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  4. The combined application of stem cells and three-dimensional bioprinting scaffolds for the repair of spinal cord injury

The combined application of stem cells and three-dimensional bioprinting scaffolds for the repair of spinal cord injury

Neural Regeneration Research, 2024 · DOI: https://doi.org/10.4103/1673-5374.385842 · Published: September 22, 2023

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

Spinal cord injury (SCI) is a severe condition with limited repair options. Traditional treatments focus on alleviating secondary injuries but do not regenerate the spinal cord. Stem cell therapy and three-dimensional (3D) bioprinting are emerging as potential treatments to promote functional repair after SCI. Stem cells have regenerative properties, including self-renewal and directed differentiation, that can help repair damaged tissue. 3D bioprinting allows the creation of scaffolds that mimic the structure of living tissues, providing a supportive platform for stem cells to grow and regenerate damaged neural circuits. Combining stem cell therapy with 3D bioprinting scaffolds may promote stem cell survival, reduce cell loss, and encourage neural reattachment. This combined approach could bridge the broken ends of an injury, promote axonal regeneration, and create a microenvironment suitable for spinal cord repair.

Study Duration
Not specified
Participants
Studies cited were mainly conducted in mammals such as rodents and humans
Evidence Level
Review

Key Findings

  • 1
    Stem cell therapy has the potential to repair damaged tissue in the spinal cord and promote the restoration of normal functionality in the nervous system due to their regenerative properties.
  • 2
    3D bioprinting allows for a "personalized" manufacturing solution, which allows the shape of the scaffold to be tailored to the specific characteristics of each SCI site, thus achieving maximum natural fidelity
  • 3
    Combined transplantation of 3D bioprinting scaffolds and stem cells is the most effective treatment for SCI, allowing for more accurate and effective alignment of functional cells to create precisely controlled neural tissue structures.

Research Summary

This review discusses the combination of stem cells (SCs) and 3D bioprinting scaffolds for the repair of spinal cord injury (SCI). It covers the mechanisms of stem cell therapy, different types of stem cells used in SCI treatment, and various methods for fabricating 3D bioprinting scaffolds. Stem cell therapy offers potential benefits through tissue repair, neurotrophic effects, angiogenesis promotion, and anti-apoptotic and anti-inflammatory actions. Different types of stem cells, including ESCs, MSCs, HSCs, NSCs, and iPSCs, have varying advantages and disadvantages for SCI treatment. 3D bioprinting allows for the creation of personalized scaffolds that provide physical and chemical support for nerve regeneration. Combining 3D bioprinting scaffolds with stem cells can enhance stem cell survival, promote axonal regeneration, and improve functional outcomes in SCI.

Practical Implications

Personalized Scaffolds

3D bioprinting enables the creation of customized scaffolds tailored to the specific characteristics of each SCI site, maximizing natural fidelity and promoting neural pathway reconstruction.

Enhanced Stem Cell Delivery

Combining stem cells with 3D bioprinted scaffolds improves stem cell survival and colonization at the injury site, encouraging directional axon regeneration.

Multifaceted Treatment Strategies

Integrating biological interventions (stem cells and scaffolds) with engineering strategies (electrical neuromodulation, activity-based rehabilitation) offers a comprehensive approach to SCI treatment.

Study Limitations

  • 1
    Ethical issues with the origin of some stem cells
  • 2
    Slow printing speeds and accuracy of 3D bioprinting
  • 3
    Limited large-scale manufacturing possibilities

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