Cell therapy for spinal cord injury with olfactory ensheathing glia cells (OECs)

The prospects of achieving regeneration in the central nervous system (CNS) have changed, as most recent findings indicate that several species, including humans, can produce neurons in adulthood. Studies targeting this property may be considered as potential therapeutic strategies to respond to inj...

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Published inGlia Vol. 66; no. 7; pp. 1267 - 1301
Main Authors Gómez, Rosa M., Sánchez, Magdy Y., Portela‐Lomba, Maria, Ghotme, Kemel, Barreto, George E., Sierra, Javier, Moreno‐Flores, M. Teresa
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.07.2018
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Abstract The prospects of achieving regeneration in the central nervous system (CNS) have changed, as most recent findings indicate that several species, including humans, can produce neurons in adulthood. Studies targeting this property may be considered as potential therapeutic strategies to respond to injury or the effects of demyelinating diseases in the CNS. While CNS trauma may interrupt the axonal tracts that connect neurons with their targets, some neurons remain alive, as seen in optic nerve and spinal cord (SC) injuries (SCIs). The devastating consequences of SCIs are due to the immediate and significant disruption of the ascending and descending spinal pathways, which result in varying degrees of motor and sensory impairment. Recent therapeutic studies for SCI have focused on cell transplantation in animal models, using cells capable of inducing axon regeneration like Schwann cells (SchCs), astrocytes, genetically modified fibroblasts and olfactory ensheathing glia cells (OECs). Nevertheless, and despite the improvements in such cell‐based therapeutic strategies, there is still little information regarding the mechanisms underlying the success of transplantation and regarding any secondary effects. Therefore, further studies are needed to clarify these issues. In this review, we highlight the properties of OECs that make them suitable to achieve neuroplasticity/neuroregeneration in SCI. OECs can interact with the glial scar, stimulate angiogenesis, axon outgrowth and remyelination, improving functional outcomes following lesion. Furthermore, we present evidence of the utility of cell therapy with OECs to treat SCI, both from animal models and clinical studies performed on SCI patients, providing promising results for future treatments. Main Points OECs ontogeny, physiological, morphological and molecular characteristics. OECs properties making them suitable for neuroplasticity/neuroregeneration in SCI. Promising results of OECs cell therapy for SCI (animal models and clinical studies).
AbstractList The prospects of achieving regeneration in the central nervous system (CNS) have changed, as most recent findings indicate that several species, including humans, can produce neurons in adulthood. Studies targeting this property may be considered as potential therapeutic strategies to respond to injury or the effects of demyelinating diseases in the CNS. While CNS trauma may interrupt the axonal tracts that connect neurons with their targets, some neurons remain alive, as seen in optic nerve and spinal cord (SC) injuries (SCIs). The devastating consequences of SCIs are due to the immediate and significant disruption of the ascending and descending spinal pathways, which result in varying degrees of motor and sensory impairment. Recent therapeutic studies for SCI have focused on cell transplantation in animal models, using cells capable of inducing axon regeneration like Schwann cells (SchCs), astrocytes, genetically modified fibroblasts and olfactory ensheathing glia cells (OECs). Nevertheless, and despite the improvements in such cell‐based therapeutic strategies, there is still little information regarding the mechanisms underlying the success of transplantation and regarding any secondary effects. Therefore, further studies are needed to clarify these issues. In this review, we highlight the properties of OECs that make them suitable to achieve neuroplasticity/neuroregeneration in SCI. OECs can interact with the glial scar, stimulate angiogenesis, axon outgrowth and remyelination, improving functional outcomes following lesion. Furthermore, we present evidence of the utility of cell therapy with OECs to treat SCI, both from animal models and clinical studies performed on SCI patients, providing promising results for future treatments.
The prospects of achieving regeneration in the central nervous system (CNS) have changed, as most recent findings indicate that several species, including humans, can produce neurons in adulthood. Studies targeting this property may be considered as potential therapeutic strategies to respond to injury or the effects of demyelinating diseases in the CNS. While CNS trauma may interrupt the axonal tracts that connect neurons with their targets, some neurons remain alive, as seen in optic nerve and spinal cord (SC) injuries (SCIs). The devastating consequences of SCIs are due to the immediate and significant disruption of the ascending and descending spinal pathways, which result in varying degrees of motor and sensory impairment. Recent therapeutic studies for SCI have focused on cell transplantation in animal models, using cells capable of inducing axon regeneration like Schwann cells (SchCs), astrocytes, genetically modified fibroblasts and olfactory ensheathing glia cells (OECs). Nevertheless, and despite the improvements in such cell‐based therapeutic strategies, there is still little information regarding the mechanisms underlying the success of transplantation and regarding any secondary effects. Therefore, further studies are needed to clarify these issues. In this review, we highlight the properties of OECs that make them suitable to achieve neuroplasticity/neuroregeneration in SCI. OECs can interact with the glial scar, stimulate angiogenesis, axon outgrowth and remyelination, improving functional outcomes following lesion. Furthermore, we present evidence of the utility of cell therapy with OECs to treat SCI, both from animal models and clinical studies performed on SCI patients, providing promising results for future treatments. Main Points OECs ontogeny, physiological, morphological and molecular characteristics. OECs properties making them suitable for neuroplasticity/neuroregeneration in SCI. Promising results of OECs cell therapy for SCI (animal models and clinical studies).
Author Portela‐Lomba, Maria
Ghotme, Kemel
Moreno‐Flores, M. Teresa
Sánchez, Magdy Y.
Barreto, George E.
Sierra, Javier
Gómez, Rosa M.
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  surname: Moreno‐Flores
  fullname: Moreno‐Flores, M. Teresa
  email: mteresa.moreno@uam.es
  organization: Facultad de Medicina, Universidad Autónoma de Madrid
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Issue 7
Keywords cell transplantation
olfactory ensheathing glia cells
spinal cord injuries
neuroregeneration
cell therapies
transplantation
Language English
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Notes Funding information
Fundación de Neuroregeneración de Colombia; Grupo NeuroRec; Fundación Universidad Francisco de Vitoria
Magdy Y. Sánchez and Maria Portela‐Lomba contributed equally to this review as second author. Javier Sierra, and M. Teresa Moreno‐Flores contributed equally to this review as last author.
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Snippet The prospects of achieving regeneration in the central nervous system (CNS) have changed, as most recent findings indicate that several species, including...
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SubjectTerms Angiogenesis
Animal models
Astrocytes
Axon guidance
Axonal plasticity
Cell culture
cell therapies
cell transplantation
Central nervous system
Demyelinating diseases
Demyelination
Fibroblasts
Functional plasticity
Genetic modification
Glial plasticity
Injuries
Myelination
Neuronal-glial interactions
Neurons
neuroregeneration
olfactory ensheathing glia cells
Optic nerve
Regeneration
Schwann cells
Spinal cord
Spinal cord injuries
Spinal plasticity
Therapy
Transplantation
Trauma
Title Cell therapy for spinal cord injury with olfactory ensheathing glia cells (OECs)
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fglia.23282
https://www.ncbi.nlm.nih.gov/pubmed/29330870
https://www.proquest.com/docview/2047355883/abstract/
https://search.proquest.com/docview/1989580769
Volume 66
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