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Establishment of a combination therapy with cell transplantation and rehabilitation at chronic phase after spinal cord injury

Research Project

Project/Area Number 24592188
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionTokyo Medical and Dental University

Principal Investigator

ENOMOTO Mitsuhiro  東京医科歯科大学, 医学部附属病院, 講師 (90451971)

Co-Investigator(Kenkyū-buntansha) WAKABAYASHI Yoshiaki  東京医科歯大学, 大学院医歯学総合研究科, 講師 (00431916)
SOTOME Shinichi  東京医科歯大学, 大学院医歯学総合研究科・寄付講座, 准教授 (20401391)
OKAWA Atsushi  東京医科歯大学, 大学院医歯学総合研究科, 教授 (30251507)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2012: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords脊髄損傷 / 細胞移植 / 人工担体 / リハビリテーション
Outline of Final Research Achievements

We believe that a combination therapy with cell transplantation and rehabilitation is best because the cells can work directly to repair the injured environment and the rehabilitation can activate neural plasticity. The rehabilitative effects of treadmill running (TM) and swimming (SW) during the chronic phase in rats with a SCI were evaluated. Six weeks after the contusion injury at the thoracic level, the TM group showed improved hind limb coordination, and gait length in the TM group was longer than that of the control group. In both TM and SW group, the mRNA levels of NT-3 and PSD95 were increased compared to the control group. Even long after a SCI, the spinal cord has a high capacity for neural plasticity. However, behavioral recovery was not sufficient after BMSC transplantation with scaffold at six weeks after SCI. The further tissue damage occurred by the direct implantation. Further analysis is needed to obtain successful recovery at the chronic phase after SCI.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (25 results)

All 2014 2013 2012 Other

All Journal Article (10 results) (of which Peer Reviewed: 10 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (10 results) Book (2 results) Remarks (3 results)

  • [Journal Article] Bone marrow stromal cells combined with a honeycomb collagen sponge facilitate neurite elongation in vitro and neural restoration in the hemisected rat spinal cord2014

    • Author(s)
      Ukegawa M, Bhatt K, Hirai T, Kaburagi H, Sotome S, Wakabayashi Y, Ichinose S, Shinomiya K, Okawa A, Enomoto M
    • Journal Title

      Cell Transplant

      Volume: 6

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Intrathecal AAV Serotype 9-mediated Delivery of shRNA Against TRPV1 Attenuates Thermal Hyperalgesia in a Mouse Model of Peripheral Nerve Injury.2014

    • Author(s)
      Hirai T, Enomoto M, Kaburagi H, Sotome S, Yoshida-Tanaka K, Ukegawa M, Kuwahara H, Yamamoto M, Tajiri M, Miyata H, Hirai Y, Tominaga M, Shinomiya K, Mizusawa H, Okawa A, Yokota T
    • Journal Title

      Mol Ther

      Volume: 22 Issue: 2 Pages: 409-19

    • DOI

      10.1038/mt.2013.247

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Dynamic changes in spinal cord compression by cervical ossification of the posterior longitudinal ligament evaluated by kinematic computed tomography myelography2014

    • Author(s)
      Yoshii T, Yamada T, Hirai T, Taniyama T, Kato T, Enomoto M, Inose H, Sumiya S, Kawabata S, Shinomiya K, Okawa A.
    • Journal Title

      Spine

      Volume: 39 Issue: 2 Pages: 113-9

    • DOI

      10.1097/brs.0000000000000086

    • NAID

      40020700037

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Efficacy of biphasic transcranial electric stimulation in intraoperative motor evoked potential monitoring for cervical compression myelopathy.2014

    • Author(s)
      Ukegawa D, Kawabata S, Sakaki K, Ishii S, Tomizawa S, Inose H, Yoshii T, Kato T, Enomoto M, Okawa A.
    • Journal Title

      Spine

      Volume: 39 Issue: 3 Pages: E159-E165

    • DOI

      10.1097/brs.0000000000000082

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] A multifunctional neurotrophin with reduced affinity to p75NTR enhances transplanted Schwann cell survival and axon growth after spinal cord injury.2013

    • Author(s)
      Enomoto M, Bunge MB, Tsoulfas P.
    • Journal Title

      Exp Neurol.

