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  4. Mild hypothermia combined with a scaffold of NgR-silenced neural stem cells/Schwann cells to treat spinal cord injury

Mild hypothermia combined with a scaffold of NgR-silenced neural stem cells/Schwann cells to treat spinal cord injury

Neural Regeneration Research, 2014 · DOI: 10.4103/1673-5374.147952 · Published: December 1, 2014

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

This study explores a new approach to treating spinal cord injuries by combining mild hypothermia with a special scaffold that supports nerve cell growth. The scaffold is seeded with neural stem cells and Schwann cells, which have been modified to reduce a protein called Nogo receptor (NgR) that inhibits nerve regeneration. The idea is that by reducing NgR and providing a supportive environment with the scaffold and stem cells, the injured spinal cord can better repair itself, especially when combined with mild cooling (hypothermia) to protect the nerve cells. Researchers tested this method in rats with spinal cord injuries and found that the combination of NgR-silenced cells, the scaffold, and mild hypothermia led to improved motor function and nerve regeneration compared to other treatments.

Study Duration
8 weeks
Participants
96 healthy, adult, female Wistar rats
Evidence Level
Not specified

Key Findings

  • 1
    Mild hypothermia combined with the NgR-silenced cell scaffold significantly improved hindlimb motor function in rats after spinal cord injury, as evidenced by inclined plate tests and modified BBB scores.
  • 2
    The combination therapy also improved nerve electrophysiological function, shortening the lag phase and increasing the amplitude of somatosensory evoked potentials and motor evoked potentials.
  • 3
    Pathological changes in the injured spinal cord were attenuated with the combined treatment, and a greater number of surviving cells and nerve fibers were observed.

Research Summary

This study investigated the potential of combining mild hypothermia with a PLGA scaffold seeded with NgR-silenced neural stem cells and Schwann cells to treat spinal cord injury in rats. The results showed that this combined approach led to improved hindlimb motor function, nerve electrophysiological function, and reduced pathological changes in the injured spinal cord compared to other treatment groups. These findings suggest that mild hypothermia combined with NgR gene-silenced cells in a PLGA scaffold may be an effective therapy for treating spinal cord injury.

Practical Implications

Therapeutic Potential

The study suggests a promising therapeutic strategy for spinal cord injury by combining cell-based therapy with mild hypothermia.

Microenvironment Improvement

The research highlights the importance of modifying the microenvironment of the injured spinal cord to promote nerve regeneration.

Clinical Translation

The findings may encourage further research into translating this approach to clinical trials for human spinal cord injury patients.

Study Limitations

  • 1
    The study was conducted on rats, and the results may not be directly applicable to humans.
  • 2
    The study only evaluated the effects of the treatment for a limited time period (8 weeks).
  • 3
    Further research is needed to optimize the parameters of mild hypothermia and cell transplantation.

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