1 Field Neurosciences Institute Laboratory for Restorative Neuroscience, Central Michigan University, Mount Pleasant, MI, USA.
2 Department of Psychology, Central Michigan University, Mount Pleasant, MI, USA.
Cell Transplant. 2017 Aug;26(8):1472-1482. doi: 10.1177/0963689717721214.
Spinal cord injury (SCI) is a widely disabling condition, constraining those affected by it to wheelchairs and requiring intense daily care and assistance. Cell replacement therapies, targeting regeneration of cells in the injured cord, are currently gaining momentum in the field of SCI research. Previous studies indicate that mesenchymal stem cells (MSCs) can reduce functional deficits through immunomodulation and production of trophic factors in a variety of neurological disorders. The present study assessed the efficacy of transplanted bone marrow-derived MSCs at different concentrations and locations for promoting functional recovery following SCI. Although effects were modest, MSCs facilitated an increase in the base of support, as measured by increased distance between the plantar surface of the hind paws, following incomplete contusive SCI, and reduced the density of astroglial scarring. Varying the concentrations or locations of transplanted cells did not provide additional benefits on these measures. These findings indicate that MSC transplants are safe at relatively high concentrations and confer therapeutic benefits that, when used as an adjunctive treatment, could significantly enhance functional recovery following SCI.
脊髓损伤(SCI)是一种广泛致残的疾病,使患者不得不依赖轮椅,并需要日常高强度的护理和帮助。细胞替代疗法是目前 SCI 研究领域的热门方向,其目的是促进受损脊髓中细胞的再生。既往研究表明,间充质干细胞(MSCs)可通过免疫调节和产生神经营养因子来减轻多种神经疾病中的功能缺陷。本研究评估了不同浓度和部位的骨髓来源 MSC 移植在促进不完全性挫伤性 SCI 后功能恢复方面的疗效。虽然效果不明显,但 MSCs 确实增加了支持基础,表现为后足跖面之间的距离增加,同时减少了星形胶质瘢痕的密度。改变移植细胞的浓度或部位并未在这些指标上提供额外的益处。这些发现表明,MSC 移植在相对较高的浓度下是安全的,并具有治疗益处,作为辅助治疗,可以显著促进 SCI 后的功能恢复。