Leveraging biomedical informatics for assessing plasticity and repair in primate spinal cord injury

Brain Res. 2015 Sep 4:1619:124-38. doi: 10.1016/j.brainres.2014.10.048. Epub 2014 Nov 4.

Abstract

Recent preclinical advances highlight the therapeutic potential of treatments aimed at boosting regeneration and plasticity of spinal circuitry damaged by spinal cord injury (SCI). With several promising candidates being considered for translation into clinical trials, the SCI community has called for a non-human primate model as a crucial validation step to test efficacy and validity of these therapies prior to human testing. The present paper reviews the previous and ongoing efforts of the California Spinal Cord Consortium (CSCC), a multidisciplinary team of experts from 5 University of California medical and research centers, to develop this crucial translational SCI model. We focus on the growing volumes of high resolution data collected by the CSCC, and our efforts to develop a biomedical informatics framework aimed at leveraging multidimensional data to monitor plasticity and repair targeting recovery of hand and arm function. Although the main focus of many researchers is the restoration of voluntary motor control, we also describe our ongoing efforts to add assessments of sensory function, including pain, vital signs during surgery, and recovery of bladder and bowel function. By pooling our multidimensional data resources and building a unified database infrastructure for this clinically relevant translational model of SCI, we are now in a unique position to test promising therapeutic strategies' efficacy on the entire syndrome of SCI. We review analyses highlighting the intersection between motor, sensory, autonomic and pathological contributions to the overall restoration of function. This article is part of a Special Issue entitled SI: Spinal cord injury.

Keywords: Autonomic function; Big-data; Bioinformatics; Motor function; Non-human primate; Plasticity; Recovery; Sensory function; Spinal cord injury; Statistics; Syndromics; Translation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Animals
  • Disease Models, Animal*
  • Humans
  • Macaca mulatta
  • Medical Informatics*
  • Motor Activity
  • Neuronal Plasticity*
  • Recovery of Function*
  • Spinal Cord Injuries / physiopathology
  • Spinal Cord Injuries / therapy*
  • Spinal Cord Regeneration*
  • Translational Research, Biomedical
  • Treatment Outcome