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Myelin is a protective sheath that surrounds nerve cells. When that myelin
is damaged, as in many spinal cord injuries, the underlying nerves are damaged,
often apparently beyond repair. Regeneration of myelin offers a theoretical
method of reversing spinal cord injuries.
A study, published in Proceedings of the National Academy of Sciences,
was conducted at the Washington University School of Medicine in St. Louis
to look at this possibility. Chemicals were applied to the spinal cords
of a population of laboratory rats, which dissolved their myelin. Three
days later, rat embryonic stem cells were transplanted into those injured
rats' spinal columns. When the rats were sacrificed and autopsied, mature
myelin producing cells were found at the site of the transplants. When
these same embryonic cells were transplanted into rats that were genetically
deficient in myelin production, they too were found to have mature versions
of the embryonic transplanted stem cells-and those matured stem cells
were producing myelin.
Further work in the same laboratory has been done on rats with induced
spinal cord injuries. Nine days after injury, those rats were treated
with embryonic stem cell transplants. After two to five weeks, those rats
demonstrated improvement in weight bearing and coordination, and at autopsy,
were found to have adult versions of the transplanted fetal cells. If
these types of procedures are someday available to humans, their benefit
to spinal cord injury patients could be enormous.
Multiple sclerosis is a disease in which demyelination, or loss of myelin,
is a cardinal feature and the cause of the neurological deficits. Researchers
are asking if stem cell therapy that induces remyelination might slow
or reverse the neurological problems of multiple sclerosis. Researchers
at Emory University in Atlanta published the results of a study in Nature
Medicine. These researchers had transplanted stem cells of oligodendrocytes
(cells from the central nervous system) into dogs with a demyelinating
disease similar to human multiple sclerosis. They observed large areas
of repair of the demyelinated areas after oligodendrocyte-precursor transplant.
Much work remains to be done before these results can be translated into
human therapies, but the potential for successful treatment for multiple
sclerosis is exciting.
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