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.