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  4. Induced Neural Stem Cell Transplantation in Spinal Cord Injury: Present Status and Next Steps

Induced Neural Stem Cell Transplantation in Spinal Cord Injury: Present Status and Next Steps

Korean J Neurotrauma, 2024 · DOI: 10.13004/kjnt.2024.20.e45 · Published: December 26, 2024

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

Spinal cord injury (SCI) lacks a fully effective treatment despite various therapeutic approaches. Induced neural stem cells (iNSCs) show promise for SCI treatment due to their potential for neural regeneration and integration with host tissue. INSCs can differentiate into neurons and astrocytes, integrate with host neural networks, and promote axonal growth, facilitating the reconstruction of neural circuits. Combining iNSC transplantation with rehabilitative training and biomaterials may enhance therapeutic efficacy, but larger, controlled trials are needed to validate their safety and effectiveness.

Study Duration
Not specified
Participants
1,086 patients (across 66 clinical studies)
Evidence Level
Review Article

Key Findings

  • 1
    iNSCs demonstrate potential for direct neural regeneration and integration with host spinal cord tissue, offering advantages over other cellular therapies.
  • 2
    Transplanted iNSCs can modulate glial scar formation, regulate inflammatory responses, and reconstruct neural circuits within the damaged spinal cord.
  • 3
    The subacute phase (3–14 days post-injury) is considered the optimal window for iNSC transplantation in animal models, with higher doses yielding superior results.

Research Summary

This review examines iNSCs as promising candidates for SCI treatment, highlighting their potential for neural regeneration and integration with host tissue. Key challenges in translating iNSC therapies to clinical applications include administration route, optimal timing for transplantation, and potential adverse events. Continued research is necessary to refine iNSC-based strategies, address long-term safety concerns, and bring effective therapies closer to clinical reality for SCI patients.

Practical Implications

Optimizing Treatment Protocols

Further research should focus on refining the protocols for iNSC transplantation to improve cell survival and enhance functional outcomes.

Standardizing Clinical Trials

Standardized protocols and larger controlled trials are essential for validating the safety and effectiveness of iNSC-based therapies.

Combination Therapies

Integrating iNSC transplantation with rehabilitative training and biomaterials shows potential to enhance therapeutic efficacy and should be further explored.

Study Limitations

  • 1
    Tumorigenic potential of iNSCs
  • 2
    Poor cell survival in the injured spinal cord environment
  • 3
    Limited integration with host tissue

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