Peripheral Nerve Repair with Cultured Schwann Cells: Getting Closer to the Clinics

Peripheral nerve injuries are a frequent and disabling condition, which affects 13 to 23 per 100.000 persons each year. Severe cases, with structural disruption of the nerve, are associated with poor functional recovery. The experimental treatment using nerve grafts to replace damaged or shortened a...

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Main Authors: Maria Carolina O. Rodrigues, Antonio Antunes Rodrigues, Loren E. Glover, Julio Voltarelli, Cesario V. Borlongan
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/413091
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author Maria Carolina O. Rodrigues
Antonio Antunes Rodrigues
Loren E. Glover
Julio Voltarelli
Cesario V. Borlongan
author_facet Maria Carolina O. Rodrigues
Antonio Antunes Rodrigues
Loren E. Glover
Julio Voltarelli
Cesario V. Borlongan
author_sort Maria Carolina O. Rodrigues
collection DOAJ
description Peripheral nerve injuries are a frequent and disabling condition, which affects 13 to 23 per 100.000 persons each year. Severe cases, with structural disruption of the nerve, are associated with poor functional recovery. The experimental treatment using nerve grafts to replace damaged or shortened axons is limited by technical difficulties, invasiveness, and mediocre results. Other therapeutic choices include the adjunctive application of cultured Schwann cells and nerve conduits to guide axonal growth. The bone marrow is a rich source of mesenchymal cells, which can be differentiated in vitro into Schwann cells and subsequently engrafted into the damaged nerve. Alternatively, undifferentiated bone marrow mesenchymal cells can be associated with nerve conduits and afterward transplanted. Experimental studies provide evidence of functional, histological, and electromyographical improvement following transplantation of bone-marrow-derived cells in animal models of peripheral nerve injury. This paper focuses on this new therapeutic approach highlighting its direct translational and clinical utility in promoting regeneration of not only acute but perhaps also chronic cases of peripheral nerve damage.
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spelling doaj-art-4b081194df04414097006c6e13dfcc782025-02-03T05:47:06ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/413091413091Peripheral Nerve Repair with Cultured Schwann Cells: Getting Closer to the ClinicsMaria Carolina O. Rodrigues0Antonio Antunes Rodrigues1Loren E. Glover2Julio Voltarelli3Cesario V. Borlongan4Center of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, University of South Florida College of Medicine, 12901 Bruce B. Downs Boulvard, Tampa, FL 33612, USACenter of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, University of South Florida College of Medicine, 12901 Bruce B. Downs Boulvard, Tampa, FL 33612, USACenter of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, University of South Florida College of Medicine, 12901 Bruce B. Downs Boulvard, Tampa, FL 33612, USADepartment of Internal Medicine, Faculty of Medicine of Ribeirão Preto, University of São Paulo, 14000 Ribeirão Preto, SP, BrazilCenter of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, University of South Florida College of Medicine, 12901 Bruce B. Downs Boulvard, Tampa, FL 33612, USAPeripheral nerve injuries are a frequent and disabling condition, which affects 13 to 23 per 100.000 persons each year. Severe cases, with structural disruption of the nerve, are associated with poor functional recovery. The experimental treatment using nerve grafts to replace damaged or shortened axons is limited by technical difficulties, invasiveness, and mediocre results. Other therapeutic choices include the adjunctive application of cultured Schwann cells and nerve conduits to guide axonal growth. The bone marrow is a rich source of mesenchymal cells, which can be differentiated in vitro into Schwann cells and subsequently engrafted into the damaged nerve. Alternatively, undifferentiated bone marrow mesenchymal cells can be associated with nerve conduits and afterward transplanted. Experimental studies provide evidence of functional, histological, and electromyographical improvement following transplantation of bone-marrow-derived cells in animal models of peripheral nerve injury. This paper focuses on this new therapeutic approach highlighting its direct translational and clinical utility in promoting regeneration of not only acute but perhaps also chronic cases of peripheral nerve damage.http://dx.doi.org/10.1100/2012/413091
spellingShingle Maria Carolina O. Rodrigues
Antonio Antunes Rodrigues
Loren E. Glover
Julio Voltarelli
Cesario V. Borlongan
Peripheral Nerve Repair with Cultured Schwann Cells: Getting Closer to the Clinics
The Scientific World Journal
title Peripheral Nerve Repair with Cultured Schwann Cells: Getting Closer to the Clinics
title_full Peripheral Nerve Repair with Cultured Schwann Cells: Getting Closer to the Clinics
title_fullStr Peripheral Nerve Repair with Cultured Schwann Cells: Getting Closer to the Clinics
title_full_unstemmed Peripheral Nerve Repair with Cultured Schwann Cells: Getting Closer to the Clinics
title_short Peripheral Nerve Repair with Cultured Schwann Cells: Getting Closer to the Clinics
title_sort peripheral nerve repair with cultured schwann cells getting closer to the clinics
url http://dx.doi.org/10.1100/2012/413091
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