Neurosurgery, 2019 · DOI: 10.1093/neuros/nyy012 · Published: January 1, 2019
This research explores a potential cell therapy for degenerative disc disease (DDD), a condition causing neck and back pain due to intervertebral disc (IVD) degeneration. The study uses nucleus pulposus (NP)-like cells (NPCs) derived from human umbilical cord mesenchymal stem cells (MSCs) to regenerate degenerated IVDs in a rabbit model. The results suggest that transplanted NPCs can survive, integrate into the damaged IVDs, and improve their structure and function, offering a promising avenue for treating DDD.
The study provides a rationale for initiating clinical trials to assess the efficacy of MSC-derived NPCs in treating DDD in humans.
The use of umbilical cord MSCs offers a less invasive and ethically more acceptable source of cells for regenerative therapies compared to embryonic stem cells.
Understanding the role of the TGFβ1/Smad signaling pathway may lead to the development of targeted therapies to promote NP regeneration.