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. 2023 Jul 3;85(8):3943–3954. doi: 10.1097/MS9.0000000000001034

TABLE 2.

Summary of combinatorial approaches for spinal cord injury: components and effects on axonal regeneration, myelination, neuroprotection, and functional recovery.

Combinatorial approach Components Effects on spinal cord injury
Stem cells + growth factors Neural stem cells + BDNF, NT-3, GDNF Promote axonal regeneration, myelination, and functional recovery
Stem cells + scaffolds Mesenchymal stem cells + chitosan, collagen, fibrin, hyaluronic acid Provide mechanical support, promote cell survival and differentiation, and improve functional recovery
Stem cells + immune modulation Induced pluripotent stem cells + regulatory T cells, cytokines, antibodies Modulate immune response, reduce inflammation, and promote tissue repair
Stem cells + exosomes Olfactory ensheathing cells + exosomes derived from MSCs or neural stem cells Deliver trophic factors, promote axonal growth and myelination, and reduce apoptosis
Stem cells + electrical stimulation Schwann cells + conductive polymers, electric fields Enhance cell migration, promote myelination and axonal regeneration, and improve functional recovery
Stem cells + gene therapy Neural stem cells + growth factors, transcription factors, CRISPR/Cas9 Enhance cell survival, differentiation, and integration, and promote tissue repair and functional recovery
Stem cells + physical therapy Mesenchymal stem cells + locomotor training, range-of-motion exercises Improve motor function, muscle strength, and quality of life

BDNF, brain-derived neurotrophic factor; GDNF, cell-derived neurotrophic factor; MSC, mesenchymal stem cell; NT-3, neurotrophin-3.