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  4. Biomaterials reinforced MSCs transplantation for spinal cord injury repair

Biomaterials reinforced MSCs transplantation for spinal cord injury repair

Asian Journal of Pharmaceutical Sciences, 2022 · DOI: https://doi.org/10.1016/j.ajps.2021.03.003 · Published: January 1, 2022

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

Spinal cord injury (SCI) is a central nervous system (CNS) disease that leads to motor and sensory dysfunction, significantly impacting patients' quality of life. Mesenchymal stem cells (MSCs) have shown therapeutic promise for SCI due to their ability to promote functional regeneration. However, MSCs often have low survival rates and diffuse randomly from the injection site. Biomaterials offer a new approach by confining MSCs to the injury site, improving their survival, and enhancing their therapeutic effects. This review explores strategies using biomaterials to reinforce MSCs transplantation for SCI treatment.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    Biomaterial scaffolds, such as those made from collagen, hyaluronic acid (HA), or gelatin, can support MSC growth, maintain cell viability, and confine their distribution within the injured spinal cord.
  • 2
    Inorganic nanoparticles, like MnO2, can be incorporated into biomaterials to scavenge reactive oxygen species (ROS) in the SCI microenvironment, protecting MSCs and promoting neuron regeneration.
  • 3
    Multicellular co-transplantation systems, combining MSCs with Schwann cells (SCs) in a scaffold, can create a synergistic therapeutic effect, enhancing axonal regeneration and functional recovery.

Research Summary

Spinal cord injury (SCI) is a complex condition with limited effective treatments. Stem cell transplantation, particularly using mesenchymal stem cells (MSCs), has emerged as a promising therapeutic strategy for promoting functional regeneration after SCI. Traditional MSC transplantation faces challenges such as low cell survival and random cell diffusion. Biomaterials offer a new approach by providing structural support, promoting cell viability, and enhancing the therapeutic efficacy of MSCs. Biomaterials reinforce MSCs transplantation by creating favorable microenvironments, delivering therapeutic factors, and facilitating cell-cell interactions. Future research should focus on optimizing biomaterial design and MSC delivery to improve clinical outcomes.

Practical Implications

Improved MSC Survival and Retention

Biomaterials enhance MSC survival and retention at the injury site, improving therapeutic outcomes.

Targeted Delivery of Therapeutic Factors

Biomaterials can be designed to deliver neuroprotective factors and drugs, promoting nerve regeneration and reducing inflammation.

Clinical Translation

Further research and clinical trials are needed to translate these promising findings into effective treatments for SCI patients.

Study Limitations

  • 1
    Limited clinical translation despite promising preclinical results
  • 2
    Challenges in replicating animal model conditions in human clinical cases
  • 3
    Incomplete understanding of the therapeutic mechanisms of MSCs

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