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Bone-Marrow–Derived MSC Transplantation Enhances Neuronal Survival and Reduces Secondary Cellular Injury in Rat Spinal Cord Trauma Models
Aiden R. Halstrom PhD1, Marissa K. Delaney PhD1, Julian T. Kessler PhD![]()
2*
1 Stem Cell and Molecular Therapeutics Division, Center for Advanced Translational Neuroscience, San Diego, California, USA.
2 Laboratory of Neural Repair and Bioengineering, Atlantic Biomedical Sciences University, Boston, Massachusetts, USA.
DOI: 10.18081/pcij/2378-5225/14.18
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Article history: Received 22 October 2024 · Revised 09 December 2024 · Accepted 19 December 2024 · Published 22 January 2025
© 2025 Kessler, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0).
Abstract
Background: Secondary cellular injury following spinal cord trauma contributes significantly to progressive neuronal loss, inflammation, oxidative stress, and functional decline. Bone-marrow–derived mesenchymal stem cells (BM-MSCs) have emerged as promising therapeutic candidates due to their potent immunomodulatory and neuroprotective properties. This study investigated the effects of BM-MSC transplantation on neuronal preservation, inflammatory signaling, apoptotic pathways, and functional recovery in a rat model of moderate contusion spinal cord injury (SCI).
Methods: Adult male Wistar rats were randomized into three groups: Sham, SCI + Vehicle, and SCI + MSC. A standardized T9–T10 contusion injury was induced using the NYU impactor. BM-MSCs (1×10⁶ cells) were administered intrathecally 24 h post-injury. Locomotor recovery was assessed using BBB scoring over 28 days. Histopathology (H&E, Nissl), immunohistochemistry (NeuN, GFAP, Iba-1, caspase-3, 8-OHdG), qRT-PCR, and Western blot were used to evaluate neuronal survival, glial activation, inflammation, apoptosis, and oxidative stress.
Results: MSC-treated rats demonstrated significantly improved BBB locomotor scores compared with vehicle controls (p < 0.01). Histological analyses revealed markedly smaller lesion cavities and greater preservation of white matter. Nissl staining showed increased neuronal survival (~70% vs. ~40%). MSC therapy significantly reduced TNF-α, IL-1β, IL-6, Bax, and cleaved caspase-3 expression, while up-regulating IL-10 and Bcl-2 (p < 0.01). Oxidative stress markers, including 8-OHdG, were also reduced. GFAP and Iba-1 staining indicated diminished astrocyte and microglial activation, reflecting attenuation of glial scar formation.
Conclusions: BM-MSC transplantation confers robust neuroprotection by suppressing inflammation, apoptosis, and oxidative injury, while promoting neuronal survival and functional recovery following SCI. These findings highlight the therapeutic potential of BM-MSCs in mitigating secondary injury mechanisms and support further exploration toward clinical translation in spinal cord trauma.
Keywords: Spinal cord injury; Mesenchymal stem cells; Bone-marrow–derived MSCs; Neuroprotection; Secondary injury
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Pathophysiology of Cell Injury Journal (PCIJ)
E-ISSN 2378-5225 · Biannual
BM-Publisher (London, UK)
Open Access
Vol 14, Issue 1 (June 2025), pp. 1–17
How to cite (AMA)
Halstrom A, Delaney M, Kessler J. Bone-Marrow–Derived MSC Transplantation Enhances Neuronal Survival and Reduces Secondary Cellular Injury in Rat Spinal Cord Trauma Models. Pathophysiology of Cell Injury Journal (PCIJ). 2025;14(1):18–37. doi: 10.18081/pcij/2378-5225/14.18.
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