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  4. Combinatorial therapies for spinal cord injury: strategies to induce regeneration

Combinatorial therapies for spinal cord injury: strategies to induce regeneration

Neural Regen Res, 2019 · DOI: 10.4103/1673-5374.243705 · Published: January 1, 2019

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

Spinal cord injury (SCI) leads to loss of motor and sensory function and other complications. Current treatments are lacking, so strategies to promote neuronal regeneration are crucial. Tissue engineering offers promise through biocompatible scaffolds that support tissue regrowth. These scaffolds can be combined with growth factors or cells to enhance regeneration. Future therapies may combine biomaterials, cell therapies, and drugs to address secondary injury events and promote organized neuronal plasticity, along with rehabilitation techniques.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Not specified

Key Findings

  • 1
    Collagen matrices can support the growth of neurites and blood vessels in the injured spinal cord.
  • 2
    Hydrogels can serve as depots for neurotrophic factors, promoting axonal regrowth even through astrocytic scars.
  • 3
    Modified gellan gum hydrogels combined with cells can induce motor recovery and reduce inflammation in a spinal cord injury model.

Research Summary

Spinal cord injury (SCI) lacks effective treatments, necessitating regenerative strategies. Tissue engineering offers promise but faces challenges such as limited self-regeneration in the CNS. Combinatorial approaches, integrating biomaterials with cells, drugs, and neurotrophic factors, are crucial. These strategies should address secondary injury events and promote organized neuronal plasticity. Future therapies may combine tissue engineering with epidural stimulation, brain-machine interfaces, and neurorehabilitation to maximize recovery after SCI.

Practical Implications

Biomaterial Design

Focus on developing biocompatible and biodegradable scaffolds that can serve as vehicles for cell and drug delivery.

Combination Therapies

Integrate biomaterials with cells, drugs targeting secondary injury events, and neurotrophic factors to enhance regeneration.

Rehabilitation Strategies

Combine tissue engineering with epidural stimulation, brain-machine interfaces, and neurorehabilitation for comprehensive SCI treatment.

Study Limitations

  • 1
    Limited self-regeneration capacity of CNS tissue
  • 2
    Low cell survival rates in transplants to the injured spinal cord
  • 3
    Disorganized regrowth of damaged axons

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