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  4. Histological effects of combined therapy involving scar resection, decellularized scaffolds, and human iPSC-NS/PCs transplantation in chronic complete spinal cord injury

Histological effects of combined therapy involving scar resection, decellularized scaffolds, and human iPSC-NS/PCs transplantation in chronic complete spinal cord injury

Scientific Reports, 2024 · DOI: 10.1038/s41598-024-82959-7 · Published: December 18, 2024

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

Chronic spinal cord injuries are hard to treat due to scar tissue. This study tested a new approach combining surgery to remove scar tissue, a supportive gel made from decellularized kidney tissue, and transplantation of special cells (iPSC-NS/PCs). The kidney-derived gel was chosen because it's compatible with the body and encourages blood vessel growth, which is important for healing. Tests showed it helps nerve cells grow. The combined treatment showed promise in lab rats with spinal cord injuries. It improved the environment around the injury, helped transplanted cells survive, and encouraged the regrowth of the rats' own nerve fibers.

Study Duration
3 months
Participants
Adult female Sprague-Dawley rats and athymic nude rats
Evidence Level
Not specified

Key Findings

  • 1
    Scar resection enhances the local microenvironment by increasing neuroprotective microglia and macrophages, while reducing inhibitory factors that prevent axonal regeneration.
  • 2
    The combination of scar resection and dECM hydrogel further promoted vascular endothelial cell migration.
  • 3
    The integrated approach of scar resection, dECM hydrogel scaffolding, and hNS/PC transplantation has been proven to be a more effective treatment strategy for chronic SCI.

Research Summary

This study determined the feasibility of integrating scar resection, kidney-derived dECM hydrogel, and hNS/PC transplantation in treating chronic complete SCI. The improvement in the spinal cord microenvironment, combined with the use of dECM hydrogel that supported angiogenesis, resulted in successful cell engraftment. The transplanted cells at the lesion epicenter facilitated the host axonal regeneration. Thus, the combination of scar resection and hNS/PC transplantation is considered a promising treatment approach for chronic complete SCI.

Practical Implications

Clinical Translation Potential

Scar resection combined with hNS/PC transplantation is considered a promising treatment approach for chronic complete SCI.

Scaffold Material Advancement

Kidney-derived dECM hydrogel can be a potential scaffold material for SCI.

Microenvironment Improvement

Scar resection effectively alters the distribution of microglia/macrophages, thereby providing a more conducive environment for spinal cord repair.

Study Limitations

  • 1
    The recovery of motor function was not achieved.
  • 2
    Insufficient graft-derived axonal growth and cell migration at the lesion epicenter.
  • 3
    Further research should focus on the long-term release of neurotrophic factors or drugs from the scaffold.

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