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  4. Oligodendrocyte Precursor Cells in Spinal Cord Injury: A Review and Update

Oligodendrocyte Precursor Cells in Spinal Cord Injury: A Review and Update

BioMed Research International, 2015 · DOI: 10.1155/2015/235195 · Published: June 25, 2015

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Spinal cord injury (SCI) can lead to oligodendrocyte loss and demyelination, contributing to secondary damages. Oligodendrocyte precursor cells (OPCs) are potential sources for replacing lost oligodendrocytes after SCI. OPCs respond to injuries by proliferating rapidly and differentiating into myelinating oligodendrocytes. However, endogenous remyelination post-trauma is often incomplete. Current therapies for SCI include early operations, symptomatic relief, and rehabilitation. Cell-based transplantation, particularly using OPCs, is a promising therapeutic approach.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review Article

Key Findings

  • 1
    Mature oligodendrocytes, responsible for myelination in the CNS, are highly susceptible to damage after SCI, leading to their loss.
  • 2
    OPCs can differentiate into myelinating oligodendrocytes and contribute to remyelination after SCI, as supported by transplantation experiments.
  • 3
    Glial scar formation, to which OPCs may contribute, hinders axonal regeneration and creates a hostile environment for OPCs differentiation.

Research Summary

This review summarizes the characteristics of OPCs and their roles in SCI, focusing on remyelination and glial scar formation. The review discusses recent progress in OPC transplantation research and associated concerns, aiming to highlight knowledge gaps and provoke further research. Efficient oligodendrocyte replacement and sufficient remyelination would ameliorate pathological cascades and improve neural functions following SCI.

Practical Implications

Therapeutic Strategies

Enhancement of endogenous regeneration by innate OPCs and transplantation of myelinating cells are promising therapeutic strategies.

Research Focus

Further investigation into the biological properties of OPCs and associated regulatory networks is crucial.

Combined Therapies

Combinatorial strategies targeting oligodendrocyte lineage protection, blockage of inhibitory molecules, and myelination promotion are necessary for effective treatment.

Study Limitations

  • 1
    The elusive biological properties of OPCs are incompletely understood.
  • 2
    A simplistic approach of targeting a single factor is unlikely to provide significant clinical benefit.
  • 3
    Experimental models may fail to capture all critical elements found in clinical situations.

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