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  4. Intensive neurorehabilitation and allogeneic stem cells transplantation in canine degenerative myelopathy

Intensive neurorehabilitation and allogeneic stem cells transplantation in canine degenerative myelopathy

Frontiers in Veterinary Science, 2023 · DOI: 10.3389/fvets.2023.1192744 · Published: July 13, 2023

Regenerative MedicineNeurologyVeterinary Medicine

Simple Explanation

This study investigates a new approach to treating Degenerative Myelopathy (DM) in dogs, a spinal cord disease similar to ALS in humans. The approach combines intensive physical therapy with stem cell transplants to try and improve the dog's quality of life and extend their survival. The study involved 13 dogs with DM. Some received a high-intensity rehabilitation program with stem cell transplants (INSCP group), while others received a less intense rehabilitation program (ARP group). The researchers then compared how long the dogs in each group lived and how well they could move. The results showed that dogs in the INSCP group lived longer and had better mobility compared to the ARP group. This suggests that combining intensive rehabilitation with stem cell transplants may be a promising treatment for DM in dogs.

Study Duration
March 2015 and March 2023
Participants
13 dogs with homozygous genotype DM/DM
Evidence Level
Prospective controlled blinded cohort clinical study

Key Findings

  • 1
    The INSCP group (intensive neurorehabilitation with stem cells) had a mean survival time of 438 days, compared to 274 days for the ARP group (ambulatory rehabilitation protocol).
  • 2
    Significant differences in OFS (Open Field Score, a measure of ambulation) classifications were observed between the INSCP and ARP groups at various time points (p = 0.008).
  • 3
    A significant difference [F(4,64) = 14.287, p ≤0.001] was reported in the OFS evolution for the INSCP group across different time points, with improvements seen from T0 until the first follow-up.

Research Summary

This study evaluated the efficacy of intensive neurorehabilitation combined with mesenchymal stem cell transplantation (INSCP) in dogs with degenerative myelopathy (DM). The study found that the INSCP group had a significantly longer survival time and improved ambulation compared to the group receiving an ambulatory rehabilitation protocol (ARP). The results suggest that INSCP may be a safe and feasible option for improving the quality of life and prolonging the progression of DM in dogs, warranting further research.

Practical Implications

Clinical Practice

Veterinarians may consider incorporating intensive neurorehabilitation protocols with stem cell transplantation for dogs diagnosed with degenerative myelopathy.

Future Research

Further research is needed to validate these findings with larger sample sizes, histological diagnoses, biomarkers, and long-term follow-up studies.

Therapeutic Development

The study supports the potential of regenerative medicine approaches, specifically mesenchymal stem cells, in treating neurodegenerative diseases in veterinary medicine.

Study Limitations

  • 1
    Small sample size
  • 2
    Randomization process based on owner consent
  • 3
    Only one case with a definitive histological diagnosis

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