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  4. Activation of Intrinsic Growth State Enhances Host Axonal Regeneration into Neural Progenitor Cell Grafts

Activation of Intrinsic Growth State Enhances Host Axonal Regeneration into Neural Progenitor Cell Grafts

Stem Cell Reports, 2018 · DOI: https://doi.org/10.1016/j.stemcr.2018.08.009 · Published: September 6, 2018

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

This study investigates how to improve nerve regeneration after spinal cord injury (SCI) by using neural progenitor cell (NPC) grafts. The researchers explored whether activating the injured neuron's own growth mechanisms, combined with NPC grafts, could enhance nerve regeneration into the graft. They found that stimulating the neuron's growth state significantly increased nerve regeneration into the NPC grafts, and this effect was further enhanced by including specific target neurons within the graft environment.

Study Duration
6 weeks
Participants
Rhesus macaques and Fischer 344 rats
Evidence Level
Not specified

Key Findings

  • 1
    Sensory conditioning lesions can activate the intrinsic host neuronal growth state and enhance host axonal regeneration into NPC grafts, resulting in a 9.6-fold increase in sensory axon regeneration into the NPC graft.
  • 2
    Enrichment of the graft with target neurons of regenerating sensory axons further enhances regeneration.
  • 3
    The combination of conditioning lesions plus enrichment of neural progenitor grafts with appropriate neuronal targets resulted in maximal and extensive sensory axonal regeneration into grafts.

Research Summary

Axonal regeneration after spinal cord injury (SCI) can be enhanced by activation of the intrinsic neuronal growth state and, separately, by placement of growth-enabling neural progenitor cell (NPC) grafts into lesion sites. Conditioned host sensory axons exhibited a significant, 9.6-fold increase in regeneration into the lesion/graft site compared with unconditioned axons. Activation of the intrinsic host neuronal growth state and manipulation of the graft environment enhance axonal regeneration after SCI.

Practical Implications

Enhanced Axonal Regeneration

Activating the intrinsic growth state of injured neurons and enriching NPC grafts with appropriate target neurons can significantly enhance axonal regeneration after SCI.

Targeted Graft Design

Grafts can be tailored to include specific neuronal targets to optimize regeneration of particular neural systems, such as motor interneurons.

Potential Therapeutic Strategies

Pharmacological agents, such as ambroxol, could be used to activate the intrinsic growth state of neurons in a more clinically practical manner than conditioning lesions.

Study Limitations

  • 1
    The use of peripheral conditioning lesion also precluded the study of functional outcomes in this experiment, because the peripheral nerves were injured.
  • 2
    Future work will attempt to identify precise cellular mechanisms mediating these effects.
  • 3
    Experiments are needed to test hypotheses regarding optimal neuronal constituents in grafts that will improve motor and useful sensory outcomes

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