Lecture at Neuroscience 2005, 35th SFN
Annual Meeting, 12-16 November 2005, Washington D.C.
Macrophage Therapy
Developed for Complete SCI may also be of benefit for
Incomplete SCI
Yonit Bomstein, Karen Vitner, Keren Bressler, Barak
Yahalom, Igor Smirnov, Jonathan B. Marder and Eti Yoles
A therapy for complete spinal
cord injury (SCI) is being developed, consisting of
autologous grafts of macrophages that have been educated to
a wound-healing phenotype by co-incubation with skin tissue.
Following successful Phase I clinical trials that indicated
a favorable safety profile, the therapy is now being tested
in Phase II clinical trials. We now show that this cell
therapy offers measurable benefit in animals subjected to
less severe SCI. Skin-activated macrophages were implanted
to the moderately contused spinal cord of adult rats days
8-9 post injury. Retrograde tracing experiments with
Fluorogold revealed no adverse effect of the macrophage
treatment on surviving neurons, and in fact led to higher
numbers of labeled neurons in red nuclei. Behavioral
assessment revealed significantly better recovery in the
rats implanted with macrophages as compared to control rats.
These results suggest that the
macrophage cell therapy now being tested on patients with
complete SCI may also be beneficial in cases of
incomplete SCI, which account for slightly over 50% of
all SCI cases.