Sunday, August 25, 2019

Study fnds mechanism to heal injured nerve fibres

Researchers found new mechanisms that enable the regeneration of nerve fibers, which could open up new treatment approaches for the brain, optic nerve and spinal cord injuries.

The brain, spinal cord and optic nerves are referred to collectively as the central nervous system. The nerve fibers called axons are unable to grow back following injury meaning that damage is permanent.


It is possible to partially restore the regenerative capacity of nerve cells in the central nervous system by eliminating the inhibiting protein PTEN. However, a knockout of this kind also triggers many different reactions in the cells at the same time, which often lead to cancer, explained a Prof.


As a result, the direct inhibition of this protein is not suitable for therapeutic approaches in humans. What's more, the originally postulated mechanism underlying the renewed regenerative capacity following PTEN knockout could not be confirmed in further studies, causing the researchers to seek alternative explanations.


While investigating this as-yet unclear mechanism, the researchers were able to show for the 1st time that PTEN knockout significantly inhibits an enzyme called glycogen synthase kinase 3, GSK3 for short.


This enzyme, in turn, blocked another protein called collapsin response mediator protein 2, CRMP2.
this meant that the PTEN knockout prevents CRMP2 from being inhibited by GSK3.


If we directly prevent this 2nd step, i.e., stop the inhibition of CRMP2, we can also achieven the regeneration-promoting effect in a more specific manner, explained the researcher.


The activation of CRMP2 itself is not known to have any carcinogenic effect.


Although we have so far only shown these effects in genetically modified mice using gene therapy approaches, these findings open up various possibilities for the development of new drug approaches, explained the neuropharmacologist.


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Thursday, April 11, 2019

Active lifestyle facilitates recovery after spinal cord injury

In recent research, scientist have described the influence of an active lifestyle on the regenerative capacity of the peripheral nervous system, that is, the set of cranial and spinal nerves that control motor and sensory functions.

The research for the first time has identified a molecular pathway related to physical activity that stimulates nerve regeneration after a spinal cord injury. The study was carried out in mice and rats.
It was already known, by studies with rodents, the benefits for the brain of an active lifestyle, explained the lead author of the study.


Laboratory animals that live in enriched environments, with wheels for exercise, toys and the presence of other animals, show better performance in memory and orientation tests, have more neurogenesis in the hippocampus, and also more dendritic spines, the structures of neurons that allow the formation of synapses or contacts between neuronal cells. And now, this work shows that the peripheral nervous system also benefits from an active lifestyle, highlighted the Dr.


The finding explained why people who have led an 'active lifestyle' recover more after spinal cord injury than those with 'less active' lifestyles.


Although the work is still at an early stage, the findings open a ' realistic path' that tests the links between pre-existing active lifestyle and subsequent recovery from a spinal injury, and possibly paves the way for clinical trials in human patients, said researchers. 


Essentially, by increasing the activity of neurons that detect environmental atimuli, we have been able to promote the regenerative potential of the nerves after a spinal cord injury, explained the Dr. who was part of the study.


We have shown that environmental enrichment, how housing the mice in a larger cage than usual, with other mice, with more toys, tunnels, swings, wheels etc, increases the activity of the neurons. 

This enriched environment leads to changes in gene expression that cause the nerves to be more likely to regenerate, added the Dr.

In addition, the researchers identified a key molecule in this process called CREB-Binding Protein (CBP), a regulator of gene expression capable that alters the expression of several genes, and thus increases the ability to regenerate damaged nerves.


Each cell of the human body contains a long strand of DNA, about 2 meters long, with genetic information. To fit inside the cell nucleus this DNA is wound in proteins called histones, forming a kind of pearl necklace. In order for genes to be expressed, the collar must unwind partially and accurately at the right time. And it is at this point where the CBP protein intervenes.


The research team has been working with the CBP protein for a long time, and they have a mouse model that lacks this protein in specific neuronal types.


By putting the deficient animals in CBP in an enriched environment, we saw that they are not able to respond to these stimuli and there is no increase in the repair of injuries, explained the Dr. Thanks to this animal model, it was clear that CBP is a key molecule, capable of becoming a therapeutic target to increase regeneration after spinal cord injury.


In tests with mice and rats, administering a compound that increases the activity of the CBP protein six hours after the injury of the column, and subsequently, once a week promoted the regeneration of the damaged nerve fibres.


