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  4. Neural Stem Cells: Promoting Axonal Regeneration and Spinal Cord Connectivity

Neural Stem Cells: Promoting Axonal Regeneration and Spinal Cord Connectivity

Cells, 2021 · DOI: https://doi.org/10.3390/cells10123296 · Published: November 25, 2021

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Spinal cord injuries disrupt nerve connections, leading to loss of function. Neural stem cell (NSC) therapy is a promising strategy. NSCs can be transplanted into the injury site to help regenerate damaged axons (nerve fibers). These regenerating axons can form new connections, potentially restoring lost functions. This review discusses how NSC therapy can promote axonal regeneration and spinal cord connectivity after SCI, including its impact on motor and sensory systems.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

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    Host axons regenerate into spinal NSC grafts placed into sites of SCI, forming synapses with the graft.
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    NSC grafts extend new axons from the injury site over long distances into the distal spinal cord, potentially reconnecting severed neural pathways.
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    NPC grafts are also integrated into other motor and sensory circuits that may provide a substrate for functional relay formation

Research Summary

Spinal cord injury leads to irreversible functional impairment due to neuronal loss and disrupted neuronal connections. Neural stem cell (NSC) therapy is a promising pre-clinical therapeutic strategy for SCI, promoting axonal regeneration and spinal cord connectivity. NSC grafts can serve as relays, reconnecting proximal injured axons with spinal cord neurons distal to the injury site, impacting both motor and sensory systems.

Practical Implications

Therapeutic Potential

NSC transplantation offers a potential therapeutic intervention for spinal cord injury by reconstructing the lesion site and reconnecting disrupted neural circuitry.

Functional Improvement

NSC/NPCs with spinal identity placed into clinically relevant models of SCI resulted in functional improvement in hindlimb and forelimb function after injury and this improvement was sustained over several weeks.

Clinical Translation

Further preclinical studies are warranted to support and improve the safety and efficacy of NSC/NPC therapy for clinical trials.

Study Limitations

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