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  4. Cellular therapies for treating pain associated with spinal cord injury

Cellular therapies for treating pain associated with spinal cord injury

Journal of Translational Medicine, 2012 · DOI: 10.1186/1479-5876-10-37 · Published: March 6, 2012

Spinal Cord InjuryRegenerative MedicinePain Management

Simple Explanation

Spinal cord injury (SCI) often results in significant disability, diminishing the affected individual's quality of life, and currently lacks a definitive cure. Cell-based therapies show promise in both spinal cord regeneration and alleviating neuropathic pain associated with SCI. This article reviews various cell-based therapy options, their development, therapeutic potential, and clinical trials for spinal cord injury and pain mitigation.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review article

Key Findings

  • 1
    Cell-based therapies are emerging as promising therapeutic options for spinal cord regeneration and neuropathic pain mitigation after spinal cord injury.
  • 2
    Several clinical studies have explored cellular therapies, including adrenal medullary transplants, MSCs, bone marrow transplants, and olfactory ensheathing cells, with varying degrees of success.
  • 3
    The review highlights the potential of stem cell transplantation, particularly hESCs and OECs, for spinal cord regeneration, while cellular therapies also aim to address neuropathic pain through different mechanisms.

Research Summary

Spinal cord injury (SCI) leads to significant disability, reduced quality of life, and economic burden due to loss of productivity and lifelong supportive care. Neuropathic pain affects a significant proportion of SCI patients and remains a major challenge in pain management, with opioids being the commonest therapy albeit with limited long-term efficacy. Cellular therapies, including stem cell transplantation, engineered cell lines, and cytokine modulation, offer potential strategies for spinal cord regeneration and neuropathic pain relief after SCI.

Practical Implications

Therapeutic Potential

Cell-based therapies offer potential for spinal cord regeneration and pain mitigation.

Clinical Trials

Highlights the importance of ongoing and future clinical trials to validate the efficacy and safety of these therapies.

Future Research

Further research is needed to optimize cell generation, dosing, delivery, and tracking to improve outcomes.

Study Limitations

  • 1
    Unclear minimal effective dose for some cellular therapies
  • 2
    Uncertain time limit for donor medullary tissue viability
  • 3
    Donor shortage in clinical situations

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