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  4. Choosing the right cell for spinal cord repair

Choosing the right cell for spinal cord repair

J Neurosci Res, 2019 · DOI: 10.1002/jnr.24351 · Published: February 1, 2019

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Transplanting neural progenitor cells is a promising approach for repairing the injured central nervous system. Early studies showed that transplanting embryonic spinal cord tissue could facilitate repair, leading to clinical studies in patients with spinal cord injuries. These early studies also analyzed the structure of the transplanted tissue to understand how it promotes repair, revealing a mix of neurons and glia that become vascularized and maintain spinal cord morphology. Current research focuses on identifying specific interneuronal phenotypes within donor tissues that could be optimal for transplantation, particularly ventrally-derived phenotypes, which are associated with motor functions.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Not specified

Key Findings

  • 1
    Transplanted tissue can produce a heterogeneous mix of mature neurons and glia and become vascularized.
  • 2
    Donor cells from the dorsal region of the developing spinal cord can be innervated by host cell axons.
  • 3
    Enriching donor cells with stem cell derived V2a interneurons can enhance the extent of motor recovery.

Research Summary

Transplantation of neural progenitor cells has a history of use for repair of the injured central nervous system and has shown some efficacy in promoting repair and functional recovery following experimental spinal cord injury (SCI). The transplanted tissue produces a heterogeneous mix of mature neurons and glia, becomes vascularized, and retains its capacity to produce spinal cord morphology. Future work will characterize the phenotype of SpINs, and help determine optimal donor cells for spinal cord repair.

Practical Implications

Improved Motor Function

V2a SpINs, as excitatory pre-motor interneurons, could improve motor function in SCI and ALS models.

Targeted Therapies

Identifying optimal donor cells for transplantation could lead to more effective therapies for spinal cord repair.

Neuroplasticity Enhancement

Transplanted spinal interneurons (SpINs) are key cellular elements for neuroplasticity after injury and may represent an important therapeutic target.

Study Limitations

  • 1
    Not all donor components are beneficial for functional improvement.
  • 2
    Recovery may be limited if the wrong donor source is used.
  • 3
    Preparing tissue in a clinically relevant way may alter their developing neuronal phenotype.

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