Abstract

The loss of neurons and degeneration of axons after spinal cord injury result in the loss of sensory and motor functions. A bridging biomaterial construct that allows the axons to grow through has been investigated for the repair of injured spinal cord. Due to the hostility of the microenvironment in the lesion, multiple conditions need to be fulfilled to achieve improved functional recovery. A scaffold has been applied to bridge the gap of the lesion as contact guidance for axonal growth and to act as a vehicle to deliver stem cells in order to modify the microenvironment. Stem cells may improve functional recovery of the injured spinal cord by providing trophic support or directly replacing neurons and their support cells. Neural stem cells and mesenchymal stem cells have been seeded into biomaterial scaffolds and investigated for spinal cord regeneration. Both natural and synthetic biomaterials have increased stem cell survival in vivo by providing the cells with a controlled microenvironment in which cell growth and differentiation are facilitated. This optimal multi‒disciplinary approach of combining biomaterials, stem cells, and biomolecules offers a promising treatment for the injured spinal cord.

Highlights

  • Traumatic injury or disease may result in spinal cord injury (SCI)

  • A recent study showed that neural stem cells (NSCs) expressing green fluorescent protein were embedded into fibrin matrices containing a group of growth factors, and the matrices were grafted to severely injured rat spinal cords [19]

  • The promising outcome of this study suggested that the combined application of biomaterial scaffolds and stem cells may offer significant support for functional recovery following SCI

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Summary

Introduction

Traumatic injury or disease may result in spinal cord injury (SCI). Generally, a complete injury refers to the total loss of motor or sensory functions pertaining to the spinal column below the injury site, while an incomplete injury refers to the retention of some functions. A recent study showed that neural stem cells (NSCs) expressing green fluorescent protein were embedded into fibrin matrices containing a group of growth factors, and the matrices were grafted to severely injured rat spinal cords [19]. We review the combined effect of biomaterial scaffolds and NSCs or mesenchymal stem cells (MSCs) on spinal cord repair.

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