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  4. Single vs. Combined Therapeutic Approaches in Rats With Chronic Spinal Cord Injury

Single vs. Combined Therapeutic Approaches in Rats With Chronic Spinal Cord Injury

Frontiers in Neurology, 2020 · DOI: 10.3389/fneur.2020.00136 · Published: March 10, 2020

Spinal Cord InjuryRegenerative MedicineNeurorehabilitation

Simple Explanation

This study explores ways to help the spinal cord repair itself after an injury. Because the body's natural ability to fix spinal cord damage is limited, the researchers tried different treatments to encourage the nerve fibers to regrow. The researchers tested single and combined treatments on rats with chronic spinal cord injuries. The treatments included using predegenerated peripheral nerve grafts (PPN), bone marrow stromal cells (BMSCs), and a molecule called chondroitinase ABC (ChABC). The study found that combined treatments, especially PPN with BMSCs and ChABC, were more effective in promoting the regrowth of nerve fibers and improving movement compared to using each treatment alone.

Study Duration
12 weeks
Participants
58 female rats with SCI, 28 male rats as sciatic nerve donors, and 28 male rats for BMSC procurement.
Evidence Level
Not specified

Key Findings

  • 1
    Combined treatment groups (PPN + BMSCs and PPN + BMSCs + ChABC) showed significant axonal regrowth, indicated by increased GAP-43 and MAP-1B expression in axonal fibers.
  • 2
    Combined treatment groups showed a significantly higher score than the single treatment group in modified BBB scale.
  • 3
    Kinematic analysis revealed a significant increase in the amplitude of hindlimb movements in groups treated with PPN grafts alone and with combined treatments in comparison to the control and BMSC groups.

Research Summary

The study evaluated single and combined treatments—pre-degenerated peripheral nerve grafts (PPN), bone marrow stromal cells (BMSCs), and chondroitinase ABC (ChABC)—on rats with chronic spinal cord injury (SCI). Combined treatments, particularly PPN + BMSCs and PPN + BMSCs + ChABC, significantly enhanced axonal regrowth and locomotor function compared to single treatments or the control group. The findings suggest that combined therapies targeting multiple barriers to spinal cord regeneration can effectively promote functional recovery in chronic SCI.

Practical Implications

Potential for Clinical Translation

The study provides a basis for future research aimed at improving therapeutic approaches for spinal cord injury and developing their clinical applicability.

Targeting Multiple Barriers

The results suggest that simultaneously targeting different barriers for spinal cord regeneration yields better outcomes than single treatments.

Combined Therapies in Chronic SCI

The study demonstrates that functional spinal cord regeneration can be effectively induced even in the late stages of injury using combined therapeutic procedures.

Study Limitations

  • 1
    Small Sample Size
  • 2
    Mechanistic Understanding
  • 3
    Administration strategy of ChABC

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