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  4. Improved Efficacy of Delayed Treatment with Human Bone Marrow-Derived Stromal Cells Evaluated in Rats with Spinal Cord Injury

Improved Efficacy of Delayed Treatment with Human Bone Marrow-Derived Stromal Cells Evaluated in Rats with Spinal Cord Injury

Int. J. Mol. Sci., 2024 · DOI: 10.3390/ijms25031548 · Published: January 26, 2024

Spinal Cord InjuryRegenerative MedicineImmunology

Simple Explanation

This study explores using human bone marrow cells to treat spinal cord injuries in rats. The cells are prepared in a special way, and the treatment is given a week after the injury. Researchers looked at how well the rats recovered their movement and checked their spinal cords for signs of improvement. They found that a higher dose of cells helped the rats move better and reduced damage in the spinal cord. This suggests that using these specially prepared bone marrow cells could be a helpful treatment for spinal cord injuries, especially when given after the initial injury phase.

Study Duration
6 Weeks
Participants
42 rats with spinal cord contusion injury
Evidence Level
Not specified

Key Findings

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    Treatment resulted in a significant, dose-dependent therapeutic effect on the recovery of motor performance.
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    The histological analysis revealed a lower degree of axonal degeneration and better survival of neurons and oligodendrocytes in bmSCs treated rats.
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    Treatment with the higher dose of human bmSCs had a sustained therapeutic benefit, but not the lower dose nor our preparation of stromal cells from rat bone marrow.

Research Summary

The treatment of spinal cord injury (SCI) with uncultivated human bone marrow-derived stromal cells (bmSCs) prepared by negative selection has been proposed to be therapeutically superior to treatment with stem cells that were expanded in vitro. Treatment resulted in a significant, dose-dependent therapeutic effect on the recovery of motor performance. The histological analysis revealed a lower degree of axonal degeneration and better survival of neurons and oligodendrocytes in bmSCs treated rats. Our results support delayed intrathecal application of bmSCs prepared by negative selection without expansion in vitro as a treatment of SCI.

Practical Implications

Clinical Application Potential

Delayed treatment with fresh, non-manipulated human bmSCs shows promise for SCI patients in the post-acute or early chronic phase.

Dosage Considerations

A higher dose of bmSCs (2.5 million cells) appears to be more effective than a lower dose (0.5 million cells) for motor recovery.

Cell Preparation Method

Fresh, non-manipulated bmSCs prepared by negative selection may be therapeutically superior to cells expanded in vitro.

Study Limitations

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