Regulatory Role of Mesenchymal Stem Cells on Secondary Inflammation in Spinal Cord Injury

J Inflamm Res. 2022 Jan 26:15:573-593. doi: 10.2147/JIR.S349572. eCollection 2022.

Abstract

Spinal cord injury (SCI) is a catastrophic condition with high morbidity and mortality that still lacks effective therapeutic strategies. It is well known that the most important stage in SCI pathogenesis is secondary injury, and among the involved mechanisms, the inflammatory cascade is the main contributor and directly influences neurological function recovery. In recent years, increasing evidence has shown that mesenchymal stem cells (MSCs) transplantation is a promising immunomodulatory strategy. Transplanted MSCs can regulate macrophage-, astrocyte-, and T lymphocyte-mediated neuroinflammation and help create a microenvironment that facilitates tissue repair and regeneration. This review focuses on the effects of different types of immune cells and MSCs, specifically the immunoregulatory capacity of MSCs in SCI and repair. We will also discuss how to exploit MSCs transplantation to regulate immune cells and develop novel therapeutic strategies for SCI.

Keywords: T cell; astrocyte; immune cells; immunoregulation; macrophage; mesenchymal stem cells; neuroinflammation; spinal cord injury.

Publication types

  • Review

Grants and funding

This work was supported by grants from the National Natural Science Foundation of China (No. 81960299), and the Guizhou Provincial Science and Technology Foundation (No. [2020]1Y324).