Spinal Cord Repair in Adult Paraplegic Rats: Partial Restoration of Hind Limb Function

Complete spinal cord gaps in adult rats were bridged with multiple intercostal nerve grafts that redirected specific pathways from white to gray matter. The grafted area was stabilized with fibrin glue containing acidic fibroblast growth factor and by compressive wiring of posterior spinal processes. Hind limb function improved progressively during the first 6 months, as assessed by two scoring systems. The corticospinal tract regenerated through the grafted area to the lumbar enlargement, as did several bulbospinal pathways. These data suggest a possible repair strategy for spinal cord injury.

[1]  Richard P. Bunge,et al.  Expanding roles for the Schwann cell: ensheathment, myelination, trophism and regeneration , 1993, Current Opinion in Neurobiology.

[2]  K. Fuxe,et al.  Functional regeneration of 5-hydroxytryptamine nerve terminals in the rat spinal cord following 5, 6-dihydroxytryptamine induced degeneration. , 1974, Brain research.

[3]  M. Schwab,et al.  Recovery from spinal cord injury mediated by antibodies to neurite growth inhibitors , 1995, Nature.

[4]  M. Murata,et al.  Restoration of function by replacement of spinal cord segments in the rat , 1994, Nature.

[5]  Karen Gale,et al.  Spinal cord contusion in the rat: Behavioral analysis of functional neurologic impairment , 1985, Experimental Neurology.

[6]  M. Beattie,et al.  Spinal cord injury produced by consistent mechanical displacement of the cord in rats: behavioral and histologic analysis. , 1992, Journal of neurotrauma.

[7]  L. Olson,et al.  A New Surgical Technique That Allows Proximodistal Regeneration of 5-HT Fibers after Complete Transection of the Rat Spinal Cord , 1995, Experimental Neurology.

[8]  M. Abercrombie Estimation of nuclear population from microtome sections , 1946, The Anatomical record.

[9]  Robert Elde,et al.  Prominent expression of acidic fibroblast growth factor in motor and sensory neurons , 1991, Neuron.

[10]  M. Schwab,et al.  Lesioned corticospinal tract axons regenerate in myelin-free rat spinal cord. , 1990, Proceedings of the National Academy of Sciences of the United States of America.

[11]  S. Snyder,et al.  Lymphocyte Apoptosis: Mediation by Increased Type 3 Inositol 1,4,5-Trisphosphate Receptor , 1996, Science.

[12]  M. Schwab Myelin-associated inhibitors of neurite growth and regeneration in the CNS , 1990, Trends in Neurosciences.

[13]  J. Workman,et al.  Persistent Site-Specific Remodeling of a Nucleosome Array by Transient Action of the SWI/SNF Complex , 1996, Science.

[14]  P. Mcneil,et al.  Growth factors are released by mechanically wounded endothelial cells , 1989, Journal of Cell Biology.

[15]  A. Aguayo,et al.  Extensive elongation of axons from rat brain into peripheral nerve grafts , 1982, Nature.

[16]  W. F. Windle,et al.  The possibility of structural and functional restitution after spinal cord injury. A review , 1977, Experimental Neurology.

[17]  A. Aguayo,et al.  Axonal elongation into peripheral nervous system "bridges" after central nervous system injury in adult rats. , 1981, Science.

[18]  Yves-Alain Barde,et al.  Neurotrophin-3 enhances sprouting of corticospinal tract during development and after adult spinal cord lesion , 1994, Nature.

[19]  K. Kalil,et al.  Topographic specificity of corticospinal connections formed in explant coculture. , 1994, Development.

[20]  S. Whittemore,et al.  Altered Acidic and Basic Fibroblast Growth Factor Expression Following Spinal Cord Injury , 1993, Experimental Neurology.

[21]  L. T. Brown Projections and termination of the corticospinal tract in rodents , 1971, Experimental brain research.

[22]  L. Olson,et al.  Spinal cord grafts: An intraocular approach to enigmas of nerve growth regulation , 1982, Brain Research Bulletin.