Advancing stem cell therapies: An interview with Zaal Kokaia#

Professor Zaal Kokaia MAE discusses the rapid progress in stem cell research, the hurdles in bringing regenerative therapies to patients, and the academic challenges facing Georgia.

Zaal Kokaia
Professor Zaal Kokaia


About Zaal Kokaia#

Professor Zaal Kokaia MAE is a leading researcher in stem cell therapy and restorative neurology. He earned his MSc from Tbilisi State University in 1984 and his first PhD from the I. Beritashvili Institute of Physiology in Georgia in 1987, where he later served as a Senior and Leading Scientific Fellow. In 1992, he relocated to Sweden to further his research at Lund University, receiving a second PhD in 1995 and becoming a Docent in 1999.

He is currently a Professor of Experimental Medical Research at Lund University. In 2003, he was the founding Principal Investigator of the Lund Stem Cell Center, which he directed for 10 years (2011-2020) and coordinated Sweden’s National Strategic Research Area in Stem Cells and Regenerative Medicine. His research focuses on stem cells, cell reprogramming, and neuroinflammation modulation with the aim of improving recovery after stroke, bridging the gap between experimental science and clinical application. Prof. Kokaia was elected as member of the Physiology and Neuroscience section in 2017.

Read the interview #

Advances in stem cell research seem to be happening very quickly. What are the latest developments in your area of work, and what difference could they make to people’s lives?

Stem cell research is advancing rapidly, particularly in the areas of cell reprogramming and the functional integration of transplanted cells. In my research, we are investigating how stem cells and reprogrammed cells can restore brain function following a stroke. A significant advancement is the improved ability to generate specific types of functional neurons and glia from induced pluripotent stem cells (iPSCs) and differentiate them into functional neural cells. These cells can be transplanted into damaged regions of the brain, potentially replacing lost neurons and re-establishing essential neural circuits. These advances could transform stroke treatment, moving us beyond symptom management toward regenerative strategies that improve long-term recovery and quality of life.

A notable example is the clinical trial currently under way at our University, focusing on the generation of dopaminergic neurons from pluripotent stem cells and their transplantation in patients with Parkinson’s disease.



What are the biggest challenges in turning stem cell research into real treatments for stroke, and how can they be solved?

The main challenges in translating stem cell research into effective therapies are safety, efficacy, and scalability. Ensuring that transplanted cells survive, integrate into the brain, and function correctly without causing adverse effects – such as tumour formation or forming abnormal neuronal networks – is a major hurdle. To address this, we are refining cell reprogramming and differentiation protocols using modern molecular biology approaches.

Another challenge is the variability in patient response. Stroke is a complex condition with significant individual differences, making it difficult to develop one-size-fits-all treatments. Advances in personalised medicine, where treatment is tailor-made for each patient, could help overcome this issue.

Scalability and cost also remain barriers. Producing high-quality, clinically safe stem cells at scale is expensive. However, advances in automated cell culture systems and biomanufacturing technologies are making large-scale production more feasible. Regulatory approvals are another hurdle, requiring extensive preclinical and clinical testing. Collaborative efforts between scientists, clinicians, and regulatory bodies will be key to accelerating the translation of stem cell research into approved therapies.



Our AE Hub in Tbilisi was keen for us to interview you. Could you tell us something about your academic links with your birth country of Georgia?

Despite being based in Sweden for many years, I have maintained strong academic ties with Georgia. I have collaborated with researchers at Tbilisi State University and other institutions, working on projects related to neuroscience, stem cells, and regenerative medicine. These collaborations have included joint research initiatives, student exchanges, and scientific training programmes aimed at strengthening Georgia’s expertise in advanced biomedical research.

In 2009, I became a visiting professor at Ivane Javakhishvili Tbilisi State University, where I teach PhD students at the Medical Faculty various courses designed to help them become qualified and competitive biomedical researchers. Several Georgian researchers and students gained experience in my lab at Lund University. These efforts are crucial for fostering high-quality neuroscience research in Georgia and creating opportunities for young scientists to contribute to the global scientific community. I believe that international collaboration is key to advancing science, and I am committed to supporting Georgia’s integration into cutting-edge biomedical research networks.



What challenges does Georgia face in advanced research, and how might these be addressed?

Georgia faces several challenges in developing advanced research, including limited funding, inadequate research infrastructure, and, most crucially, brain drain, as many talented scientists seek opportunities abroad. While there are excellent researchers in Georgia, the lack of investment in scientific facilities and equipment makes it difficult for skilled young researchers to return after their training at Western universities and scientific centres, hindering Georgia’s ability to compete internationally.

One solution is to increase government and private sector investment in research and development. Establishing competitive grant systems, similar to those in the EU, can incentivise high-quality research. Stronger ties with European research institutions can also help by providing Georgian scientists access to cutting-edge technologies and collaborative funding opportunities.

Another challenge is the need for more structured career paths for young researchers. Establishing postdoctoral programmes and tenure-track positions would help retain talent and encourage innovation. Additionally, fostering interdisciplinary collaboration- combining fields such as neuroscience, bioengineering, and artificial intelligence- could open new avenues for impactful research. By addressing these challenges, Georgia can position itself as a hub for biomedical research in the region, attracting both talent and investment.



Looking ahead, what excites you most about the future of stem cell research, and what breakthroughs do you hope to see in the next decade?

The future of stem cell research in neuroscience is incredibly exciting, with numerous potential breakthroughs on the horizon. One of the most promising areas is the development of cell-based therapies that can directly repair or replace damaged brain tissue. Advances in single-cell sequencing and gene editing will enable us to create highly specialised neural cells tailored to individual patients, enhancing the effectiveness of treatments for various neurological diseases.

Another breakthrough I anticipate is using bioengineered tissues and organoids to model brain diseases and test new therapies. These models will speed up drug discovery and lessen the dependence on animal testing, making research more efficient and ethically sound.

In the next decade, I hope to see stem cell therapies transition from experimental treatments to widely available clinical applications, significantly improving the quality of life for individuals with neurological disorders.






The interview was posted on the 18th March 2025 and conducted by the Academia Europaea Cardiff Knowledge Hub.
For further information please contact AECardiffHub@cardiff.ac.uk.

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