Transplantation strategies to promote repair of the injured spinal cord

被引:95
作者
Bunge, MB [1 ]
Pearse, DD
机构
[1] Univ Miami, Sch Med, Dept Cell Biol & Anat, Miami Project Cure Paralysis, Miami, FL 33152 USA
[2] Univ Miami, Sch Med, Dept Neurol Surg, Miami Project Cure Paralysis, Miami, FL 33152 USA
关键词
central nervous system (CNS) regeneration; contusion injury; cyclic adenosine monophosphate; methylprednisolone; neurotrophins; olfactory ensheathing glia; raphespinal tract; Schwann cells; spinal cord transection;
D O I
10.1682/JRRD.2003.08.0055
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
This review describes the results of the transplantation of Schwann cells and olfactory ensheathing glia in combination with other interventions. The complete transection injury model was used to test the combination of Schwann cell bridges with methylprednisolone, neurotrophins, or olfactory ensheathing glia. The contusion injury model was used to compare Schwann cell and olfactory ensheathing glia transplantation and to examine the results of combining Schwann cell transplants with elevated levels of cyclic adenosine monophosphate. The combination strategies were more effective than cell transplantation alone. The improved regeneration response usually involved a reduction in secondary tissue loss, axonal regeneration from brainstem neurons, an increase in myelinated fibers in the transplant, the exit of regenerated fibers from the transplant into the contiguous cord, and an improvement in locomotor function.
引用
收藏
页码:55 / 62
页数:8
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