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  4. Multipotent Adult Progenitor Cells Prevent Macrophage-Mediated Axonal Dieback and Promote Regrowth after Spinal Cord Injury

Multipotent Adult Progenitor Cells Prevent Macrophage-Mediated Axonal Dieback and Promote Regrowth after Spinal Cord Injury

The Journal of Neuroscience, 2011 · DOI: 10.1523/JNEUROSCI.3566-10.2011 · Published: January 19, 2011

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Spinal cord injuries are devastating, and axons often retract from the injury site due to inflammation, specifically macrophages. This study investigates whether multipotent adult progenitor cells (MAPCs) can prevent this retraction and promote regrowth. The researchers found that MAPCs can decrease the release of MMP-9 from macrophages, preventing axonal dieback. MAPCs also shift macrophages from a pro-inflammatory state (M1) to an anti-inflammatory state (M2). In addition to affecting macrophages, MAPCs promote neurite outgrowth and sprouting, increasing the intrinsic growth capacity of neurons, enabling them to overcome inhibitory factors in their environment.

Study Duration
Not specified
Participants
Adult female Sprague Dawley rats
Evidence Level
In vitro and in vivo study

Key Findings

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    MAPCs significantly decrease MMP-9 release from macrophages, effectively preventing induction of axonal dieback in vitro.
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    MAPCs induce a shift in macrophages from a pro-inflammatory M1 state to an anti-inflammatory M2 state.
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    In vivo, MAPC transplantation reduces axonal dieback and promotes axonal regeneration into the lesion center after spinal cord injury.

Research Summary

This study investigates the therapeutic potential of multipotent adult progenitor cells (MAPCs) in treating spinal cord injury, focusing on their ability to modulate macrophage-mediated axonal dieback and promote axonal regeneration. In vitro experiments demonstrate that MAPCs can prevent axonal dieback by reducing MMP-9 release from macrophages and shifting them to an anti-inflammatory M2 phenotype. MAPCs also promote neurite outgrowth and sprouting. In vivo experiments using a rat dorsal column crush model show that MAPC transplantation reduces axonal dieback, decreases ED1+ cell profiles (macrophages) in the lesion core, and promotes axonal regeneration into the lesion center.

Practical Implications

Therapeutic Potential for Spinal Cord Injury

MAPCs could be a potential therapeutic agent for spinal cord injury due to their immunomodulatory and neurotrophic effects.

Modulation of Macrophage Responses

MAPCs can alter the inflammatory response to prevent deleterious secondary injury in the CNS by inhibiting macrophage secretion of MMP-9.

Combined Therapeutic Strategies

The ability of MAPCs to simultaneously target multiple mechanisms involved in regeneration failure suggests that cell therapy, particularly with MAPCs, can be a safe and effective treatment approach.

Study Limitations

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