Treatment of syringomyelia using uncultured umbilical cord mesenchymal stem cells: A case report and review of literature

Ahn, Hyunjun; Lee, Sang Yeon; Jung, Won-Ju; Lee, Kye-Ho

doi:10.4252/wjsc.v14.i4.303

Cited by 5 publications

(1 citation statement)

References 28 publications

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“…A recent study reported a patient who suffered from syringomyelia-induced pain and received a transplant of uncultured umbilical cord-derived mesenchymal stem cells (MSCs) combined with surgery to manage Chiari malformation. Even though the initial purpose of the treatment was relieving pain, after two years of the stem cells treatment, the patient’s cavity had almost completely disappeared, and syringomyelia was deemed to be cured [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Suppression of TGFβR-Smad3 pathway alleviates the syrinx induced by syringomyelia

Liu

et al. 2023

Cell Biosci

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Background Syringomyelia is a cerebrospinal fluid (CSF) disorder resulted in separation of pain and temperature, dilation of central canal and formation of syrinx in central canal. It is unclear about mechanisms of the dilation and syrinx formation. We aimed to investigate roles of ependymal cells lining central canal on the dilation, trying to reduce syrinx formation in central canal. Methods We employed 78 Sprague–Dawley (SD) rats totally with syringomyelia to detect the contribution of ependymal cells to the dilation of central canal. Immunofluorescence was used to examine the activation of ependymal cells in 54 syringomyelia rat models. BrdU was used to indicate the proliferation of ependymal cells through intraperitoneal administration in 6 syringomyelia rat models. 18 rats with syringomyelia were injected with SIS3, an inhibitor of TGFβR-Smad3, and rats injected with DMSO were used as control. Among the 18 rats, 12 rats were used for observation of syrinx following SIS3 or DMSO administration by using magnetic resonance imaging (MRI) on day 14 and day 30 under syringomyelia without decompression. All the data were expressed as mean ± standard deviation (mean ± SD). Differences between groups were compared using the two-tailed Student’s t-test or ANOVA. Differences were considered significant when *p < 0.05. Results Our study showed the dilation and protrusions of central canal on day 5 and enlargement from day 14 after syringomyelia induction in rats with activation of ependymal cells lining central canal. Moreover, the ependymal cells contributed to protrusion formation possibly through migration along with central canal. Furthermore, suppression of TGFβR-Smad3 which was crucial for migration reversed the size of syrnix in central canal without treatment of decompression, suggesting TGFβR-Smad3 signal might be key for dilation of central canal and formation of syrinx. Conclusions The size of syrinx was decreased after SIS3 administration without decompression. Our study depicted the mechanisms of syrinx formation and suggested TGFβR-Smad3 signal might be key for dilation of central canal and formation of syrinx.

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Section: Introductionmentioning

confidence: 99%