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  4. Combinatorial strategies for cell transplantation in traumatic spinal cord injury

Combinatorial strategies for cell transplantation in traumatic spinal cord injury

Front. Neurosci., 2024 · DOI: 10.3389/fnins.2024.1349446 · Published: March 6, 2024

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Spinal cord injury (SCI) significantly diminishes the quality of life for affected individuals, making the recovery of function a crucial concern for both patients and therapeutic interventions. Currently, despite the increasing number of clinical trials, there are still no effective treatments capable of improving neurological outcomes following SCI. This mini-review explores combinatorial strategies that can be used alongside NSPC transplantation to encourage spinal cord regeneration, focusing on bioengineering and neuromodulatory approaches.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Level 5, Mini Review

Key Findings

  • 1
    Transplantation of neural stem/progenitor cells (NSPCs) can promote regeneration of the injured spinal cord by providing new neurons that can integrate into injured host neural circuitry.
  • 2
    Treatment of such a complex injury cannot be addressed with a single therapeutic approach, suggesting the need for combinatorial therapies.
  • 3
    The future of NSPC transplantation will likely include a multi-factorial approach, combining stem cells with biomaterials and/or neuromodulation as a promising treatment for SCI.

Research Summary

Spinal cord injury (SCI) has devastating consequences for the physical and social wellbeing of individuals, affecting more than 250,000 people each year worldwide. Despite progress in preclinical SCI research and increasing clinical trials, there are no proven-effective treatments to improve neurological function after SCI. Combinatorial therapies, integrating NSPC transplantation with biomaterials and neuromodulation, hold promise for enhancing graft/host neural relay formation and neurological recovery.

Practical Implications

Enhanced Regeneration

Combinatorial therapies using NSPCs with biomaterials and neuromodulation can improve anatomical and functional recovery after SCI.

Optimized Functional Recovery

Future research should focus on optimizing functional recovery through integrated multidisciplinary approaches.

Clinical Validation

Preclinical studies of combined therapies should be reproduced by multiple laboratories to validate efficacy for human SCI.

Study Limitations

  • 1
    Current treatments for SCI, including NSPC transplantation, biomaterial scaffolds, and neuromodulation techniques, have shown only modest gains in functional outcomes.
  • 2
    Clinical translation of biomaterials remains challenging as most are not clinically approved.
  • 3
    More studies are needed to evaluate the therapeutic efficacy of combined cell transplantation and electrical or magnetic stimulation strategies.

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