res. A 2008 85A 3 715 721 10.1002/jbm.a.31592 17876775
    [Google Scholar]
  19. Panchendrabose K. Muram S. Mitha A.P. Promoting endothelialization of flow-diverting stents: a review. J. Neurointerv. Surg. 2021 13 1 86 90 10.1136/neurintsurg‑2020‑015874 32487770
    [Google Scholar]
  20. Panchendrabose K. Muram S. Belanger B.L. Eesa M. Almekhlafi M.A. Goyal M. Wong J.H. Sen A. Menon B.K. Har B. Mitha A.P. Intra-arterial injection of mesenchymal stem cells to accelerate neointima formation after endovascular stenting in a rabbit model. J. Neurosurg. 2022 137 3 691 698 10.3171/2021.11.JNS212372 35090127
    [Google Scholar]
  21. Hou K. Li G. Lv X. Xu B. Xu K. Yu J. Delayed rupture of intracranial aneurysms after placement of intra-luminal flow diverter. Neuroradiol. J. 2020 33 6 451 464 10.1177/1971400920953299 32851918
    [Google Scholar]
  22. Uccelli A. Moretta L. Pistoia V. Mesenchymal stem cells in health and disease. Nat. Rev. Immunol. 2008 8 9 726 736 10.1038/nri2395 19172693
    [Google Scholar]
  23. Lalu M.M. McIntyre L. Pugliese C. Fergusson D. Winston B.W. Marshall J.C. Granton J. Stewart D.J. Canadian Critical Care Trials Group Safety of cell therapy with mesenchymal stromal cells (SafeCell): a systematic review and meta-analysis of clinical trials. PLoS One 2012 7 10 e47559 10.1371/journal.pone.0047559 23133515
    [Google Scholar]
  24. Keating A. Mesenchymal stromal cells. Curr. Opin. Hematol. 2006 13 6 419 425 10.1097/01.moh.0000245697.54887.6f 17053453
    [Google Scholar]
  25. Arabpour M. Saghazadeh A. Rezaei N. Anti-inflammatory and M2 macrophage polarization-promoting effect of mesenchymal stem cell-derived exosomes. Int. Immunopharmacol. 2021 97 107823 10.1016/j.intimp.2021.107823 34102486
    [Google Scholar]
  26. Sofia S. McCarthy M.B. Gronowicz G. Kaplan D.L. Functionalized silk-based biomaterials for bone formation. J. Biomed. Mater. Res. 2001 54 1 139 148 10.1002/1097‑4636(200101)54:1<139::AID‑JBM17>3.0.CO;2‑7 11077413
    [Google Scholar]
/content/journals/cscr/10.2174/011574888X329158241015053444
Loading

  • Article Type:
    Review Article
Keywords: endovascular ; vascular stents ; Stem cells ; intracranial aneurysms
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test