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  4. Laminin-coated multifilament entubulation, combined with Schwann cells and glial cell line-derived neurotrophic factor, promotes unidirectional axonal regeneration in a rat model of thoracic spinal cord hemisection

Laminin-coated multifilament entubulation, combined with Schwann cells and glial cell line-derived neurotrophic factor, promotes unidirectional axonal regeneration in a rat model of thoracic spinal cord hemisection

Neural Regeneration Research, 2021 · DOI: 10.4103/1673-5374.289436 · Published: January 1, 2021

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

This study explores how to guide nerve fibers (axons) to regrow after a spinal cord injury in rats. Researchers used tiny tubes filled with small fibers coated with a sticky protein called laminin. They also added special cells (Schwann cells) and a growth factor to help the nerves regenerate in the right direction. The goal was to create a supportive environment for the damaged nerves to regrow across the injured area. The results showed that this combination helped the axons grow in a specific direction, reduced scarring, and decreased inflammation, suggesting it could be a promising approach for treating spinal cord injuries.

Study Duration
4 weeks
Participants
88 adult female Sprague-Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    Channels with filaments significantly reduced the lesion cavity, astrocytic gliosis, and inflammatory responses at the graft-host boundaries.
  • 2
    The laminin coated low density filament provided the most favorable directional guidance for axonal regeneration which was enhanced by co-grafting of Schwann cells and glial cell line-derived neurotrophic factor.
  • 3
    Combination of exogenous SCs and GDNF can synergistically enhance this regenerative effect resulting in a remarkable axonal growth into the graft environment.

Research Summary

This study investigates the effectiveness of a combined approach using laminin-coated filaments, Schwann cells, and glial cell line-derived neurotrophic factor (GDNF) to promote axonal regeneration in a rat model of spinal cord hemisection. The researchers found that channels filled with filaments reduced lesion cavity, gliosis, and inflammation. The laminin-coated low-density filament provided the best directional guidance for axonal regeneration, further enhanced by Schwann cells and GDNF. The study concludes that this combined strategy offers an optimal environment for directional axonal regeneration after spinal cord injury, holding potential for human SCI repair.

Practical Implications

Therapeutic strategy for SCI

The combined approach may offer a therapeutic strategy for long-distance functional axonal regeneration, critical for the repair of human spinal cord injuries.

Optimized Biomaterial Design

Filament density and coating molecules (laminin) are important factors in designing effective biomaterial scaffolds for SCI repair.

Cellular and molecular combination

Combining cells (SCs) and trophic factors (GDNF) with biomaterials can synergistically enhance axonal regeneration.

Study Limitations

  • 1
    Mechanisms of action for filament entubulation on reducing lesion cavity not fully investigated.
  • 2
    Study conducted only on rat model; results may not directly translate to humans.
  • 3
    Long-term functional outcomes beyond 4 weeks post-implantation were not assessed.

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