Plugging Up the Injured Spinal Cord

After spending the early 1970s studying regeneration in the Xenopus frog tadpole's optic nerve, Paul J. Reier began to ponder how mammalian spinal cord injuries (SCIs) might heal. Eventually, the junior professor at the University of Maryland School of Medicine chose to enter an emerging field: fetal cell transplantation into the spinal cord. A colleague called the career move crazy--a judgment that Reier now admits wasn't totally unwarranted. "The spinal cord injury field was clouded by pessimi

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Fast-forward two decades: Reier, now a neuroscience professor at the University of Florida College of Medicine in Gainesville, is helping oversee a pioneering clinical trial in which eight SCI patients have received transplants of spinal cord tissue from human fetuses. Papers about the trial have just been published.1,2 In another trial, five SCI patients have received cord tissue from pig fetuses. In animal studies, many labs are treating SCI models with various cell types, ranging from workaday fibroblasts to sexy stem cells. Researchers regularly report that crippled animals regain some degree of function. Alan Tessler, a neurobiology and anatomy professor at Philadelphia's MCP Hahnemann Univer-sity, says he senses "tremendous optimism" in the field.

What has happened in 20 years? At least two landmark studies helped dispel researchers' pessimism. In 1980, researchers learned that mammalian central nervous system neurons, long considered inert, could grow if placed beside axon bundles grafted from ...

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