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Making Spinal Cord Injury (SCI) Research Accessible to Everyone. Simplified summaries of the latest research, designed for patients, caregivers and anybody who's interested.

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  4. Engineered basic fibroblast growth factor‑overexpressing human umbilical cord‑derived mesenchymal stem cells improve the proliferation and neuronal differentiation of endogenous neural stem cells and functional recovery of spinal cord injury by activating the PI3K‑Akt‑GSK‑3β signaling pathway

Engineered basic fibroblast growth factor‑overexpressing human umbilical cord‑derived mesenchymal stem cells improve the proliferation and neuronal differentiation of endogenous neural stem cells and functional recovery of spinal cord injury by activating the PI3K‑Akt‑GSK‑3β signaling pathway

Stem Cell Res Ther, 2021 · DOI: https://doi.org/10.1186/s13287-021-02537-w · Published: September 27, 2021

Spinal Cord InjuryRegenerative MedicineGenetics

Simple Explanation

This study investigates the potential of using genetically modified human umbilical cord-derived mesenchymal stem cells (HUCMSCs) to treat spinal cord injury (SCI) in mice. The HUCMSCs were modified to overexpress basic fibroblast growth factor (bFGF), a protein known to promote nerve regeneration. The researchers found that these modified cells, when injected into mice with SCI, improved functional recovery, reduced glial scar formation, and promoted nerve regeneration. They also found that the modified cells stimulated the proliferation and differentiation of neural stem cells (NSCs) through a specific signaling pathway. The study also assessed the safety of using these modified cells for clinical applications and found that they met the required safety standards, suggesting that this approach could be a promising therapeutic strategy for SCI.

Study Duration
12 weeks
Participants
45 adult female C57BL/6J mice
Evidence Level
Not specified

Key Findings

  • 1
    bFGF-overexpressing HUCMSCs met the standards and safety of MSCs for clinic use, indicating their potential for clinical translation.
  • 2
    In a mouse SCI model, bFGF-overexpressing HUCMSCs markedly improved therapeutic outcomes, including reducing glial scar formation and improving nerve regeneration.
  • 3
    bFGF-overexpressing HUCMSCs promoted the proliferation and neuronal differentiation of NSCs in vitro through the PI3K-Akt-GSK-3β pathway, contributing to SCI recovery.

Research Summary

This study aimed to investigate the therapeutic effects of basic fibroblast growth factor (bFGF)-overexpressing human umbilical cord-derived mesenchymal stem cells (HUCMSCs) in mice with completely transected spinal cord injury (SCI). The results showed that bFGF-overexpressing HUCMSCs met the safety standards for clinical use and significantly improved therapeutic outcomes in mice with SCI, such as reducing glial scar formation, improving nerve regeneration, and increasing locomotion functional recovery. The study also found that bFGF-overexpressing HUCMSCs promoted the proliferation and neuronal differentiation of NSCs in vitro through the PI3K-Akt-GSK-3β pathway, suggesting a potential mechanism for their beneficial effects on SCI recovery.

Practical Implications

Clinical Translation Potential

The engineered bFGF-HUCMSCs demonstrate a feasible approach for clinical application in treating spinal cord injuries due to their safety and efficacy.

Targeted SCI Therapy

The use of gene-modified MSCs offers a targeted therapy approach by enhancing the function of seed cells and delivering therapeutic factors directly to the injury site.

NSC Proliferation and Differentiation

Activation of the PI3K-Akt-GSK-3β pathway by bFGF-HUCMSCs provides insights into promoting neural stem cell proliferation and differentiation, enhancing SCI recovery.

Study Limitations

  • 1
    The study was conducted on mice, and the results may not be directly translatable to humans.
  • 2
    The exact mechanisms of action of bFGF-HUCMSCs in promoting nerve regeneration and functional recovery need further investigation.
  • 3
    Long-term safety and efficacy of bFGF-HUCMSCs need to be evaluated.

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