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  4. Enhancing the Therapeutic Potential of Olfactory Ensheathing Cells in Spinal Cord Repair Using Neurotrophins

Enhancing the Therapeutic Potential of Olfactory Ensheathing Cells in Spinal Cord Repair Using Neurotrophins

Cell Transplantation, 2018 · DOI: 10.1177/0963689718759472 · Published: June 1, 2018

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Autologous olfactory ensheathing cell (OEC) transplantation shows promise for spinal cord injury. However, its effectiveness varies due to differences in the cells used across studies. These cells can be influenced by neurotrophic factors. OEC transplantation involves cell preparation, administration, and continuous support. Each phase requires different OEC behaviors, such as rapid expansion during preparation and survival at the injury site after administration. Neurotrophins can optimize OEC behavior in each phase. They can promote cell expansion before transplantation, support survival during transplantation, and enhance integration at the injury site long-term.

Study Duration
Not specified
Participants
Animals and humans
Evidence Level
Review

Key Findings

  • 1
    Neurotrophins can improve the quality, purity, and resilience of OECs before transplantation, addressing variability in outcomes.
  • 2
    Coadministration of neurotrophins during transplantation can protect cells, promote cell-cell interactions, and enhance integration at the injury site.
  • 3
    Post-transplantation neurotrophin treatment can support the SCI environment by promoting neurogenesis, transplant integration, and angiogenesis.

Research Summary

OEC transplantation is a promising therapy for SCI, but outcomes vary. The purity and phenotype of transplanted cells differ between studies. Neurotrophins can stimulate favorable behaviors in OECs like proliferation, migration, phagocytosis, and interaction with other cells. Neurotrophins can be used to optimize OECs before, during, and after transplantation to improve the efficacy of SCI treatment.

Practical Implications

Optimized Cell Preparation

Use neurotrophins like NT-3 and NGF to enhance OEC health, quality, and purity before transplantation.

Improved Cell Integration

Coadminister neurotrophins like NGF, NT-3, GDNF, and BDNF during transplantation to protect cells and promote integration.

Enhanced Recovery Environment

Apply neurotrophins post-surgery to support neurogenesis, integration, and angiogenesis within the SCI site.

Study Limitations

  • 1
    Unforeseen interactions between different neurotrophins may hinder the development of a neurotrophin cocktail.
  • 2
    The modulation of neurotrophic factor receptors by other neurotrophins requires further research.
  • 3
    Effects of neurotrophins on different cell types in a multicellular environment need to be defined.

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