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  4. Developmentally engineered bio-assemblies releasing neurotrophic exosomes guide in situ neuroplasticity following spinal cord injury

Developmentally engineered bio-assemblies releasing neurotrophic exosomes guide in situ neuroplasticity following spinal cord injury

Materials Today Bio, 2022 · DOI: https://doi.org/10.1016/j.mtbio.2022.100406 · Published: August 18, 2022

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

The study introduces a novel bio-assembly called Spinor, created by engineering dental pulp mesenchymal stem cells (DPMSCs). This Spinor is designed to mimic the structure of the spinal cord and release exosomes that promote nerve regeneration. Spinor acts as a 'mothership' for exosomes, delivering them to the injured spinal cord to reduce scarring, decrease inflammation, and encourage axon growth. This approach aims to improve neuroplasticity and functional recovery after spinal cord injury. The developmentally engineered strategy established here will likely have a broad impact on the development of tissue-engineered advanced therapy medicinal products and reinvigorate the efforts for employing stem cells as well as their ramifications in the repair of complex tissues including nervous system.

Study Duration
8 Weeks
Participants
18 rats with complete SCI, 6 healthy rats
Evidence Level
Not specified

Key Findings

  • 1
    DPMSC-derived exosomes are more effective in promoting nerve regeneration compared to exosomes from other MSC sources like umbilical cord and bone marrow.
  • 2
    Spinor releases a greater quantity of exosomes, and these exosomes have an optimized protein composition that is more conducive to nerve regeneration, scar inhibition, and inflammation suppression.
  • 3
    In rats with complete spinal cord injury, Spinor treatment resulted in significant improvements in motor function, sensory recovery, and bladder function compared to control groups and those treated with DPMSCs alone.

Research Summary

This study introduces Spinor, a developmentally engineered bio-assembly of DPMSCs, designed to mimic spinal cord structure and function as an exosome delivery system. Spinor releases exosomes with enhanced regenerative properties, leading to improved motor and sensory recovery in rats with complete spinal cord injury. The developmentally engineered approach and the use of Spinor as an exosome 'mothership' hold promise for clinical applications in treating severe spinal cord injuries and other complex tissue regeneration scenarios.

Practical Implications

Clinical Therapeutic Potential

Spinor offers a promising clinical therapeutic application for severe or even complete SCI, potentially improving motor and sensory functions.

Exosome-Based Therapies

The study supports a new thought to amplify the intrinsic capabilities of stem-cells-derived exosome for spinal cord repair.

Development of Tissue-Engineered Products

The developmentally engineered strategy established here will likely have a broad impact on the development of tissue-engineered advanced therapy medicinal products.

Study Limitations

  • 1
    Systematic safety evaluation and pharmacological testing still needs to be completed.
  • 2
    Long-term effects of Spinor implantation are not evaluated.
  • 3
    The precise mechanisms of action of the Spinor-derived exosomes require further investigation.

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