|
Effect of Neurotrophin-3 Genetically Modified Olfactory Ensheathing Cells Transplantation on Spinal Cord Injury
Views: | Article Submitted On: 09-05-2010 | Share This: |
Spinal cord injury (SCI) is very frequent in our society, the number of cases increasesevery year, and this pathologic condition often causes permanent and irreversible functionaldeficits in the patients. The devastating consequences of this affection have motivatednumerous scientists throughout the world to search in experimental animal models for a repairstrategy that could, in the future, be applied to humans. However, due to the limited neuronal survival, the lack of spontaneous axonalregeneration and the inhibitory glial environment, self-repair after damage of the mammaliancentral nervous system (CNS) is rather poor. Henceforth, the repair of brain and spinal cordinjury thus far is still a major therapeutic challenge. To be gratified, in recent years,substantial evidence has suggested that the neurons and the axons proximal to the site ofinjury were still alive after the impairment. Therefore, external interventions such as celltransplantation and neurotrophic factors delivery overcoming the inhibitory environment atthe injury site could stimulate some of the remaining intrinsic plasticity of neurons and, thus,to foster the healing of the otherwise nonregenerative CNS. At present, little of these strategies alone have been sufficient in repairment of adultCNS, two or more strategies used in combination might bring about adequate structural andfunctional recovery. During the past two decades, the dramatic progress in therapeutic allianceand in vivo and ex vivo gene therapy has heightened optimism about future cures for injury ofCNS. Among those cells candidate for transplantation, due to their ability both to support CNSaxon regeneration and to remyelinate the regenerated axons, olfactory ensheathing cells(OECs) have attracted more attention as potential therapeutic agents for the treatment of SCI.Research performed over the past decades demonstrated that the presence of OECs wouldcreate a more favourable and supportive environment for axonal growth, guide the axonsregenerate through the glia scar to CNS and promoted the recovery of sensorimotor functionsin paraplegic rats. Furthermore, the available evidence supports the view that OECs are more - 6 -