      Volume: 248 Pages: 170-82

    • DOI

      10.1016/j.expneurol.2013.06.013

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Sema3A regulates bone-mass accrual through sensory innervations2013

    • Author(s)
      Fukuda T, Takeda S, Xu R, Ochi H, Sunamura S, Sato T, Shibata S, Yoshida Y, Gu Z, Kimura A, Ma C, Xu C, Bando W, Fujita K, Shinomiya K, Hirai T, Asou Y, Enomoto M, Okano H, Okawa A, Itoh H
    • Journal Title

      Nature.

      Volume: 497 Issue: 7450 Pages: 490-493

    • DOI

      10.1038/nature12115

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Porous/dense composite hydroxyapatite for anterior cervical discectomy and fusion2013

    • Author(s)
      Yoshii T, Yuasa M, Sotome S, Yamada T, Sakaki K, Hirai T, Taniyama T, Inose H, Kato T, Arai Y, Kawabata S, Tomizawa S, Enomoto M, Shinomiya K, Okawa A
    • Journal Title

      Spine (Phila Pa 1976)

      Volume: 38(10) Issue: 10 Pages: 833-40

    • DOI

      10.1097/brs.0b013e3182801390

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Modified K-line in magnetic resonance imaging predicts insufficient decompression of cervical laminoplasty.2013

    • Author(s)
      Taniyama T
    • Journal Title

      Spine

      Volume: 2013 Mar 15;38(6) Issue: 6 Pages: 496-501

    • DOI

      10.1097/brs.0b013e318273a4f7

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Intrathecal shRNA-AAV9 inhibits target protein expression in the spinal cord and dorsal root ganglia of adult mice.2012

    • Author(s)
      Hirai T, Enomoto M, Machida A, Yamamoto M, Kuwahara H, Tajiri M, Hirai Y, Sotome S, Mizusawa H, Shinomiya K, Okawa A, Yokota T.
    • Journal Title

      Hum Gene Ther Methods

      Volume: 23 Issue: 2 Pages: 119-27

    • DOI

      10.1089/hgtb.2012.035

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Increase in paravertebral muscle activity in lumbar kyphosis patients by surface electromyography compared with lumbar spinal canal stenosis patients and healthy volunteers.2012

    • Author(s)
      Enomoto M, Ukegawa D, Sakaki K, Tomizawa S, Arai Y, Kawabata S, Kato T, Yoshii T, Shinomiya K, Okawa A.
    • Journal Title

      J Spinal Disord Tech

      Volume: 25 Issue: 6 Pages: 167-73

    • DOI

      10.1097/bsd.0b013e31825d63c4

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] An EGFR inhibitor induces Schwann cell proliferation and promotes functional recovery with remyelination in injured proneal nerve after end-to-side neurorrhaphy.2014

    • Author(s)
      M. Enomoto, M. Ukegawa, H. Kaburagi, T. Hirai, K. Yagishita, A. Okawa, Y. Wakabayashi
    • Organizer
      The 44th annual meeting of the Society for Neuroscience
    • Place of Presentation
      Washington DC, USA
    • Year and Date
      2014-10-19
    • Related Report
      2014 Annual Research Report
  • [Presentation] 脊磁図による頸椎椎間孔の神経活動の可視化2014

    • Author(s)
      角谷 智, 川端 茂徳, 牛尾 修太, 請川 大, 猪瀬 弘之, 吉井 俊貴, 加藤 剛, 榎本 光裕, 大川 淳
    • Organizer
      第29回日本整形外科学会基礎学術集会
    • Place of Presentation
      鹿児島
    • Year and Date
      2014-10-10
    • Related Report
      2014 Annual Research Report
  • [Presentation] TRPV1を標的としたshRNA-AAV9くも膜下腔投与は神経障害性疼痛マウスの熱刺激過敏を有意に抑制する2014

    • Author(s)
      平井 高志, 榎本 光裕, 鏑木 秀俊, 早乙女 進一, 四宮 謙一, 横田 隆徳, 大川 淳
    • Organizer
      第29回日本整形外科学会基礎学術集会
    • Place of Presentation
      鹿児島
    • Year and Date
      2014-10-10
    • Related Report
      2014 Annual Research Report
  • [Presentation] 腰椎変性疾患を有する高齢者の腰背筋活動と多裂筋変性との関係2014

