Multi-target approaches to CNS repair: olfactory mucosa-derived cells and heparan sulfates

Susan L Lindsay1, George A McCanney1, Alice G Willison1

  • 1Institute of Infection, Immunity and Inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.

Nature Reviews. Neurology
|February 27, 2020
PubMed

Insights

Human olfactory cell transplantation shows promise for spinal cord injury (SCI) repair. A combination of cell therapies, rehabilitation, and novel pharmaceutical strategies, like heparan sulfate modification, offers the most effective multi-target approach for SCI treatment.

Area of Science:

  • Neuroscience
  • Regenerative Medicine
  • Cell Therapy

Background:

  • Spinal cord injury (SCI) presents significant challenges for neuroregenerative therapeutics.
  • Cell transplantation is an experimental strategy under investigation for SCI.
  • Current therapeutic approaches for SCI are limited.

Purpose of the Study:

  • To review the clinical status and limitations of human olfactory cell transplantation for SCI.
  • To introduce mesenchymal stromal cells from human olfactory tissue as a potential therapy.
  • To propose a multi-target approach combining cell-based, rehabilitation, and pharmaceutical interventions for SCI.

Main Methods:

  • Review of current literature on olfactory cell transplantation for SCI.
  • Introduction of mesenchymal stromal cells derived from human olfactory tissue.
  • Discussion of a novel pharmaceutical strategy targeting heparan sulfate modification.

Main Results:

  • Human olfactory cell transplantation has a current clinical status with identified limitations.
  • Mesenchymal stromal cells from olfactory tissue show potential for multifaceted reparative effects.
  • Heparan sulfate modification represents a novel pharmaceutical strategy for SCI.

Conclusions:

  • No single therapy is sufficient for effective SCI treatment.
  • A combination of cell-based therapies, rehabilitation, and pharmaceutical interventions is crucial.
  • Multi-target strategies are necessary to optimize spinal cord injury treatment.