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  4. Effects of Combined Intrathecal Mesenchymal Stem Cells and Schwann Cells Transplantation on Neuropathic Pain in Complete Spinal Cord Injury: A Phase II Randomized Active-Controlled Trial

Effects of Combined Intrathecal Mesenchymal Stem Cells and Schwann Cells Transplantation on Neuropathic Pain in Complete Spinal Cord Injury: A Phase II Randomized Active-Controlled Trial

Cell Transplantation, 2025 · DOI: 10.1177/09636897241298128 · Published: January 1, 2025

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

This study investigates a new treatment for neuropathic pain caused by spinal cord injury (SCI). The treatment involves injecting a combination of Schwann cells (SCs) and bone marrow-derived mesenchymal stem cells (BMSCs) into the spinal fluid. The study found that this cell therapy significantly reduced pain and improved the quality of life for patients with complete SCI. Patients reported less interference of pain with daily activities, mood, and sleep. These findings suggest that combined cell therapy could be a promising option for managing neuropathic pain in SCI patients. Further research is needed to explore combining this therapy with other existing treatments.

Study Duration
6 Months
Participants
67 patients with complete SCI-induced neuropathic pain
Evidence Level
Level II, Phase II Randomized Active-Controlled Trial

Key Findings

  • 1
    Significant reductions were observed in pain interference with daily activities, mood, and sleep in the treatment group compared to the control group after 6 months.
  • 2
    The treatment group showed significant reductions in pain frequency, mean pain intensity, and worst pain intensity scores compared to the control group after 6 months.
  • 3
    Multiple regression analysis indicated that the cell therapy treatment was significantly associated with improvements in pain and quality of life, even after controlling for other factors.

Research Summary

This study evaluated the effectiveness of combined intrathecal injection of Schwann cells (SCs) and bone marrow–derived mesenchymal stem cells (BMSCs) in improving SCI-induced neuropathic pain and quality of life. The results showed significant improvements in pain interference, pain intensity, and overall quality of life in the treatment group compared to the control group after 6 months. The findings suggest that combined cell therapy is a viable option for treating neuropathic pain in SCI patients, warranting further investigation into long-term efficacy and potential combination with other therapies.

Practical Implications

Clinical Application

Combined cell therapy (SCs and BMSCs) shows promise as a treatment for neuropathic pain in complete SCI patients, potentially improving their quality of life.

Further Research

Future studies should investigate the long-term efficacy of this treatment, optimal dosage, and its combination with existing pain management strategies.

Subacute Intervention

Administering cell therapy during the subacute phase of SCI may lead to better outcomes due to reduced inflammation and absence of glial scar tissue.

Study Limitations

  • 1
    The study was not placebo-controlled or blinded.
  • 2
    Clinical improvements might be influenced by spontaneous recovery in subacute patients.
  • 3
    The follow-up period was limited to 6 months.

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