Skip to main content

The effect of transplantation of adipose-derived stem cells to spinal cord on the recovery of urinary bladder function in patients having spinal cord injuries: a urodynamic study

Abstract

Introduction

Stem cells transplantation, as a therapeutic intervention for spinal cord injury (SCI), has been extensively studied by researchers in recent years.

Our study aimed to study the effect of transplantation of adipose-derived stem cells into spinal cord by intrathecal injection on the recovery of urinary bladder function assessed by a urodynamics study in patients having SCIs.

Patients and methods

A total of 69 patients who had cervical incomplete tetraplegia were divided into two groups: group 1 had 37 patients who were treated with adipose-derived stem cells transplanted into spinal cord via intrathecal injection and were assessed by a urodynamic study before stem cell transplantation and then 6 months and 1 year after transplantation, and group 2 had 32 patients who underwent rehabilitation program only and were assessed by a urodynamic study before starting rehabilitation and then 6 months and 1 year after program.

Results

Eight (21.62%) patients benefitted from stem cells transplantation into spinal cord regarding urinary bladder function as assessed by urodynamics in varying degrees, but there was no significant difference between both groups.

Conclusion

Stem cells transplantation is a promising treatment for patients having SCI.

References

  1. Yip PK, Malaspina A. Spinal cord trauma and the molecular point of no return. Mol Neurodegener 2012; 7:6

    Article  Google Scholar 

  2. Sekhon LHS, Fehlings MG. Epidemiology, demographics, and pathophysiology of acute spinal cord injury. Spine 2001; 26(Suppl 24):S2–S12

    Article  CAS  Google Scholar 

  3. Thuret S, Moon LDF, Gage FH. Therapeutic interventions after spinal cord injury. Nat Rev Neurosci 2006; 7:628–643

    Article  CAS  Google Scholar 

  4. Pannek J, Kullik B. Does optimizing bladder management equal optimizing quality of life? correlation between health-related quality of life and urodynamic parameters in patients with spinal cord lesions. Urology 2009; 74:263–266

    PubMed  Google Scholar 

  5. Pannek J, Gocking K, Bersch U. Long-term effects of repeated intradetrusor botulinum neurotoxin A injections on detrusor function in patients with neurogenic bladder dysfunction. BJU Int 2009; 104: 1246–1250

    Article  CAS  Google Scholar 

  6. Grabel L. Prospects for pluripotent stem cell therapies: into the clinic and back to the bench. J Cell Biochem 2012; 113:381–387

    Article  CAS  Google Scholar 

  7. Himes BT, Neuhuber B, Coleman C, Kushner R, Swanger SA, Kopen GC. Recovery of function following grafting of human bone marrow-derived stromal cells into the injured spinal cord. Neurorehabil Neural Repair 2006; 20:278–296

    Article  Google Scholar 

  8. Vazin T, Freed WJ. Human embryonic stem cells: derivation, culture, and differentiation: a review. Restor Neurol Neurosci 2010; 28:589–603

    CAS  PubMed  PubMed Central  Google Scholar 

  9. Mothe AJ, Tator CH. Advances in stem cell therapy for spinal cord injury. J Clin Invest 2012; 122:3824–3834

    Article  CAS  Google Scholar 

  10. Maynard FM Jr, Bracken MB, Creasey G, Ditunno JF Jr, Donovan WH, Ducker TB. American spinal injury association. International standards for neurological and functional classification of spinal cord injury. Spinal Cord 1997; 35:266–274

    PubMed  Google Scholar 

  11. Schafer W, Abrams P, Liao L, Mattiasson A, Pesce F, Spangberg A. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourol Urodyn 2002; 21:261–274

    Article  Google Scholar 

  12. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology 2003; 61:37–49

    Article  Google Scholar 

  13. Boquest AC, Shahdadfar A, Frønsdal K, Sigurjonsson O, Tunheim SH, Collas P, Brinchmann JE. Isolation and molecular profiling of human stromal stem cells derived from adipose tissue. Mol Biol Cell 2005; 24:1294–1301

    Google Scholar 

  14. Kolar MK, Kingham PJ, Novikova LN, Wiberg M, Novikov LN. The therapeutic effects of human adipose-derived stem cells in a rat cervical spinal cord injury model. Stem Cells Dev 2014; 23:1659–1674

    Article  CAS  Google Scholar 

  15. Kim JH, Shim SR, Doo SW, Yang WJ, Yoo BW, Kim JM, et al. Bladder recovery by stem cell based cell therapy in the bladder dysfunction induced by spinal cord. PLoS One 2015; 10:e0113491

    Article  Google Scholar 

  16. Cheng H, Liu X, Hua R, Dai G, Wang X, Gao J, An Y. Clinical observation of umbilical cord mesenchymal stem cell transplantation in treatment for sequelae of thoracolumbar spinal cord injury. J Transl Med 2014; 12:253

    Article  Google Scholar 

  17. Shroff G, Barthakur JK. Bowel/bladder sensation and control in patients with spinal cord injury treated with human embryonic stem cell therapy. EC Neurology 2015; 2:47–54

    Google Scholar 

  18. Larocca T, De Freitas Souza B, Soares M, Mascarenhas F, Santos R. Bladder functional improvements after autologous transplantation of bone marrow mesenchymal stem cells In patients with chronic spinal cord injury: a phase I/II study. Eur Urol 2016; 15:282

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ahmad El Zayat.

Additional information

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

El Zayat, A., Badran, Y. The effect of transplantation of adipose-derived stem cells to spinal cord on the recovery of urinary bladder function in patients having spinal cord injuries: a urodynamic study. Egypt Rheumatol Rehabil 45, 100–105 (2018). https://doi.org/10.4103/err.err_8_18

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/err.err_8_18

Keywords