TISSUE ENGINEERING: Part A, 2014 · DOI: 10.1089/ten.tea.2013.0551 · Published: August 8, 2014
This study investigates the use of polymer scaffolds loaded with different cell types to promote regeneration after spinal cord injury in rats. The scaffolds were implanted after a complete spinal cord transection, and the effects of Schwann cells and mesenchymal stem cells (MSCs) on tissue regeneration, axonal growth, and blood vessel formation were compared. The researchers examined how each scaffold type influenced the architecture of the regenerated tissue, focusing on astrocytosis (scarring), axon regeneration, and blood vessel growth. They used immunohistochemistry and stereology to analyze the cellular composition and structure within the scaffolds. The study found that Schwann cells augmented axon regeneration, while MSCs did not support axon growth. Additionally, Schwann cells led to the formation of high numbers of small, densely packed blood vessels, while MSCs resulted in fewer, larger vessels. These differences in blood vessel morphology correlated with axonal regeneration, suggesting the importance of blood flow rate and vessel density.
The study suggests that scaffolds designed to promote the formation of high numbers of small blood vessels may be more effective in supporting axonal regeneration after spinal cord injury.
Schwann cell implantation may be a more effective cellular therapy for promoting axonal regeneration compared to MSCs in the context of spinal cord injury.
Engineering the microenvironment within the scaffold to influence vascularity and blood flow rate could be a key strategy for enhancing axonal regeneration.