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  4. Combined treatment with enteric neural stem cells and chondroitinase ABC reduces spinal cord lesion pathology

Combined treatment with enteric neural stem cells and chondroitinase ABC reduces spinal cord lesion pathology

Stem Cell Research & Therapy, 2021 · DOI: https://doi.org/10.1186/s13287-020-02031-9 · Published: January 12, 2021

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

Spinal cord injuries (SCI) are a significant challenge due to the limited regeneration capacity of the nervous system. Stem cells offer promise by replacing damaged cells, but their integration is hindered by inhibitory molecules at the injury site. This study explores the use of enteric neural stem cells (ENSCs) combined with chondroitinase ABC (ChABC), an enzyme that breaks down inhibitory molecules, to promote spinal cord repair in rats with SCI. The results showed that the combined treatment led to reduced tissue damage, improved axon growth, and a modest functional improvement, suggesting a potential therapeutic strategy for SCI.

Study Duration
16 weeks
Participants
26 adult female Sprague-Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    The combined treatment of ENSCs and ChABC resulted in significant reductions in the injured tissue and cavity area compared to either treatment alone.
  • 2
    ENSC-derived cells extended projections across the injury site into both the rostral and caudal host spinal cord, and ENSC transplantation significantly increased the number of cells extending axons across the injury site.
  • 3
    The combined treatment resulted in a modest, but significant functional improvement by week 16, as measured by the horizontal ladder test.

Research Summary

The study investigated the combined therapeutic potential of enteric neural stem cells (ENSCs) and chondroitinase ABC (ChABC) for spinal cord injury (SCI) repair in a rat contusion model. Results showed that the combined treatment led to significant reductions in cavity and injured tissue area, enhanced axonal projections across the injury site, and a modest improvement in locomotor function. The findings suggest that ENSCs, particularly when combined with ChABC, could be a viable alternative for SCI treatment, warranting further investigation for CNS disorders.

Practical Implications

Therapeutic Strategy

The combined treatment of ENSCs and ChABC presents a potential therapeutic strategy for spinal cord injury, warranting further investigation.

Source of Stem Cells

Enteric neural stem cells, harvested from the gastrointestinal tract, offer an easily accessible source for autologous transplantation in CNS repair.

Clinical Translation

Further research is needed to optimize the timing and delivery of ENSCs and ChABC to maximize functional recovery in SCI patients.

Study Limitations

  • 1
    The study was conducted on a rat model of SCI, and results may not directly translate to humans.
  • 2
    The functional improvements observed were modest, and further comprehensive behavioral testing is required.
  • 3
    Long-term analysis of ENSC proliferation and genetic stability is needed to confirm the safety of ENSC transplantation.

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