The health and medical fields are characterized by combining seemingly separate areas. Although it may seem that certain things are opposite, they influence one another and our health and well-being. Good examples are regenerative medicine and mental health. At first glance, it may seem that regenerative medicine and mental health have nothing in common, let alone offer convergence opportunities. The reality is different, though. This article explores regenerative medicine and its role in mental health; read on to learn more.
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Where Regenerative Medicine Meets Mental Health: The Convergence Opportunity
What is regenerative medicine?
The term regenerative medicine refers to methods to replace or regenerate human cells, tissues, or organs with the purpose of restoring or establishing normal functioning. These practices focus on cells, tissues, or organs that have been damaged by age, disease, trauma, or congenital issues.
In the 1990s, tissue engineering gained popularity for stem cell research, which served as a catapult for regenerative medicine. This type of medicine can be used for conditions and therapies such as type 1 diabetes, organ transplants, certain cancers, skin wounds, cell therapy, and immune system improvement, just to name a few.
Regenerative medicine shows promise for the treatment or management of mental health conditions. Several approaches could be helpful for psychological well-being. They are described below.
Stem cell therapy
Stem cell therapy promotes the repair response of diseased, dysfunctional, or injured tissue using stem cells or their derivatives. It works by growing stem cells in the laboratory, which are then manipulated to specialize into specific types of cells.
Research indicates that stem cell therapy could benefit psychiatric disorders through two different mechanisms. One mechanism involves integration into the target neural regions to replace deficient neurons. The second mechanism involves employing the cells as a source of factors that ameliorate the structural deficits observed in mental disorders. The effects of stem cell therapy have a lot to do with immune regulation, protecting astroglia and microglia (glial cells) from neuroinflammatory damage, which in turn improves neuronal functions.
Evidence shows that mesenchymal stem cells (MSCs) and induced pluripotent stem cells (iPSCs) could be responsible for lowering depression by producing more neurons with increased cortical connections. Another study found that MSC treatment demonstrates a notable effect on the depression model in mice, surpassing the antidepressant activity of the medication fluoxetine. These stem cells may mitigate depression by inhibiting central nervous system (CNS) inflammation.
Stem cell therapy could help with other mental health conditions besides depression. Evidence confirms that stem cell-derived interneuron transplants could help with schizophrenia by reducing hippocampal hyperactivity and normalizing aberrant dopamine neuron activity.
Unlike medications, stem cells don’t just alter levels of neurotransmitters – they have the ability to change the structural and functional integrity of neural tissue. This opens possibilities for long-term recovery from a wide range of mental health problems.
Exosome therapy
Exosomes are extracellular vesicles that are vital in cell-to-cell communication. Exosome therapy uses exosomes to deliver therapeutic molecules to specific cells in the body. This type of regenerative therapy could help with mental health too. After all, research shows that the exosomes regulate the occurrence and development of depression by participating in the regulation of HPA (hypothalamic-pituitary-adrenal) axis, brain-derived neurotrophic factor, immune inflammatory response, and other mechanisms. Since exosomes can easily cross the blood-brain barrier, they are ideal drug or molecular delivery tools for the central nervous system.
Since exosomes can cross the blood-brain barrier, they are considered particularly attractive for treating neurological and psychiatric conditions. This therapy could reduce oxidative stress, enhance neuroplasticity, and reverse neuronal apoptosis, meaning it could be a minimally invasive strategy for mental health restoration.
Immunomodulation
The term immunomodulation refers to the manipulation or regulation of the immune system’s activity by either increasing or suppressing its responses in order to achieve desired therapeutic outcomes. Regenerative therapies that target systemic and central immune dysfunction may help with the treatment of mental illness at its root. A growing body of evidence confirms that immunomodulation could potentially be employed as a complementary therapy for controlling psychiatric conditions.
Neurotrophic factors
Neurotrophic factors are a group of proteins that play an essential role in the growth, survival, and maintenance of neurons. Brain-derived neurotrophic factor (BDNF) is the most abundant growth factor in the central nervous system, and it is vital for the development of the CNS and neuronal plasticity. Since BDNF plays such an important role in the development and plasticity of the brain, it is implicated in psychiatric diseases. Therapies that target BDNF could help with the treatment of mental health disorders, but a lot more research on this subject is necessary.
Chronic pain treatment
Chronic pain may take its toll on mental health and well-being. What’s more, studies reveal that up to 75% of chronic pain patients have at least one psychiatric disorder. People living with chronic pain are more susceptible to anxiety, depression, and substance use disorders due to negative changes in lifestyle, overall bad mood, and frustration. That said, research suggests that stem cell therapy shows promising results in the management of different types of pain including neuropathic, discogenic back, osteoarthritis, and musculoskeletal pain. Through pain relief, regenerative medicine can positively influence mental health as well.
Increased precision
The convergence of regenerative medicine and mental health is further strengthened by improvements in precision medicine. Since regenerative medicine requires continuous evolution of technology, precision and accuracy also improve. This is important because clinicians can use various techniques to better understand which therapies will work for specific patients. Examples of these techniques include genomic profiling, neuroimaging, and even AI-based diagnostics.
In mental health, precision is essential. Thanks to improved precision, regenerative approaches could be matched more precisely to a patient’s biological needs. This matters because there should be no “one size fits all” approach in the treatment of mental health conditions.
Mental illnesses are prevalent across the globe, and they take their toll on relationships, work performance, social life, and every other aspect of life. Regenerative medicine could help manage or treat mental health conditions, but further research is necessary. The combination of regenerative medicine and mental health offers a completely new framework, which is rooted in repair, not just relief.
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