After the injury and treatment with the drug, the rats, which otherwise could not walk correctly, recovered significant mobility in their hind legs, compared to the control animals, without treatment.


Although this treatment may not be fat from being tested in the clinic, more studies are needed to show that the drug is safe in humans. Once verified, it could potentially be combined with neuro-rehabilitation to treat people who have suffered a spinal cord injury.


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Monday, April 18, 2016

Stem cells may help treat spinal cord injuries

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 Scientists have successfully used stem cells for the first time to promote regeneration after injury to a specialised band of spinal chord nerve fibres that are important for motor function.
Researchers from Hokkaido University in Japan together with an international team of scientists implanted specialised embryonic stem cells into the severed spinal cords of rats.

The stem cells, called neural progenitor cells, were taken from rat embryos and directed to develop as spinal cord tissue.

The implants, or "grafts," promoted extensive regeneration of the severed nerve fibres, with the rats showing improvement in their ability to move their forelimbs.

The team also used grafts of human neural stem cells in injured rats with similar results, demonstrating the potential of the success of this method across species.


 The corticospinal tract (CST) is a band of nerve fibres that travels from the brain, through the brain stem and into the spinal cord.

This structure is very important for motor function in humans. Injuries to the CST can result in paralysis. Much research has been done, with some progress, on using stem cells to regenerate other bands of nerve fibres in the spinal cord.

But these have involved small gaps between the severed nerves in the presence of bands of bridging tissue. Lesions to nerve fibres located in the CST, however, and those involving large gaps and no bands of bridging tissue have proven largely resistant to regeneration.

The success of the current trial, reported in the journal Nature Medicine, is promising for the future treatment of humans with severe spinal cord injuries, researchers said.

But much work remains to be done before it can be translated into clinical treatments, they said.

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Friday, April 25, 2014

How spinal injury can lead to paralysis

The rampant unauthorised and unproven stem cell transplant for spinal cord injury can leave a person paralysed below the level of injury, health experts said Thursday. 

Issuing a statement to caution people about such practices and create awareness on the issue, the Association of Spine Surgeons of India (ASSI) said: "There is an urgent need to create awareness on the issue, and advise the spinal cord injured and their families to make informed decisions regarding the plethora of 'effective' stem transplant treatments being offered across the world." 

"Over the past decade, various clinics in India and abroad have started offering experimental treatments, often involving transplants of stem cells, which are advertised as having beneficial effects, even though there is little or no evidence supporting such claims," said ASSI president Ram Chaddha. 

He added these stem cells transplant procedures attempt to establish credibility by citing experimental studies that have no direct relation to the spinal cord injuries. 

Sajan Hegde, consultant spine surgeon at Apollo Hospital who also heads its orthopaedics department, said the only accurate way to determine that a treatment is beneficial is to carry a properly designed study with an appropriate control group. 

"It is important to conduct valid clinical trials to evaluate whether stem cell and cellular transplant can be offered as a valid option after the spinal cord injury. Some properly conducted trials are now being undertaken, but it is advisable to wait for the results from these objective studies," he said.

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Saturday, March 22, 2014

Stem cells may help cure bladder issues

Scientists have now managed to produce tissue from human stem cells that could be transplanted into patients with defective or diseased bladder, says a study.
For the first time, scientists have succeeded in coaxing laboratory cultures of human stem cells to develop into the specialized, unique cells needed to repair a patient's defective or diseased bladder.
The breakthrough was developed at the University of California's (UC) Davis Institute for Regenerative Cures and published in the scientific journal Stem Cells Translational Medicine.
It is significant because it provides a pathway to regenerate replacement bladder tissue for patients whose bladders are too small or do not function properly, such as children with spina bifida and adults with spinal cord injuries or bladder cancer, reported Science Daily.
"Our goal is to use human stem cells to regenerate tissue in the lab that can be transplanted into patients to augment or replace their malfunctioning bladders," said Eric Kurzrock, professor and head of the division of paediatric urologic surgery at UC Davis Children's Hospital and lead scientist of the study.
Another benefit of the UC Davis study is the insight it may provide about the pathways of bladder cancer, which is diagnosed in more than 70,000 Americans each year, according to the National Cancer Institute.

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