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  4. Treatment of Syringomyelia Characterized by Focal Dilatation of the Central Canal Using Mesenchymal Stem Cells and Neural Stem Cells

Treatment of Syringomyelia Characterized by Focal Dilatation of the Central Canal Using Mesenchymal Stem Cells and Neural Stem Cells

Tissue Eng Regen Med, 2024 · DOI: https://doi.org/10.1007/s13770-024-00637-1 · Published: April 5, 2024

Spinal Cord InjuryRegenerative MedicineSpinal Disorders

Simple Explanation

Syringomyelia, a progressive chronic disease, leads to nerve pain and dyskinesia, often not improving after surgery. Stem cells are explored for nervous system diseases due to their immunoregulatory and neural replacement abilities. The study used a rat model of syringomyelia with focal dilatation to explore effective transplantation and evaluate mesenchymal stem cells (MSCs) and induced neural stem cells (iNSCs) for treatment. Cell transplantation can promote cavity shrinkage and regulate inflammation. The proliferation of ependymal cells may indicate activation of endogenous stem cells, important for spinal cord regeneration and repair.

Study Duration
Not specified
Participants
20 adult female Sprague–Dawley rats
Evidence Level
Not specified

Key Findings

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    Cell transplantation promotes syrinx shrinkage and stimulates ependymal cell proliferation, with effects related to transplantation location; reactions occur only when cells are transplanted into the cavity.
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    Cell transplantation transformed activated microglia into the M2 phenotype, and IGF1-expressing M2 microglia may play a role in nerve pain repair.
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    Both MSCs and iNSCs can cause cavity shrinkage, but the effect was not different.

Research Summary

The study investigates cell therapy for syringomyelia using MSCs and iNSCs in a rat model with focal dilatation of the central canal, aiming to reduce cavity size and alleviate neuropathic pain. Results indicate cell transplantation promotes syrinx shrinkage, stimulates ependymal cell proliferation, and transforms microglia into the M2 phenotype, suggesting a role in nerve pain repair. The findings suggest that cell therapy has the potential to improve the local inflammatory environment, promote nerve regeneration, and offer a novel treatment approach for syringomyelia.

Practical Implications

Cell Transplantation Strategy

Transplanting cells directly into the syrinx is more effective than transplanting them into the parenchyma of the spinal cord.

Immunomodulatory Effects

Cell transplantation can modulate the inflammatory environment by transforming microglia into the M2 phenotype, promoting nerve repair and exhibiting anti-inflammatory properties.

Endogenous Stem Cell Activation

Cell transplantation may promote the activation of endogenous stem cells, which is important for the regeneration and repair of spinal cord injury.

Study Limitations

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