Cell Transplantation, 2024 · DOI: 10.1177/09636897241241998 · Published: March 11, 2024
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.
Tailoring cell therapies to target specific regional identities within the spinal cord can enhance graft integration and functional recovery.
Blastocyst complementation offers a new approach to generate authentic exogenic spinal neurons, overcoming limitations of current differentiation protocols.
Understanding developmental neurobiology allows for the creation of targeted therapies addressing specific deficits, such as locomotion, sensation, or pain.
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.