Department of Orthopedic Surgery, Hospital Sírio Libanês, Brasília, DF, Brazil.
Department of Orthopedic Surgery, Instituto de Ortopedia e Traumatologia da Universidade de São Paulo, São Paulo, SP, Brazil.
Clinics (Sao Paulo). 2024 Oct 10;79:100509. doi: 10.1016/j.clinsp.2024.100509. eCollection 2024.
Experimental study utilizing with a standardized model (MASCIS Impactor) of Spinal Cord Injury (SCI) in Balb C mouse model with implantation of mononuclear stem cells derived from the human umbilical cord and placenta blood in the early chronic phase of SCI.
The aim of this study was to evaluate the nerve regeneration and motor functional recovery in Balb C mice with surgically induced paraplegia in response to the use of mononuclear stem cells, in early chronic phase (> 2 weeks and < 6 months), because there is yet potential of neuronal and functional recovery as the neuronal scar is not still completely established.
Forty-eight mice were randomly assigned to 6 groups of 8 animals. Group 1 received the stem cells 3 weeks after the trauma, and Group 2 received them six weeks later. In Group 3, saline solution was injected at the site of the lesion 3 weeks after the trauma, and in Group 4, 6 weeks later. Group 5 underwent only spinal cord injury and Group 6 underwent laminectomy only. The scales used for motor assessment were BMS and MFS for 12 weeks.
The intervention groups showed statistically significant motor improvement. In the histopathological analysis, the intervention groups had a lower degree of injury (p < 0.05). Regarding axonal budding, the intervention groups showed increasing in axonal budding in the caudal portion (p < 0.05).
The use of stem cells in mice in the chronic phase after 3 and 6 weeks of SCI brings functional and histopathological benefits to them.
本实验采用标准化模型(MASCIS 撞击器)对 Balb C 鼠脊髓损伤(SCI)模型进行研究,在 SCI 的早期慢性期(>2 周且<6 个月),将源自人脐带和胎盘血的单核干细胞植入其中,观察其对神经再生和运动功能恢复的影响。
本研究旨在评估在外科诱导的截瘫 Balb C 小鼠中,单核干细胞在早期慢性期(>2 周且<6 个月)使用时的神经再生和运动功能恢复情况,因为此时神经元和功能恢复仍具有潜力,因为神经元瘢痕尚未完全形成。
48 只小鼠被随机分为 6 组,每组 8 只。第 1 组在创伤后 3 周接受干细胞治疗,第 2 组在 6 周后接受治疗。第 3 组在创伤后 3 周时在损伤部位注射生理盐水,第 4 组在 6 周后注射生理盐水。第 3 组和第 4 组作为对照组。第 5 组仅进行脊髓损伤,第 6 组仅进行椎板切除术。在 12 周的时间内,使用 BMS 和 MFS 量表对运动功能进行评估。
干预组的运动功能有显著改善。在组织病理学分析中,干预组的损伤程度较低(p<0.05)。在轴突发芽方面,干预组在尾部有更多的轴突发芽(p<0.05)。
在 SCI 后 3 周和 6 周的慢性期使用干细胞可使小鼠产生功能性和组织病理学上的获益。