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  4. Decellularization alters the unfavorable regenerative adverse microenvironment of the injured spinal cord to support neurite outgrowth

Decellularization alters the unfavorable regenerative adverse microenvironment of the injured spinal cord to support neurite outgrowth

Annals of Translational Medicine, 2022 · DOI: 10.21037/atm-22-3969 · Published: September 1, 2022

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Spinal cord injuries (SCI) often result in a microenvironment that hinders axon regeneration. This study investigates how decellularization, a process of removing cellular components from tissues, can modify this microenvironment to promote nerve growth after SCI. The researchers created decellularized normal spinal cord (DNSC) and decellularized injured spinal cord (DISC). They then observed that both DNSC and DISC supported more neurite outgrowth compared to non-decellularized spinal cord tissues. Proteomic analysis showed that decellularization removed proteins associated with inflammation and scarring, which inhibit nerve growth, while preserving ECM proteins beneficial for spinal cord regeneration. This suggests decellularization optimizes the microenvironment after SCI, providing a basis for acellular tissue transplantation to repair SCI.

Study Duration
Not specified
Participants
72 mice (SCI group n=52, sham group n=20)
Evidence Level
Not specified

Key Findings

  • 1
    The expression of ECM components (collagen type I and IV, fibronectin, and laminin) increased with SCI progression, peaking at 14 days post-injury.
  • 2
    Decellularization effectively removed cellular components while preserving ECM integrity in both normal and injured spinal cords.
  • 3
    DNSC and DISC exhibited a stronger ability to support neurite outgrowth compared to NSC and ISC, suggesting decellularization removes inhibitory factors.

Research Summary

This study investigates the effects of decellularization on the microenvironment of injured spinal cords and its potential to promote neurite outgrowth. The researchers found that decellularization removes inhibitory components, such as inflammatory and scarring proteins, while retaining beneficial ECM proteins. The findings suggest that decellularized tissue transplantation could be a promising approach for spinal cord injury repair by optimizing the regenerative microenvironment.

Practical Implications

Clinical Application for SCI Repair

Acellular tissue transplantation can be used to repair SCI.

Optimized Microenvironment

Decellularization can optimize the imbalanced microenvironment after SCI.

Targeted Therapeutic Strategies

Identification of specific inhibitory components removed by decellularization can lead to targeted therapeutic strategies.

Study Limitations

  • 1
    Mechanism is unclear.
  • 2
    Lack of in vivo functional outcome data.
  • 3
    Limited to a mouse model.

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