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  4. Hepatocyte growth factor pretreatment boosts functional recovery after spinal cord injury through human iPSC‑derived neural stem/progenitor cell transplantation

Hepatocyte growth factor pretreatment boosts functional recovery after spinal cord injury through human iPSC‑derived neural stem/progenitor cell transplantation

Inflammation and Regeneration, 2023 · DOI: https://doi.org/10.1186/s41232-023-00298-y · Published: September 18, 2023

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

This study explores a new approach to treat spinal cord injuries (SCI) by combining hepatocyte growth factor (HGF) with the transplantation of neural stem/progenitor cells derived from human induced pluripotent stem cells (hiPSC-NS/PCs). The rationale is that HGF can improve the environment of the injured spinal cord, making it more receptive to the transplanted cells. The study found that HGF pretreatment led to vascularization, anti-inflammatory effects, and activation of endogenous neural stem cells in the injured area. This created a favorable environment for the transplanted NS/PCs, which survived well and contributed to remyelination and neuronal regeneration. The combined therapy resulted in substantial improvements in motor function compared to using either treatment alone, suggesting that HGF preconditioning enhances the effectiveness of hiPSC-NS/PC transplantation for SCI.

Study Duration
Not specified
Participants
Adult (eight-week-old) female athymic nude rats
Evidence Level
Not specified

Key Findings

  • 1
    HGF treatment after SCI promotes vascularization and suppresses inflammatory responses, creating a more favorable environment for cell transplantation.
  • 2
    The combined therapy of HGF pretreatment and hiPSC-NS/PC transplantation enhances the survival and differentiation of transplanted cells, leading to improved spinal cord protection and myelination.
  • 3
    Combined therapy promotes the regeneration of neuronal fibers and the regrowth of raphespinal serotonergic fibers, contributing to enhanced motor functional recovery after SCI.

Research Summary

This study investigates the combined therapeutic effects of hepatocyte growth factor (HGF) preconditioning and human induced pluripotent stem cell-derived neural stem/progenitor cell (hiPSC-NS/PC) transplantation on spinal cord injury (SCI) recovery. The results demonstrate that HGF pretreatment improves the spinal cord microenvironment by promoting vascularization, suppressing inflammation, and activating endogenous neural stem cells. The combined therapy enhances the survival and differentiation of transplanted NS/PCs, leading to significant improvements in motor function recovery after SCI, suggesting a promising therapeutic strategy for acute to subacute SCI.

Practical Implications

Therapeutic Strategy

The combined approach of HGF administration and hiPSC-NS/PC transplantation presents a promising therapeutic strategy for SCI, especially in acute to subacute phases.

Microenvironment Optimization

HGF pretreatment can optimize the microenvironment of the injured spinal cord, enhancing the efficacy of cell transplantation therapies.

Clinical Translation

The findings support the development of clinical trials to evaluate the safety and efficacy of this combined therapy in human SCI patients.

Study Limitations

  • 1
    The study was conducted on immunocompromised rats, which may not fully reflect the immune responses in human SCI patients.
  • 2
    Further research is needed to determine the optimal dosage and timing of HGF administration for maximal therapeutic benefit.
  • 3
    Long-term studies are necessary to assess the durability of functional improvements and the potential for adverse effects, such as tumorigenicity.

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