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  4. Permissive Schwann Cell Graft/Spinal Cord Interfaces for Axon Regeneration

Permissive Schwann Cell Graft/Spinal Cord Interfaces for Axon Regeneration

Cell Transplant, 2015 · DOI: 10.3727/096368913X674657 · Published: January 1, 2015

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

This study investigates how to improve spinal cord repair using Schwann cells (SCs). The research focuses on the interfaces between the spinal cord and SC grafts, aiming to promote axon regeneration across these interfaces after a spinal cord injury. The researchers compared two methods of transplanting SCs: using a fluid mixture that gels after transplantation and using a pre-gelled mixture. They found that the fluid mixture promoted better regeneration of brainstem axons across the interface. The study also found that astrocytes, a type of glial cell, play a crucial role. When astrocyte processes elongated into the SC bridge, it created a more permissive environment for axon regeneration, leading to improved hindlimb movement in rats with spinal cord injuries.

Study Duration
6 Weeks
Participants
Young adult (postnatal day 35) female Fischer rats
Evidence Level
Not specified

Key Findings

  • 1
    Initially fluid bridges of SCs and Matrigel improved regeneration of brainstem axons across the rostral interface compared to pregelled bridges.
  • 2
    Brainstem axon regeneration was directly associated with glial fibrillary acidic protein (GFAP+) astrocyte processes that elongated into the SC bridge.
  • 3
    Both brainstem axon regeneration and number of GFAP+ processes in the bridges correlated with improvement in hindlimb locomotion.

Research Summary

This study demonstrates that the transplantation of a SC bridge alone promotes brainstem axon regeneration. This study demonstrated that initially fluid bridges promote both a robust increase in the elongation of astrocyte processes as well as the regeneration of brainstem axons into the transplant We demonstrated that the elongation of astrocyte processes into SC transplants and formation of NG2+ tunnels enables brainstem axon regeneration and improvement in function.

Practical Implications

Clinical Use of SCs

The study supports the clinical use of SCs for SCI repair.

Interface Characteristics

Defines important characteristics of permissive spinal cord/graft interfaces, particularly the role of astrocyte processes.

Therapeutic Strategies

Highlights the importance of understanding conditions that favor astrocytes to be permissive for axonal growth into lesions/transplants.

Study Limitations

  • 1
    Did not reveal a statistically significant difference in BBB scores between pregelled and initially fluid bridges in Set A.
  • 2
    Temporal changes may partially explain the failure of regenerating brainstem axons to enter the caudal spinal cord
  • 3
    Precise localization of NG2 with respect to the basal lamina remains to be determined

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