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  4. Transplantation of Neural Stem Cells Loaded in an IGF-1 Bioactive Supramolecular Nanofiber Hydrogel for the Effective Treatment of Spinal Cord Injury

Transplantation of Neural Stem Cells Loaded in an IGF-1 Bioactive Supramolecular Nanofiber Hydrogel for the Effective Treatment of Spinal Cord Injury

Advanced Science, 2024 · DOI: 10.1002/advs.202306577 · Published: March 5, 2024

Spinal Cord InjuryNeurologyBiomedical

Simple Explanation

Spinal cord injuries lead to cell death and loss of motor function. Stem cell transplants are a possible treatment, but they don't always work well because the injury environment is not conducive to cell survival and growth. This study introduces a new hydrogel that contains insulin-like growth factor-1 (IGF-1). The hydrogel helps neural stem cells (NSCs) survive, grow, and turn into neurons and oligodendrocytes, which are important for nerve function. The hydrogel also encourages the growth of nerve fibers and myelin regeneration at the injury site. Additionally, it concentrates beneficial substances (EVs) that promote axon regeneration and remyelination, even in an inflammatory environment. This approach shows promise as a treatment for spinal cord injuries.

Study Duration
6 Weeks
Participants
Female Sprague‒Dawley rats aged 8–10 weeks
Evidence Level
Not specified

Key Findings

  • 1
    IGF-1 gel promotes NSC survival, proliferation, and differentiation into neurons and oligodendrocytes.
  • 2
    NSCs carried in IGF-1 gels enhanced neurite outgrowth and myelin sheath regeneration at lesion sites.
  • 3
    IGF-1 gels enriched extracellular vesicles (EVs) derived from NSCs via miRNAs related to axonal regeneration and remyelination.

Research Summary

This study introduces an IGF-1 bioactive supramolecular nanofiber hydrogel (IGF-1 gel) that can activate IGF-1 downstream signaling, prevent the apoptosis of neural stem cells (NSCs), improve their proliferation, and induce their differentiation into neurons and oligodendrocytes. Implantation of NSCs carried out with IGF-1 gels promotes neurite outgrowth and myelin sheath regeneration at lesion sites following SCI. In addition, IGF-1 gels can enrich extracellular vesicles (EVs) derived from NSCs or from nerve cells differentiated from these NSCs via miRNAs related to axonal regeneration and remyelination, even in an inflammatory environment. Combined treatment with NSCs and IGF-1 gels is a potential therapeutic strategy for treating SCI.

Practical Implications

Therapeutic Potential

The combined use of NSCs and IGF-1 gels represents a promising therapeutic strategy for spinal cord injury.

Regenerative Medicine

This approach can improve neurogenesis and neurological functional recovery following SCI.

EV-Based Therapies

Enhancing the bioactivation of EVs derived from grafted NSCs offers a new avenue for SCI treatment.

Study Limitations

  • 1
    The study was performed on rats, and the results may not directly translate to humans.
  • 2
    The long-term effects of IGF-1 gel and NSC implantation were not evaluated.
  • 3
    The precise mechanisms by which IGF-1 gels modulate miRNA expression in EVs require further investigation.

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