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  4. Regenerative Therapies for Spinal Cord Injury

Regenerative Therapies for Spinal Cord Injury

TISSUE ENGINEERING: Part B, 2019 · DOI: 10.1089/ten.teb.2019.0182 · Published: October 23, 2019

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

Spinal cord injury is a serious condition lacking effective regenerative treatments. Recent advances in stem cell technology, biomaterials, nanotechnology, and immune engineering offer potential regenerative therapies. Combinatorial therapies leveraging multiple approaches may be necessary for satisfactory outcomes. The review focuses on minimally invasive therapies designed to promote neuroregeneration and neuroprotection after SCI. It discusses previously explored therapies, highlighting present challenges and future directions in the field. Future successful approaches for the treatment of SCI will likely include the integration of several recent advances in various fields as combinatorial therapies in minimally invasive formats.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review Article

Key Findings

  • 1
    No effective regenerative treatment has been developed for spinal cord injury to date, despite advances in regenerative medicine and bioengineering.
  • 2
    Combinatorial therapies, which simultaneously leverage multiple approaches, will likely be required to achieve satisfactory outcomes in SCI treatment.
  • 3
    Minimally invasive therapies are crucial for clinical translation, reducing complications and sparing neuronal circuitry in spinal cord injury treatment.

Research Summary

Spinal cord injury (SCI) results in loss of motor, sensory, and autonomic functions, with limited regenerative capacity in the central nervous system (CNS). Current SCI treatment is mostly conservative, focusing on stabilization, prevention of complications, and physical rehabilitation, but extensive research is being performed into regenerative strategies. The review focuses on minimally invasive SCI therapeutics in clinical trials, as well as those in preclinical and in vitro phases of development, while highlighting major challenges and potential paths forward.

Practical Implications

Clinical Translation

Clinical translation of regenerative therapies for SCI will be facilitated by the use of minimally invasive strategies to reduce complications and spare neuronal circuitry.

Combinatorial Approaches

Combinatorial therapies that simultaneously leverage multiple approaches are likely required to achieve satisfactory outcomes in SCI treatment.

Future Research Directions

Future research should focus on integrating recent advances in stem cell technology, biomaterials, nanotechnology, and immune engineering to develop effective combinatorial therapies.

Study Limitations

  • 1
    Lack of effective regenerative treatment for SCI.
  • 2
    Complexity of SCI pathophysiology.
  • 3
    Challenges in clinical translation of preclinical advances.

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