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  4. Potential of Human Nucleus Pulposus-Like Cells Derived From Umbilical Cord to Treat Degenerative Disc Disease

Potential of Human Nucleus Pulposus-Like Cells Derived From Umbilical Cord to Treat Degenerative Disc Disease

Neurosurgery, 2019 · DOI: 10.1093/neuros/nyy012 · Published: January 1, 2019

Regenerative MedicineSpinal Disorders

Simple Explanation

This research explores a potential cell therapy for degenerative disc disease (DDD), a condition causing neck and back pain due to intervertebral disc (IVD) degeneration. The study uses nucleus pulposus (NP)-like cells (NPCs) derived from human umbilical cord mesenchymal stem cells (MSCs) to regenerate degenerated IVDs in a rabbit model. The results suggest that transplanted NPCs can survive, integrate into the damaged IVDs, and improve their structure and function, offering a promising avenue for treating DDD.

Study Duration
8 weeks
Participants
27 skeletally mature female New Zealand white rabbits
Evidence Level
Not specified

Key Findings

  • 1
    NPCs derived from MSCs expressed NP-specific genes (SOX9, ACAN, COL2, FOXF1, and KRT19).
  • 2
    Transplanted cells survived and integrated into the degenerated IVDs, leading to significant improvement in histology, cellularity, and water content.
  • 3
    Expression of human genes and proteins (SOX9, ACAN, COL2, FOXF1, etc.) suggests NP biosynthesis due to NPC transplantation, indicating a molecular mechanism for NP regeneration.

Research Summary

This study investigates the potential of nucleus pulposus (NP)-like cells (NPCs) derived from human umbilical cord mesenchymal stem cells (MSCs) to restore degenerated intervertebral discs (IVDs) using a rabbit model of degenerative disc disease (DDD). The results demonstrate that NPCs can differentiate, express NP-specific genes, and integrate into degenerated IVDs, leading to improved disc height, physicochemical properties, and histological characteristics. The findings suggest that NPC transplantation can regenerate NP tissue by activating the TGFβ1/Smad signaling pathway and provide a basis for clinical trials to treat DDD.

Practical Implications

Clinical Trials

The study provides a rationale for initiating clinical trials to assess the efficacy of MSC-derived NPCs in treating DDD in humans.

Cell Therapy

The use of umbilical cord MSCs offers a less invasive and ethically more acceptable source of cells for regenerative therapies compared to embryonic stem cells.

Drug Development

Understanding the role of the TGFβ1/Smad signaling pathway may lead to the development of targeted therapies to promote NP regeneration.

Study Limitations

  • 1
    Limited number of animals used in the study.
  • 2
    Further blinded investigations with a greater number of animals are needed.
  • 3
    Study was not carried out using a large animal model

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