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  4. Commentary: Mesenchymal stem cells in the treatment of spinal cord injury: mechanisms, current advances and future challenges

Commentary: Mesenchymal stem cells in the treatment of spinal cord injury: mechanisms, current advances and future challenges

Frontiers in Immunology, 2024 · DOI: 10.3389/fimmu.2024.1354118 · Published: June 11, 2024

Regenerative MedicineImmunologyNeurology

Simple Explanation

This commentary discusses a review article about using mesenchymal stem cells (MSCs) to treat spinal cord injuries (SCI). It highlights the advantages of MSCs, such as their ability to modulate the immune system and ease of use. The authors also share their research on using sheep bone marrow MSCs in rats with SCI. They found evidence that these cells could integrate into the injury site and help with partial functional recovery. The commentary suggests that successful use of MSCs in SCI could broaden the possibilities for neuroregeneration. It also mentions the potential of stem cell therapies for other neurological conditions.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Level 5, Commentary

Key Findings

  • 1
    Xenogeneic sheep bone marrow MSCs can engraft at the injury site in a rat SCI model.
  • 2
    The transplanted cells showed de novo locally induced positivity for nestin, tubulin bIII, NG2 glia, neuron-specific enolase, vimentin and 200 kD neurofilament.
  • 3
    Transdifferentiation of xenogenic MSCs into a neuroglial phenotype promoted partial functional recovery of motor functions in rats (P <0.001).

Research Summary

This commentary provides additional considerations regarding the feasibility, efficacy, and safety of xenogeneic ovine bone marrow mesenchymal stem cells transplantation in SCI. The authors' research demonstrated engraftment of MSCs at injury sites in rats, with cells expressing markers of neural and glial cells. The commentary highlights the potential of MSCs in treating other neurological conditions, suggesting a transition to a biological era in SCI treatment.

Practical Implications

Broadening Graft Options

Successful xenogenic use of MSCs in SCI could pave the way for new lines of research and broaden the spectrum of possible grafts for neuroregeneration.

Therapeutic Potential

Stem cell therapies, especially MSCs, show promise in treating traumatic brain injury, cranial and spinal bone defects, and primary malignant brain tumors.

Advancements in SCI Treatment

Refinement and improvement of vector design and delivery should lead to a transition from mechanical to biological treatments for SCI.

Study Limitations

  • 1
    Immunogenicity of xenogeneic MSCs
  • 2
    Oncogenicity concerns
  • 3
    Routes of administration need refinement

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