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  4. Treatment of spinal cord injury with biomaterials and stem cell therapy in non-human primates and humans

Treatment of spinal cord injury with biomaterials and stem cell therapy in non-human primates and humans

Neural Regeneration Research, 2025 · DOI: 10.4103/NRR.NRR-D-23-01752 · Published: May 24, 2024

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

Spinal cord injury (SCI) leads to loss of sensory, motor, and autonomic functions, often resulting in permanent disability. Current treatments are not fully effective, so researchers are exploring biological strategies like biomaterials, tissue engineering, and stem cell therapy to promote neuronal recovery. These strategies are tested in animal models, particularly rodents, but there's a growing need to assess their safety and efficacy in non-human primates (NHPs) before human clinical trials. NHPs share more anatomical similarities with humans, making them better models for predicting treatment outcomes. This review examines therapeutic advances in NHPs and humans, focusing on biomaterials and stem cell therapy for SCI. The goal is to identify the advantages of these strategies and their potential for clinical application in humans, aiming to improve neuronal repair and functional recovery.

Study Duration
Not specified
Participants
Non-human primates and humans
Evidence Level
Review

Key Findings

  • 1
    Stem cell-based transplantation shows promise due to direct tissue replacement, neuroprotection, and support for axonal regrowth and neuronal plasticity.
  • 2
    Studies using scaffolds made of biopolymers, especially chitosan, have demonstrated effectiveness in nerve regeneration in NHPs, showing potential for human application.
  • 3
    The use of 3D printing technology to create scaffolds loaded with human mesenchymal stem cells has shown promise in promoting tissue remodeling and functional recovery in NHP models of SCI.

Research Summary

This review examines therapeutic strategies for traumatic SCI regeneration in non-human primates (NHP) and pilot studies in humans, emphasizing cell transplantation and functional biomaterials. The review highlights the limited evidence from experimental studies in NHP and humans with cervical and thoracic SCI, despite preclinical research advancements in cell transplantation and biomaterial-based therapies. NHPs offer advantages over rodents due to neuroanatomical and biomechanical similarities to humans, enabling more comparable assessments of pathophysiological responses and the influence of cortical activity on motor recovery.

Practical Implications

Preclinical Research

Prioritize NHP studies to test safety and efficacy of biological therapies before human trials.

Therapeutic Development

Focus on cell transplantation and biomaterial-based strategies to promote SCI regeneration.

Clinical Translation

Structure a research path applicable to humans by including NHP experiments to identify potential benefits and mechanisms of recovery.

Study Limitations

  • 1
    Lack of current evidence from studies carried out in NHP species and humans at an experimental level in both cervical and thoracic spinal cord injury.
  • 2
    Many problems precede the use of these strategies in clinical practice and limit the benefits of human patients from materializing.
  • 3
    Studies are mainly based on the development of therapeutic strategies such as cell transplantation, functional biomaterials and their combined therapy.

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