Nature Communications, 2023 · DOI: 10.1038/s41467-023-40513-5 · Published: August 7, 2023
Spinal cord injury (SCI) can lead to permanent motor and sensory dysfunction. This study used single-cell transcriptomics to understand cellular responses in rhesus monkeys with complete thoracic SCI. The researchers found that cells in distal lumbar tissue were severely impacted, leading to degenerative microenvironments. These environments were characterized by activated microglia and oligodendrocytes, and an increased proportion of inhibitory interneurons. Implanting a scaffold at the injury site improved the microenvironment by regulating glial cells and fibroblasts. It also remodeled spared lumbar tissues by reducing inhibitory neuron proportion and improving phagocytosis and myelination.
Identifies potential therapeutic targets below the lesion for SCI repair, focusing on cellular stress, phagocytosis, and autophagy.
Emphasizes the potential of scaffold-based treatment approaches targeting heterogeneous microenvironments to improve outcomes after SCI.
Highlights the importance of microglial-mediated debris phagocytosis and lipid recycling in microenvironment remediation in the distal lumbar.