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  4. Cell Transplantation for Spinal Cord Injury: A Systematic Review

Cell Transplantation for Spinal Cord Injury: A Systematic Review

BioMed Research International, 2013 · DOI: 10.1155/2013/786475 · Published: January 1, 2013

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

Cell transplantation is being explored as a way to treat spinal cord injuries. Researchers are testing different types of cells to see if they can help the spinal cord heal. The review looks at various studies that have examined how well transplanted cells survive, help with nerve regeneration, and improve function after spinal cord injury. Despite progress, there is still a gap between lab research and actual treatments for patients. This article reviews what has been published in the field in recent years.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review Article

Key Findings

  • 1
    ESC/iPSC-derived cells can promote tissue sparing, neuronal regeneration, axonal regeneration/remyelination, sensory function, and motor function improvement in SCI models.
  • 2
    MSCs can regulate post-SCI inflammatory response and have neurotrophic paracrine activity, which can lead to improved sensorimotor function.
  • 3
    OECs have potential in promoting neuronal regeneration and supporting axonal outgrowth after SCI, but the exact mechanisms are still not fully understood and results vary depending on several factors.

Research Summary

This review comprehensively covers publications in the field of cell transplantation for spinal cord injury (SCI) from recent years, focusing on commonly utilized cell lineages. Specific areas covered include the survival of grafted cells, axonal regeneration and remyelination, sensory and motor functional recovery, and electrophysiological improvements following cell transplantation in SCI models. The review also discusses in vivo tracking techniques for transplanted cells, highlighting the importance of monitoring cell survival, migration, and differentiation in real-time to understand their fate and effects.

Practical Implications

Optimizing Cell Choice

Careful selection of cell type is crucial, considering their specific properties and potential synergistic effects when used in combination.

Refining Transplantation Strategies

Further research is needed to optimize transplantation timing, routes, and dosages to maximize cell survival and therapeutic efficacy.

Addressing Safety Concerns

Rigorous preclinical studies and clinical trials with strict safety criteria are essential to ensure the safety of cell transplantation therapies.

Study Limitations

  • 1
    Ethical concerns related to ESC/iPSC-derived therapies.
  • 2
    Low survival rate of grafted cells after transplantation.
  • 3
    Lack of consistent results in clinical trials with MSCs.

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