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  4. The Potential for iPS-Derived Stem Cells as a Therapeutic Strategy for Spinal Cord Injury: Opportunities and Challenges

The Potential for iPS-Derived Stem Cells as a Therapeutic Strategy for Spinal Cord Injury: Opportunities and Challenges

J. Clin. Med., 2015 · DOI: 10.3390/jcm4010037 · Published: December 29, 2014

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

Spinal cord injury (SCI) is a devastating trauma causing long-lasting disability. The use of iPSCs has been particularly attractive, since they avoid the ethical and moral concerns that surround other stem cells. For applications in SCI, the iPSCs can be differentiated into neural precursor cells, neurons, oligodendrocytes, astrocytes, neural crest cells and mesenchymal stromal cells that can act by replacing lost cells or providing environmental support.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    iPSC-derived cells can be useful in the treatment of SCI through cell replacement and restoration of lost myelin and through trophic support, which results in the induction of neuroprotection and a reduction in cell loss.
  • 2
    iPSC-derived cells can help remodel the physical structure of the tissue following injury to make it a less inhibitory and more permissive substrate for neural regeneration.
  • 3
    The Okano group next proceeded to test the efficiency of iPSCs derived from human fibroblasts. hiPSC-derived NPCs were transplanted into the spinal cord of NOD-SCID (non-obese diabetic-server combine immunodeficiency) mice with a T10 contusion injury.

Research Summary

Spinal cord injury (SCI) is a devastating trauma causing long-lasting disability. The use of cell transplantation as a therapeutic strategy for the treatment of SCI is promising, particularly since it can target cell replacement, neuroprotection and regeneration. The use of iPSCs has been particularly attractive, since they avoid the ethical and moral concerns that surround other stem cells.

Practical Implications

Therapeutic Potential

iPSCs offer a promising avenue for cell therapies in SCI, addressing cell replacement, neuroprotection, and regeneration.

Ethical Considerations

iPSCs sidestep ethical dilemmas linked to other stem cell sources, facilitating autologous transplantation.

Clinical Translation

Ongoing research into direct reprogramming methods aims to improve safety and efficiency, paving the way for clinical use of iPSCs in SCI treatment.

Study Limitations

  • 1
    Tumorigenicity risks associated with iPSC induction methods.
  • 2
    Low reprogramming efficiencies for clinical applications.
  • 3
    Potential for immune rejection due to histocompatibility issues.

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