Nori Satoshi, Nakamura Masaya, Okano Hideyuki
Keio University School of Medicine, Tokyo, Japan.
Keio University School of Medicine, Tokyo, Japan.
Prog Brain Res. 2017;231:33-56. doi: 10.1016/bs.pbr.2016.12.007. Epub 2017 Jan 17.
Spinal cord injury (SCI) typically damages the long axonal tracts of the spinal cord which results in permanent disability. However, regeneration of the injured spinal cord is approaching reality according to the advances in stem cell biology. Cell transplantation therapy holds potential to lead to recovery following SCI through some positive mechanisms. Grafted cells induce plasticity and regeneration in the injured spinal cord by promoting remyelination of damaged axons, reconstruction of neural circuits by synapse formation between host neurons and graft-derived neurons, and secreting neurotrophic factors to promote axonal elongation as well as reduce retrograde axonal degeneration. In this review, we will delineate (1) the microenvironment of the injured spinal cord that influence the plasticity and regeneration capacity after SCI, (2) a number of different kinds of cell transplantation therapies for SCI that has been extensively studied by researchers, and (3) potential mechanisms of grafted cell-induced regeneration and plasticity in the injured spinal cord.
脊髓损伤(SCI)通常会损害脊髓的长轴突束,从而导致永久性残疾。然而,根据干细胞生物学的进展,受损脊髓的再生正逐渐成为现实。细胞移植疗法有可能通过一些积极机制促使SCI后恢复。移植的细胞通过促进受损轴突的髓鞘再生、宿主神经元与移植来源的神经元之间形成突触来重建神经回路,以及分泌神经营养因子来促进轴突伸长并减少逆行性轴突退变,从而在受损脊髓中诱导可塑性和再生。在本综述中,我们将阐述:(1)影响SCI后可塑性和再生能力的受损脊髓微环境;(2)研究人员广泛研究的多种不同的SCI细胞移植疗法;(3)移植细胞在受损脊髓中诱导再生和可塑性的潜在机制。