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  4. The roles of neural stem cells in myelin regeneration and repair therapy after spinal cord injury

The roles of neural stem cells in myelin regeneration and repair therapy after spinal cord injury

Stem Cell Research & Therapy, 2024 · DOI: https://doi.org/10.1186/s13287-024-03825-x · Published: July 2, 2024

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

Spinal cord injury (SCI) is a complex tissue injury that results in a wide range of physical deficits, including permanent or progressive disabilities of sensory, motor and autonomic functions. Neural stem cells (NSCs) possess the ability to self-renew and differentiate into neurons and neuroglia, including oligodendrocytes, which are cells responsible for the formation and maintenance of the myelin sheath and the regeneration of demyelinated axons. This review aims to highlight the pathophysiology of SCI and promote the understanding of the role of NSCs in SCI repair therapy and the current advances in pathological mechanism, pre-clinical studies, as well as clinical trials of SCI via NSC transplantation therapeutic strategy.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review Article

Key Findings

  • 1
    NSCs represent a promising regenerative strategy for SCI treatment due to their ability to differentiate into neurons and glial cells, of which, oligodendrocytes play a crucial role in myelin regeneration, demyelination repair and neural circuit reconstruction.
  • 2
    Over the past decades, many preclinical studies have shown the improved motor and neural function following successful NSC transplantation in animal models of SCI.
  • 3
    And several clinical trials tested the efficacy and safety of NSC transplantation in patients, with delightful results.

Research Summary

SCI is a complex condition that results in significant functional and anatomical changes within the spinal cord. NSCs represent a promising regenerative strategy for SCI treatment due to their ability to differentiate into neurons and glial cells, of which, oligodendrocytes play a crucial role in myelin regeneration, demyelination repair and neural circuit reconstruction. For future perspectives, although NSC transplantation holds promise for treating SCI, there are still several challenges that need to be addressed before it can be translated into clinical practice.

Practical Implications

Therapeutic Potential

NSC transplantation holds promise for improving motor and sensory function in SCI patients.

Clinical Translation

Addressing challenges in cell survival, delivery, and differentiation is crucial for clinical application.

Future Research

Continued studies are needed to optimize cell sources, transplantation strategies, and combinatorial approaches.

Study Limitations

  • 1
    Improving cell survival and differentiation rates
  • 2
    Ensuring safe and effective delivery methods
  • 3
    Uncovering the mechanisms underlying the therapeutic effects of NSC transplantation

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