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  4. Cell Therapy Augments Functional Recovery Subsequent to Spinal Cord Injury under Experimental Conditions

Cell Therapy Augments Functional Recovery Subsequent to Spinal Cord Injury under Experimental Conditions

Stem Cells International, 2015 · DOI: http://dx.doi.org/10.1155/2015/132172 · Published: February 5, 2015

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

Spinal cord injury (SCI) leads to paralysis, and currently, there's no definitive cure. Recent research using cell therapy in animal models shows promise in aiding recovery. Clinical trials are underway to assess how well cell transplantation works for treating SCI. Various cells, including neural cells from pluripotent stem cells, mesenchymal stromal cells, neural stem cells, and glial cells, are being tested in different SCI models. This review emphasizes advancements and gaps in SCI treatment. It discusses epidemiology, pathophysiology, molecular mechanisms, and various cell therapy strategies in preclinical and clinical injury models. Finally, it addresses the limitations and ethical concerns of using cell therapy to treat SCI.

Study Duration
Not specified
Participants
Animal models (mice, rats, dogs, nonhuman primates) and human clinical trials
Evidence Level
Review Article of preclinical and clinical studies

Key Findings

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    Cell transplantation can enhance neuronal regeneration after spinal cord injury by secreting paracrine factors, acting as a scaffold for axonal regrowth, and replacing lost neurons or neural progenitor cells.
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    Mesenchymal stromal cells (MSCs) reduce demyelination, suppress neuroinhibitory molecules, and promote axonal regeneration, making them ideal candidates for cellular therapy due to their availability and subtle immunological complications.
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    Neural progenitor cells (NPCs) derived from fetal sources, when transplanted into SCI models, have shown efficient regeneration of neural structures with functional recovery and reduced inflammatory response.

Research Summary

This review highlights the progress in cell therapy for spinal cord injury (SCI) treatment, focusing on various cell types like pluripotent stem cells, mesenchymal stromal cells (MSCs), and neural stem cells (NSCs). Preclinical studies using animal models have shown promising results in neuronal regeneration and functional recovery with cell transplantation. Clinical trials are ongoing to evaluate the efficacy of these therapies in humans. The review also addresses the limitations, ethical issues, and future directions in cell therapy for SCI, emphasizing the need for standardized treatment regimes and in vivo tracking technologies.

Practical Implications

Therapeutic Potential

Cell therapy holds promise for improving functional recovery after spinal cord injury, offering potential for reducing paralysis.

Clinical Translation

The success of preclinical studies necessitates well-designed clinical trials to validate the effectiveness and safety of cell-based interventions in human SCI patients.

Personalized Medicine

Future research should focus on identifying the optimal cell type, dosage, and transplantation site to tailor cell therapy approaches to individual patient needs.

Study Limitations

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