The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, Florida 33101, USA.
J Neurotrauma. 2010 May;27(5):789-801. doi: 10.1089/neu.2008.0809.
Trauma to the spinal cord produces endogenously irreversible tissue and functional loss, requiring the application of therapeutic approaches to achieve meaningful restoration. Cellular strategies, in particular Schwann-cell implantation, have shown promise in overcoming many of the obstacles facing successful repair of the injured spinal cord. Here, we show that the implantation of Schwann cells as cell suspensions with in-situ gelling laminin:collagen matrices after spinal-cord contusion significantly enhances long-term cell survival but not proliferation, as well as improves graft vascularization and the degree of axonal in-growth over the standard implantation vehicle, minimal media. The use of a matrix to suspend cells prior to implantation should be an important consideration for achieving improved survival and effectiveness of cellular therapies for future clinical application.
脊髓损伤会导致内源性不可逆转的组织和功能丧失,因此需要应用治疗方法来实现有意义的修复。细胞策略,特别是施万细胞植入,已显示出在克服成功修复损伤脊髓所面临的许多障碍方面的潜力。在这里,我们发现,在脊髓挫伤后,将施万细胞作为原位凝胶化层粘连蛋白:胶原蛋白基质的细胞悬浮液植入,可以显著提高长期细胞存活率,但不会促进增殖,同时还可以改善移植物的血管化和轴突向内生长程度,优于标准植入载体,即最小培养基。在植入前使用基质来悬浮细胞,对于实现细胞治疗的改善存活和效果,应该是未来临床应用的一个重要考虑因素。