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  4. White matter regeneration induced by aligned fibrin nanofiber hydrogel contributes to motor functional recovery in canine T12 spinal cord injury

White matter regeneration induced by aligned fibrin nanofiber hydrogel contributes to motor functional recovery in canine T12 spinal cord injury

Regenerative Biomaterials, 2022 · DOI: https://doi.org/10.1093/rb/rbab069 · Published: November 29, 2021

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

This study investigates a new treatment for spinal cord injuries using a special gel called aligned fibrin hydrogel (AFG). AFG is designed to help nerves regrow in the injured spinal cord. The study found that AFG helped white matter, which is important for sending signals, to regrow in dogs with spinal cord injuries. The dogs treated with AFG showed better movement and coordination compared to those without the treatment. The results suggest AFG could be a helpful tool for treating spinal cord injuries by encouraging nerve regrowth and improving the ability to move.

Study Duration
16 weeks
Participants
12 adult female Beagle dogs
Evidence Level
Not specified

Key Findings

  • 1
    AFG implantation induced histologically obvious white matter regeneration, consisting of a large area of consecutive, compact, and aligned nerve fibers in canine T12 spinal cord injuries.
  • 2
    The canines with AFG implantation showed significant motor functional restoration, starting to stand well with their defective legs from 3 to 4 weeks postoperatively and effortlessly climb the steps from 7 to 8 weeks.
  • 3
    High-resolution multi-shot diffusion tensor imaging (DTI) illustrated the spatiotemporal dynamics of nerve regeneration rapidly crossing the lesion within 4 weeks in the AFG group.

Research Summary

The study evaluated the effects of a hierarchically aligned fibrin hydrogel (AFG) on directing neuroregeneration in canine hemisected T12 spinal cord injuries. Histological analysis showed obvious white matter regeneration induced by AFG, leading to a significant motor functional restoration, with canines starting to stand well and climb steps earlier than the control group. High-resolution multi-shot diffusion tensor imaging illustrated the spatiotemporal dynamics of nerve regeneration rapidly crossing the lesion within 4 weeks in the AFG group, suggesting AFG's potential as a therapeutic vehicle for spinal cord injury.

Practical Implications

Therapeutic Vehicle for SCI

AFG can serve as a promising therapeutic vehicle for spinal cord injury by inducing rapid white matter regeneration.

Clinical Translation Potential

The findings point to a promising prospect in clinic practice, suggesting potential for human application.

Improved Motor Function

AFG implantation leads to significant motor functional restoration after spinal cord injury.

Study Limitations

  • 1
    Interspecific difference in the canines and humans may lead to unsatisfactory effects when translating the AFG into clinical practice.
  • 2
    White matter regeneration may be insufficient for complete functional recovery.
  • 3
    We did not set another control group which was implanted with random fibrin hydrogel due to the consideration of animal ethics.

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