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  4. The Effects of the Combination of Mesenchymal Stromal Cells and Nanofiber-Hydrogel Composite on Repair of the Contused Spinal Cord

The Effects of the Combination of Mesenchymal Stromal Cells and Nanofiber-Hydrogel Composite on Repair of the Contused Spinal Cord

Cells, 2022 · DOI: 10.3390/cells11071137 · Published: March 28, 2022

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

This study investigates the combined effect of mesenchymal stromal cells (MSCs) and a nanofiber-hydrogel composite (NHC) on spinal cord injury repair in rats. The hypothesis is that combining these two treatments will enhance nervous tissue repair in contused spinal cords. Rats with contused spinal cords were treated with MSCs in NHC, MSCs alone, NHC alone, or a control solution. The researchers then assessed the impact of these treatments on inflammation, nerve protection, and motor function. The results showed that the combination of MSCs and NHC reduced inflammation, decreased injury size, and increased the presence of astrocytes and axons at the injury site, suggesting improved tissue repair. However, these improvements did not translate into significant improvements in hindlimb motor function.

Study Duration
8 Weeks
Participants
68 adult female Sprague Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    Treatment with MSC-NHC or NHC alone significantly attenuated early macrophage infiltration in the contusion compared to MSC-PBS, indicating a reduced initial inflammatory response.
  • 2
    MSC-NHC or NHC alone shifted the inflammatory response towards an anti-inflammatory, pro-regenerative state, indicated by a higher CD206+/CD86+ ratio compared to MSC-PBS.
  • 3
    MSC-NHC significantly reduced the injury size and increased the presence of astrocytes and axons in the injury site at 8 weeks post-injury compared to MSC-PBS, suggesting enhanced tissue repair.

Research Summary

This study combined mesenchymal stromal cells (MSCs) and a nanofiber-hydrogel composite (NHC) to assess their repair effects in the contused spinal cord in adult rats. The data support further study in the use of an NHC-MSC combination transplant in the contused spinal cord. The results showed that treatment with MSC-NHC compared with MSC-PBS resulted in an increased axon pres- ence in the injury site.

Practical Implications

Therapeutic Potential

The combination of MSCs and NHC shows promise as a therapeutic strategy for spinal cord injury by reducing inflammation and promoting tissue repair.

Matrix for Cell Transplants

NHC can be used as a matrix for cell transplants due to its ability to lower the presence of macrophages in an injury site in the spinal cord.

Further Research

Further studies are needed to elucidate the mechanisms underlying the MSC-NHC interactions and to explore if other types of repair-mediating cells would also benefit from NHC as their transplant matrix.

Study Limitations

  • 1
    Improved morphological outcomes do not necessarily guarantee improvements in functional outcomes.
  • 2
    The absence of these latter repair-supporting effects in rats with MSC-PBS relative to rats with PBS only could be due to the use of MSC derived from bone marrow
  • 3
    The number of MSC transplanted into the injury may have been too small, compared with previous studies

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