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  4. Mesenchymal Stem Cells Combined With Electroacupuncture Treatment Regulate the Subpopulation of Macrophages and Astrocytes to Facilitate Axonal Regeneration in Transected Spinal Cord

Mesenchymal Stem Cells Combined With Electroacupuncture Treatment Regulate the Subpopulation of Macrophages and Astrocytes to Facilitate Axonal Regeneration in Transected Spinal Cord

Neurospine, 2023 · DOI: 10.14245/ns.2346824.412 · Published: September 25, 2023

Spinal Cord InjuryAlternative MedicineRegenerative Medicine

Simple Explanation

This study investigates if combining mesenchymal stem cell (MSC) transplantation with electroacupuncture (EA) can help reduce inflammation and promote nerve regeneration after spinal cord injury (SCI). The researchers looked at how this combined treatment affects the types of immune cells (macrophages) and supportive cells (astrocytes) present at the injury site. The goal was to see if this approach could create a better environment for damaged nerve fibers to regrow and repair the spinal cord.

Study Duration
Not specified
Participants
Adult Sprague-Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    MSCs+EA treatment reduced the proportion of pro-inflammatory M1 subtype microglia/macrophages and increased the differentiation of anti-inflammatory M2 phenotype cells.
  • 2
    MSCs+EA treatment attenuated neurotoxic A1 reactive astrocytes and glial scar formation, which in turn facilitated axonal regeneration of the injured spinal cord.
  • 3
    Proinflammatory cytokines increased the level of proliferation of astrocytes and increased the expression levels of C3, glial fibrillary acidic protein, and chondroitin sulfate proteoglycan; effects blocked by ErbB1 and STAT3 inhibitors and IL-10.

Research Summary

The study aimed to determine whether mesenchymal stem cells (MSCs) transplantation combined with electroacupuncture (EA) treatment could decrease the proportion of proinflammatory microglia/macrophages and neurotoxic A1 reactive astrocytes and inhibit glial scar formation to enhance axonal regeneration after spinal cord injury (SCI). The results showed that MSCs+EA treatment reduced the proportion of proinflammatory M1 subtype microglia/macrophages, but increased the differentiation of anti-inflammatory M2 phenotype cells, thereby suppressing the mRNA and protein expression of proinflammatory cytokines and increasing the expression of an anti-inflammatory cytokine on days 7 and 14 after SCI. MSCs+EA treatment synergistically regulated the microglia/macrophage subpopulation to reduce inflammation, the formation of neurotoxic A1 astrocytes, and glial scars by downregulating the ErbB1-STAT3 signal pathway, thereby providing a favorable microenvironment conducive to axonal regeneration after SCI.

Practical Implications

Therapeutic Strategy

MSCs+EA treatment can serve as a promising therapeutic strategy for SCI, with excellent potential of being translated from basic science to the clinical setting.

Inflammation Modulation

Combined MSCs+EA treatment can efficiently modulate the postinjury environment and facilitate neuronal axon regeneration and the recovery of neural function after SCI.

Microenvironment Improvement

Combination of MSCs with EA treatment can regulate the subpopulation of microglia/macrophages and reactive astrocytes to attenuate inflammation, alleviate neurotoxic A1 astrocytes, excessive astrogliosis, and glial scar formation.

Study Limitations

  • 1
    The underlying molecular mechanism through which MSCs+EA combination therapy inhibits the inflammatory response is unclear.
  • 2
    The sample size in the in vivo study was not sufficient.
  • 3
    The interaction between the microglia and astrocytes will be explored in vitro in the future.

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