    • Author(s)
      榎本 光裕, 請川 大, 加藤 剛, 吉井 俊貴, 猪瀬 弘之, 小柳津 卓哉, 川端 茂徳, 大川 淳
    • Organizer
      第43回日本脊椎脊髄病学会学術集会
    • Place of Presentation
      京都
    • Year and Date
      2014-04-18
    • Related Report
      2014 Annual Research Report
  • [Presentation] Expression patterns of glial cell-derived neurotrophic factor, vascular endothelial growth factor and their receptors after rat spinal cord injury2013

    • Author(s)
      M. Enomoto, R. Yamashita, M. Ukegawa, H. Kaburagi, T. Hirai, K. Yagishita, A. Okawa
    • Organizer
      The 43th annual meeting of the Society for Neuroscience
    • Place of Presentation
      サンディエゴ、USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Intrathecal AAV serotype 9-mediated delivery of shRNA against TRPV1 attenuates thermal hyperalgesia in a mouse model of peripheral nerve injury2013

    • Author(s)
      T. Hirai, M. Enomoto, H. Kaburagi, S. Sotome, K. Shinomiya, A. Okawa, T. Yokota
    • Organizer
      The 43th annual meeting of the Society for Neuroscience
    • Place of Presentation
      サンディエゴ、USA
    • Related Report
      2013 Research-status Report
  • [Presentation] 脊髄損傷慢性期における移植骨髄間葉系細胞の役割2013

    • Author(s)
      山下 理子, 榎本 光裕, 請川 円, 鏑木 秀俊, 早乙女 進一, 大川 淳
    • Organizer
      第28回日本整形外科学会基礎学術集会
    • Place of Presentation
      千葉県千葉市、幕張メッセ
    • Related Report
      2013 Research-status Report
  • [Presentation] ラット脊髄損傷慢性期に対する運動療法の効果2012

    • Author(s)
      島田皓子, 請川円, 平井高志, 堀江正樹, 柳下和慶, 大川淳, 榎本光裕
    • Organizer
      第27回 日本整形外科学会基礎学術集会
    • Place of Presentation
      名古屋
    • Related Report
      2012 Research-status Report
  • [Presentation] ラット脊髄損傷慢性期におけるトレッドミル運動効果が脊髄での神経栄養因子とシナプス関連タンパクに与える影響2012

    • Author(s)
      請川円 平井高志 鏑木秀俊 大川淳 榎本光裕
    • Organizer
      第35回日本神経科学大会
    • Place of Presentation
      名古屋
    • Related Report
      2012 Research-status Report
  • [Presentation] Both treadmill exercise and swimming induce increase of neurotrophic factors and synaptic proteins at the chronic phase after spinal cord injury2012

    • Author(s)
      M. ENOMOTO, A. SHIMADA, M. UKEGAWA, T. HIRAI, Y. WAKABAYASHI, M. HORIE, A. OKAWA, K. YAGISHITA
    • Organizer
      The 42th annual meeting of the Society for Neuroscience
    • Place of Presentation
      ニューオリンズ 米国
    • Related Report
      2012 Research-status Report
  • [Book] Neuroprotection and Regeneration of the Spinal Cord2014

    • Author(s)
      Mitsuhiro Enomoto, Madoka Ukegawa, Kazuyuki Fukushima, Kush Bhatt, Yoshiaki Wakabayashi, Atsushi Okawa
    • Total Pages
      419
    • Publisher
      Springer
    • Related Report
      2013 Research-status Report
  • [Book] PAIN MANAGEMENT FOLLOWING SPINAL CORD INJURY: CLINICAL AND BASIC SCIENCE PERSPECTIVES2012

    • Author(s)
      Mitsuhiro Enomoto and Aldric T. Hama
    • Total Pages
      39
    • Publisher
      Nova Science Publishers, Inc
    • Related Report
      2012 Research-status Report
  • [Remarks] 東京医科歯科大学整形外科

    • URL

      http://www.tmd.ac.jp/med/orth/

    • Related Report
      2014 Annual Research Report
  • [Remarks] 東京医科歯科大学整形外科

    • URL

      http://www.tmd.ac.jp/med/orth/

    • Related Report
      2013 Research-status Report
  • [Remarks] 東京医科歯科大学整形外科

    • URL

      http://www.tmd.ac.jp/med/orth/

    • Related Report
      2012 Research-status Report

URL: 

Published: 2013-05-31   Modified: 2019-07-29  

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