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  4. Cell Transplantation for Repair of the Spinal Cord and Prospects for Generating Region-Specific Exogenic Neuronal Cells

Cell Transplantation for Repair of the Spinal Cord and Prospects for Generating Region-Specific Exogenic Neuronal Cells

Cell Transplantation, 2024 · DOI: 10.1177/09636897241241998 · Published: March 11, 2024

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

Spinal cord injury (SCI) leads to irreversible damage to the central nervous system, and there is currently no effective treatment. Cell transplantation, which involves transplanting cells into the injury site, has emerged as a potential therapeutic strategy. This review explores using cell transplantation to treat SCI, focusing on producing regionally specific exogenic spinal cells through in vitro differentiation and blastocyst complementation. Researchers are exploring different cell types for transplantation, with the goal of generating cells with regional and subtype specificity. This involves understanding the developmental transcriptome patterning of spinal cord cells. Exogenic neuronal progenitor cells, created using gene editing and blastocyst complementation, are a potential source of spinal cord cells for transplantation. The review highlights the importance of considering developmental gene expression patterns when generating regionally specific exogenic spinal cells. This approach could improve functional outcomes after transplantation, offering a promising direction for future studies.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    Transplantation of neural progenitor cells (NPCs) can lead to nervous system recovery through mechanisms like remyelination, axonal regeneration, tissue sparing, angiogenesis, and release of neurotrophic factors.
  • 2
    Designing regionally relevant neural cells for transplantation may promote further recovery, as regional specificity of ESC-derived neural cells has been shown to be a significant factor in creating a neural relay circuit for functional recovery.
  • 3
    Blastocyst complementation is a novel approach in regenerative medicine for generating exogenic organs and cells, offering a promising future direction for SCI treatment by avoiding immunosuppression and chemotherapy-associated toxicity.

Research Summary

Spinal cord injury (SCI) has currently irreversible consequences, and no approved treatment exists to restore function. Cell transplantation has gained significant potential as a treatment for SCI. Generating neuronal cells with regional and subtype specificity is a key factor to optimize successful functional outcomes after transplantation, calling on the developmental transcriptome patterning of spinal cord cells. A potential source of spinal cord cells for transplantation is the generation of exogenic neuronal progenitor cells via the emerging technologies of gene editing and blastocyst complementation.

Practical Implications

Improved Cell Therapies

Tailoring cell therapies to target specific regional identities within the spinal cord can enhance graft integration and functional recovery.

Advancement of Blastocyst Complementation

Blastocyst complementation offers a new approach to generate authentic exogenic spinal neurons, overcoming limitations of current differentiation protocols.

Personalized Medicine

Understanding developmental neurobiology allows for the creation of targeted therapies addressing specific deficits, such as locomotion, sensation, or pain.

Further research to focus on both motor and interneuron regional subtypes.

Considering the role of central pattern generators in locomotion, there should be research into pre-established local motor neuron-interneuron interactions along the rostrocaudal axis.

Study Limitations

  • 1
    Ethical concerns surrounding human-animal chimeras.
  • 2
    Technical barriers to blastocyst complementation, such as off-target chimerism.
  • 3
    Variability in cell culture and differentiation protocols affecting reproducibility.

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