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  4. Considering the Cellular Composition of Olfactory Ensheathing Cell Transplants for Spinal Cord Injury Repair: A Review of the Literature

Considering the Cellular Composition of Olfactory Ensheathing Cell Transplants for Spinal Cord Injury Repair: A Review of the Literature

Frontiers in Cellular Neuroscience, 2021 · DOI: 10.3389/fncel.2021.781489 · Published: November 17, 2021

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Olfactory ensheathing cells (OECs) are specialized glial cells that support the continual regeneration of olfactory neurons. Owing to their pro-regenerative properties, OECs have been transplanted in animal models of spinal cord injuries (SCI) and trialed in clinical studies on SCI patients. Much of the variability in the reparative potential of OEC transplants is due to the variations in the cell composition of transplants between studies.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Level 5: Review of the Literature

Key Findings

  • 1
    Successful transplant-mediated repair appeared to be possible using both low and high proportions of OECs in olfactory transplants.
  • 2
    The studies reviewed also indicate that the proportions of OECs within the transplant cell population might not be linearly related to the neurological improvements observed.
  • 3
    The trend in the data shows cell preparations containing 50% OECs and 50% fibroblasts appear to be transplanted most often.

Research Summary

This review summarizes the current literature relating to the composition, purity, and cell dose of OEC cultures used for transplant-mediated repair of SCI. OEC transplants are not very well characterized, and crucial questions about the therapeutic cellular composition, purity, and dose remain unanswered. Unless olfactory cell transplants are composed of 100% OECs, additional cells will remain in the transplants, and it is presently unknown what effect variations in the cell types and proportions will have in vivo and if they contribute to therapeutic outcome.

Practical Implications

Optimizing Cell Composition

Future development requires characterization and identification of the regenerative components of OEC transplants for clinical application in SCI repair.

Clinical Translation

The need to optimize cell dose, purity and composition for any future clinical applications for SCI.

Future research

Recommend more studies involving human OECs. Future studies should endeavor to characterize and identify the regenerative cell types in the OM.

Study Limitations

  • 1
    Great heterogeneity in methodology across studies.
  • 2
    Combining different outcome measures into general classification of positive and negative outcomes may mask treatment related effects.
  • 3
    Statistical analysis was not possible due to study design; trends in data were measured instead.

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