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An update on spinal cord injury research

Neurosci Bull, 2013 · DOI: 10.1007/s12264-012-1277-8 · Published: February 1, 2013

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Spinal cord injury (SCI) can have a range of debilitating effects and permanently alter the capabilities and quality of life of survivors. In the clinic, the aim of SCI treatment is primarily to limit secondary damage by reducing compression in trauma spots and stabilizing the spinal column. In this review, we focus on research progress on the molecular mechanisms underlying SCI, and assess the treatment outcomes of SCI in animal models, i.e., neurotrophins and stem cells are discussed as pre-clinical therapies in animal models.

Study Duration
Not specified
Participants
Animal models
Evidence Level
Review

Key Findings

  • 1
    Normally, the primary injury of the spinal cord is due to either contusion or compression.
  • 2
    Vascular disturbances play important roles in secondary injury of the spinal cord, such as hemorrhage, ischemia and reperfusion-induced damage, microcirculatory disturbances, and systemic hypotension.
  • 3
    NT-3, like BDNF, promotes the regeneration and overexpression of NT-3 in the rat spinal cord, which subsequently induces sprouting of corticospinal tract axons

Research Summary

Spinal cord injury (SCI) can have a range of debilitating effects and permanently alter the capabilities and quality of life of survivors. In this review, we focus on research progress on the molecular mechanisms underlying SCI, and assess the treatment outcomes of SCI in animal models, i.e., neurotrophins and stem cells are discussed as pre-clinical therapies in animal models. We also assess the resources available and national research projects carried out on SCI in China in recent years, as well as making recommendations for the future allocation of funds in this area.

Practical Implications

Improved SCI Treatment

A better understanding of the mechanisms underlying both primary and secondary damage is imperative for developing clinical methods.

Neurotrophic Factors as Therapy

Neurotrophic factors like NGF, BDNF, and NT-3 show promise in promoting axonal growth and preventing neuronal death after SCI.

Stem Cell Transplantation Potential

Stem cell transplantation, including ESCs, NPCs, and iPSCs, offers a potential strategy for replacing lost tissue and supporting regeneration after SCI.

Study Limitations

  • 1
    The present treatment and care levels for SCI are not comparable to those in other areas of medicine.
  • 2
    Currently, no effective strategy for functional recovery is offered.
  • 3
    The proportion of government funds spent on this area is significantly lower than that in western countries.

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