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  4. Evidence of axon connectivity across a spinal cord transection in rats treated with epidural stimulation and motor training combined with olfactory ensheathing cell transplantation.

Evidence of axon connectivity across a spinal cord transection in rats treated with epidural stimulation and motor training combined with olfactory ensheathing cell transplantation.

Exp Neurol, 2018 · DOI: 10.1016/j.expneurol.2018.07.015 · Published: November 1, 2018

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

This study explores a combination therapy for spinal cord injuries in rats, using olfactory ensheathing cells (OECs), epidural stimulation, and motor training. OECs, unique glial cells, were transplanted into the injured spinal cords of rats, followed by electrical stimulation and climbing exercises. The research team looked for signs of axon regeneration across the injury site, finding that OEC transplantation, combined with stimulation and training, increased axonal growth.

Study Duration
7 Months
Participants
10 female Sprague-Dawley rats
Evidence Level
Level 1, Animal Study

Key Findings

  • 1
    OEC transplantation, combined with epidural stimulation and climb training, facilitated serotonergic- and neurofilament-labeled axon projections into the injury site.
  • 2
    One OEC-treated rat showed evidence of axon regeneration, while a fibroblast (FB)-treated rat showed a small area of axon sparing.
  • 3
    After injections of pseudorabies virus into hindlimb muscles, labeled V2a propriospinal interneurons were found within and rostral to the transection site in two spinal rats.

Research Summary

The study investigated the combined effects of OEC transplantation, epidural stimulation, and motor training on axon regeneration in rats with spinal cord transection. Results showed increased axonal growth and connectivity across the injury site in OEC-treated rats compared to FB-treated rats, suggesting potential for recovery of propriospinal circuitry. Viral tracing revealed the presence of labeled V2a interneurons, indicating the formation or maintenance of connections between thoracic interneurons and lumbar somatic motor neurons.

Practical Implications

Therapeutic Potential

Combining OEC transplantation with epidural stimulation and training may be a promising therapeutic approach for spinal cord injury.

Axon Regeneration

The study provides evidence that OEC transplantation can promote axon regeneration across a complete spinal cord transection.

Circuit Reconstitution

The findings suggest that propriospinal circuits can be reconstituted after SCI, potentially contributing to functional recovery.

Study Limitations

  • 1
    Small sample size
  • 2
    Behavioral changes were not detected
  • 3
    Lack of long-term OEC survival

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