BRIEF CURRICULUM VITAE Name: Nasser Aghdami Educational Background: 1. 1991 – 1998:MD Oroumieh University of Medical Sciences, Oroumieh, Iran 2. 2001-2007: PhD, Tarbiat Modares University, Tehran, Iran, PhD in Immunology Current Position in the Institutions: 2008-present Head of Department of Regenerative medicine and Royan cell therapy Abstract: Stem Cell Therapy in neurometabolic and neurodegenerative disorders Inherited metabolic disorders (IMDs), especially when neural system involved, cause progressive organ failure and death early in life. Although Enzyme replacement therapy can be effective for treating a handful of enzyme deficiencies, it does not provide a cure from the endogenous disorder, and the patient is left with lifelong dependence on pharmaceuticals. Cross-correction after donor leukocytes engraftment in the host tissue during hematopoietic stem cell transplantation, make and secrete the deficient enzyme, and can improve the diseases behavior. Hurler Syndrome is the first and most common inborn error of metabolism, which HSCT is indicated and performed. While bone marrow transplantation seem like the most likely to stop the disease progress, but when we need regeneration for tissue or function lost, other tissue specific stem cells such as neural or mesenchymal stem cells seems more suitable. Experimental studies, were showed intracranially injection of NSC in symptomatic Sandhoff (Hexb(-/-)) adult mice, increased animal lifespan, improved neurological function, and slowed disease progression. Cells migrated far from the injection site and integrated into the host cytoarchitecture, restoring beta-hexosaminidase enzyme activity to improvement of neuropathologic and behavioral Accessibility is the largest obstacle that would be overcome to have enough cells for effective treatment. Neural stem cells (NSC) are located in sub ventricular zone but extremely rare in healthy subjects and we need injury like ischemic injury to NSC proliferation. Moreover, NSCs may impact conditions such as neurogenetic lysosomal storage diseases when transplanted at birth, but it is unclear whether such interventions can be effective in well-established disease, a situation often encountered clinically. It seems, stem cell therapy is at its early stages and we need generated more data in animal models and clinical trials to know more about diseases mechanisms or treatment effects. The possibility of deriving human induced pluripotent stem (iPS) cells by overexpressing just a few transcription factors in somatic cells has opened new opportunities for in vitro disease modeling and can improve our knowledge about disease mechanisms and their treatment method respectively. Here, I review the current state of research on various stem cells and identify the important challenges that must be addressed as stem cell therapy is brought to the clinic in neurodegenerative disorders.