Affiliation:
1. Hospital Sírio Libanês
2. Instituto de Ortopedia e Traumatologia, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP)
3. Institute of Orthopedics and Traumatology
Abstract
Abstract
Study design: experimental study. Objective: To evaluate nerve regeneration and motor recovery in Balb C mice with surgically induced paraplegia in response to the use of mononuclear stem cells, in the chronic phase, from human umbilical cord and placental blood after 3 weeks and 6 weeks of spinal cord injury (SCI).
Setting: Spinal Cord and Nervous Trauma Studies Laboratory, Institute of Orthopedics and Traumatology, Hospital das Clínicas, University of São Paulo. Methods: 48 mice were divided into 6 groups of 8 animals. Group 1 received stem cells 3 weeks after SCI, group 2, six weeks later after SCI. In group 3, saline solution was injected at the injury site 3 weeks after SCI and in group 4, 6 weeks later. Group 5 was submitted only to SCI and group 6 to laminectomy only. The scales used for motor assessment were BMS and MFS for 12 weeks. Results: The intervention groups showed motor improvement with statistical significance. In the histopathological analysis, the intervention groups showed a lower degree of injury (p<0.05). Regarding axonal sprouting, the intervention groups showed an increase in axonal sprouting, with statistical significance in the caudal portion.
Conclusions: the use of stem cells in mice in the chronic phase, after 3 and 6 weeks of spinal cord injury, brings functional and histopathological benefits for them.
Publisher
Research Square Platform LLC
Reference28 articles.
1. Fouad K, Krajacic A, Tetzlaff W. Spinal cord injury and plasticity: Opportunities and challenges. Brain Research Bulletin2011. p. 337 – 42.
2. Epidemiology of traumatic spinal cord injury in developing countries: A systematic review;Rahimi-Movaghar V;Neuroepidemiology,2013
3. Silva NA, Sousa N, Reis RL, Salgado AJ. From basics to clinical: A comprehensive review on spinal cord injury. Progress in Neurobiology: Elsevier Ltd; 2014. p. 25–57.
4. Stem Cells: Units of Development, Units of Regeneration, and Units in Evolution;Weissman IL;Cell,2000
5. Does timing of transplantation of neural stem cells following spinal cord injury affect outcomes in an animal model?;Cheng I;Journal of Spine Surgery,2017