Neural Regeneration Research ›› 2021, Vol. 16 ›› Issue (3): 405-413.doi: 10.4103/1673-5374.293130

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Progress in clinical trials of cell transplantation for the treatment of spinal cord injury: how many questions remain unanswered?

Xu-Chang Hu1, #, Yu-Bao Lu2, #, Yong-Na Yang3, Xue-Wen Kang1, *, Yong-Gang Wang1, Bing Ma1, Shuai Xing1   

  1. 1 Key Laboratory of Bone and Joint Diseases Research of Gansu Province, Department of Orthopedics, Lanzhou University Second Hospital, Lanzhou, Gansu Province, China;    2 Second Clinical Medical College, Lanzhou University, Lanzhou, Gansu Province, China;  3 Department of Neurology, The First People’s Hospital of Lanzhou City, Lanzhou, Gansu Province, China
  • Online:2021-03-15 Published:2020-12-16
  • Contact: Xue-Wen Kang, 602310758@qq.com.
  • Supported by:
    This work was supported by 2019 Scientific Research Project of Traditional Chinese Medicine in Gansu Province of China, No. GZK-2019-46 (to XWK and YBL).

Abstract: Spinal cord injury can lead to severe motor, sensory and autonomic nervous dysfunctions. However, there is currently no effective treatment for spinal cord injury. Neural stem cells and progenitor cells, bone marrow mesenchymal stem cells, olfactory ensheathing cells, umbilical cord blood stem cells, adipose stem cells, hematopoietic stem cells, oligodendrocyte precursor cells, macrophages and Schwann cells have been studied as potential treatments for spinal cord injury. These treatments were mainly performed in animals. However, subtle changes in sensory function, nerve root movement and pain cannot be fully investigated with animal studies. Although these cell types have shown excellent safety and effectiveness in various animal models, sufficient evidence of efficacy for clinical translation is still lacking. Cell transplantation should be combined with tissue engineering scaffolds, local drug delivery systems, postoperative adjuvant therapy and physical rehabilitation training as part of a comprehensive treatment plan to provide the possibility for patients with SCI to return to normal life. This review summarizes and analyzes the clinical trials of cell transplantation therapy in spinal cord injury, with the aim of providing a rational foundation for the development of clinical treatments for spinal cord injury.

Key words: central nervous system, clinical trials, injury, plasticity, protection, regeneration, repair, spinal cord, stem cells