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  4. Effects of amyloid precursor protein peptide APP96-110, alone or with human mesenchymal stromal cells, on recovery after spinal cord injury

Effects of amyloid precursor protein peptide APP96-110, alone or with human mesenchymal stromal cells, on recovery after spinal cord injury

Neural Regeneration Research, 2022 · DOI: 10.4103/1673-5374.327357 · Published: November 12, 2021

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

This study investigates whether a peptide called APP96-110, known for protecting brain cells after stroke and brain injury, can also help after spinal cord injury in rats. The researchers injected the peptide, alone or combined with human stem cells, into rats with spinal cord injuries and monitored their recovery over eight weeks. The results showed some positive effects, like reduced tissue damage, when the peptide was used with stem cells, but the overall functional improvements were not consistent.

Study Duration
8 weeks
Participants
51 adult female CBH-rnu/Arc (Athymic Nude) rats
Evidence Level
Not specified

Key Findings

  • 1
    mAPP96-110 alone, and APP96-110 in combination with both viable and non-viable hMSCs significantly reduced cyst size compared to SCI alone.
  • 2
    Combined treatments with donor hMSCs also significantly increased βIII tubulin+, glial fibrillary acidic protein (GFAP+) and laminin+ expression, and decreased ED1+ expression in tissues.
  • 3
    This preliminary study demonstrates that intravenous delivery of APP96-110 peptide has selective, modest neuroprotective effects following SCI, which may be enhanced when combined with hMSC transplantation.

Research Summary

The study investigated the neuroprotective potential of APP96-110 peptide, alone and in combination with human mesenchymal stromal cells (hMSCs), following spinal cord injury (SCI) in rats. While APP96-110 alone did not consistently improve functional outcomes, the mutant APP96-110 peptide significantly reduced cyst size compared to SCI alone, and both peptides reduced cyst size when combined with viable hMSCs. The findings suggest that APP96-110 may have modest neuroprotective effects in SCI, particularly when combined with hMSC transplantation, but the outcomes are less pronounced compared to its effects in brain injury models.

Practical Implications

Combination Therapy Potential

Combining APP96-110 with hMSC transplantation may enhance neuroprotective effects in SCI.

Targeted Approaches

Therapeutic approaches for CNS trauma should be tailored to the specific injury model and severity.

Alternative Delivery Methods

Exploring alternative routes of APP96-110 delivery, such as direct spinal cord injection, may improve efficacy.

Study Limitations

  • 1
    Inconsistent functional improvements
  • 2
    Differences in inflammatory responses between brain and spinal cord injuries
  • 3
    Limited number of sections available for hMSC survival analysis

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