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  4. The Potential for Cellular Therapy Combined with Growth Factors in Spinal Cord Injury

The Potential for Cellular Therapy Combined with Growth Factors in Spinal Cord Injury

Stem Cells International, 2012 · DOI: 10.1155/2012/826754 · Published: August 28, 2012

Spinal Cord InjuryRegenerative MedicineGenetics

Simple Explanation

Spinal cord injury (SCI) can result in a range of symptoms, from pain to complete loss of motor and sensory functions. Current treatments are limited, with none able to facilitate neural regeneration or significant functional improvement. Research is focusing on various areas, including cellular therapies like Schwann cells and stem cells, growth factors, inhibitory molecules, and combination therapies. Combination therapies may be more effective than single treatments. This paper reviews promising new SCI research, particularly combination therapies that aim to create a neuroprotective environment, foster regeneration, and counter inhibitory factors after CNS injury.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review Article

Key Findings

  • 1
    Combination therapies, involving neurotrophins and cell grafts, cotransplantation of different grafts, or anti-inhibitory therapies, show enhanced efficacy compared to individual treatments.
  • 2
    Biomaterial scaffolding, when combined with neurotrophin administration, helps maintain adequate growth factor concentrations and establish appropriate concentration gradients for directed neural outgrowth.
  • 3
    Anti-inhibitory therapies targeting molecules like NG2 and myelin-associated proteins (MAPs) can improve axonal regeneration, especially when combined with growth factors and/or cellular therapy.

Research Summary

The review highlights the limitations of current SCI treatments and the need for innovative approaches to facilitate neural regeneration and functional improvement. Combination therapies, incorporating cell grafts, growth factors, and biomaterials, offer a promising avenue for SCI treatment by creating a conducive environment for regeneration and countering inhibitory factors. Further research is needed to determine the optimal combination of therapies and to translate promising results from small animal models to human clinical trials.

Practical Implications

Therapeutic Strategies

Combination therapies should be further explored as a more effective approach for SCI treatment.

Biomaterial Design

Biomaterials can be designed to deliver neurotrophins and support cell grafts, enhancing neural regeneration.

Clinical Trials

Clinical trials should incorporate combination therapies to assess their efficacy in human SCI patients.

Study Limitations

  • 1
    The inhibitory environment created following CNS injury including SCI.
  • 2
    The intrinsically limited regenerative potential of the CNS.
  • 3
    Uncertainty regarding the translation of therapies from small animal models to humans.

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