Victoria Moreno-Manzano

Spinal cord injury (SCI) is a devastating, debilitating, and life-altering condition that lacks a cure or effective treatment as of today. An altered excitation/inhibition ratio after an injury, with an increase in inhibitory input, limits motor and sensory function. Together with the limited endogenous regeneration capacity of the affected neuronal circuits, this results in further loss of function. Hingorani and collaborators recently reported that transplantation of dissociated sensory neurons from neonatal dorsal root ganglia (DRGs) expressing the bacterial sodium channel NaChBac significantly improved locomotion in a severe SCI by increasing the excitatory neuronal input at the injury site. Here, we additionally target the potential axonal regeneration of endogenous and transplanted cells, using cytoskeleton-modulating drugs to enhance axonal length. We employ, alone or in combination, blebbistatin and epothilone B, tested in vitro. We found that individually, each compound significantly induced the sensory neurons’ axonal elongation; however, their combination completely abolished it. Interestingly, a combinatory treatment including the modification of DRGs to express the NaChBac sodium channel and the treatment with blebbistatin increased the axonal elongation in vitro. Nevertheless, when applied in vivo in a model of SCI, local and single para-amino-blebbistatin (a stable analogue of blebbistatin) administration and the transplanted NaChBac expressing sensory neurons limit the functional recovery enabled by neuronal transplantation alone. Thus, despite the beneficial outputs of isolated neuronal cultures that allow selection of in vivo combinatory strategies, the multifaced characteristics of CNS injuries limit the potential success of single and local treatment administration, demanding extended and sustained treatments.

After spinal cord injury (SCI), cyclic adenosine monophosphate (cAMP) levels drop in the spinal cord, cortex and brainstem, unlike in regenerating peripheral neurons. To address SCI recovery, we expressed photoactivatable adenylate cyclase (bPAC) in corticospinal neurons of female rats with dorsal hemisection for on-demand cAMP inductions. bPAC stimulation restored passive and firing properties of corticospinal neurons, promoted early and sustained locomotor recovery and increased corticospinal tract plasticity. Additionally, bPAC enhanced sparing of lumbar-projecting brainstem neurons after SCI, accompanied by activation of cAMP signaling in the raphe-reticular formation and increased excitatory/inhibitory neurotransmitter balance. Accordingly, augmented density of serotonergic tracts was found caudal to the injury in bPAC rats, correlating with enhanced functional performance. Serotonergic implication in motor recovery was further evidenced by selective depletion, resulting in the abrogation of bPAC-mediated recovery. Overall, our findings underscore that cAMP induction in corticospinal neurons enhances locomotion after SCI, through a cortical rerouting pathway via the serotonergic descending tract.

Spinal cord injury (SCI) is a devastating condition that leads to motor, sensory, and autonomic dysfunction. Current therapeutic options remain limited, emphasizing the need for a comprehensive understanding of the underlying SCI-associated molecular mechanisms. This study characterized distinct SCI phases and severities at the gene and functional levels, focusing on biomarker gene identification. Our approach involved a systematic review, individual transcriptomic analysis, gene meta-analysis, and functional characterization. We compiled a total of fourteen studies with 273 samples, leading to the identification of severity- and phase-specific biomarker genes that allow the precise classification of transcriptomic profiles. We investigated the potential transferability of severity-specific biomarkers and identified a twelve-gene signature that predicted injury prognosis from human blood samples. We also report the development of MetaSCI-app - an interactive web application designed for researchers - that allows the exploration and visualization of all generated results ( https://metasci-cbl.shinyapps.io/metaSCI ). Overall, we present a transcriptomic reference and provide a comprehensive framework for assessing SCI considering severity and time perspectives, all integrated into a user-friendly tool.

In the tissue regeneration field, stem cell transplantation represents a promising therapeutic strategy. To favor their implantation, proliferation and differentiation need to be controlled. Several studies have demonstrated that stem cell fate can be controlled by applying continuous electric field stimulation. This study aims to characterize the effect of a specific microsecond electric pulse stimulation (bipolar pulses of 100 µs + 100 µs, delivered for 30 min at an intensity of 250 V/cm) to induce an increase in cell proliferation on mesenchymal stem cells (MSCs) and induced neural stem cells (iNSCs). The effect was evaluated in terms of (i) cell counting, (ii) cell cycle, (iii) gene expression, and (iv) apoptosis. The results show that 24 h after the stimulation, cell proliferation, cell cycle, and apoptosis are not affected, but variation in the expression of specific genes involved in these processes is observed. These results led us to investigate cell proliferation until 72 h from the stimulation, observing an increase in the iNSCs number at this time point. The main outcome of this study is that the microsecond electric pulses can modulate stem cell proliferation.

Myelomeningocele (MMC) is a congenital birth defect of the spine and spinal cord, commonly treated clinically through prenatal or postnatal surgery by repairing the unclosed spinal canal. Having previously developed a PLA/PCL polymer smart patch for this condition, we aim to further expand the potential therapeutic options by providing additional cellular and biochemical support in addition to its mechanical properties. Bone morphogenetic proteins (BMPs) are a large class of secreted factors that serve as modulators of development in multiple organ systems, including the CNS. We hypothesize that our smart patch mitigates the astrogenesis induced, at least partly, by increased BMP activity during MMC. To test this hypothesis, neural stem or precursor cells were isolated from rat fetuses and cultured in the presence of Noggin, an endogenous antagonist of BMP action, with recombinant BMPs. We found that the developed PLA/PCL patch not only serves as a biocompatible material for developing neural stem cells but was also able to act as a carrier for BMP–Notch pathway inhibitor Noggin, effectively minimizing the effect of BMP2 or BMP4 on NPCs cultured with the Noggin-loaded patch.

Objectives: in recent biomedical applications for regenerative and tissue engineering, the use of electric and magnetic fields is increasingly exploited. Among the wide application range, an innovative treatment for Spinal Cord Injury (SCI) is urgent. The European project RISEUP proposes a novel device development, that will provide highly intense microsecond pulsed electric fields (μsPEFs) to stimulate stem cells differentiation towards neuronal phenotypes, through an electroporation-driven process, and regenerate the lesioned tissue. Within RISEUP the use of advanced computational models is crucial to predict the cellular functional response through microdosimetry studies. Technology or Method: a multiphysic neuro-functionalized computational model has been built, using a realistic induced Neuronal Stem Cell (iNSC) model (a iNSC digital twin), to predict the effect of μsPEFs stimulation on both neuronal response and pore formation dynamics. Results: considering a 100-μsPEF and an intensity of 30 kV/m, the pore density can reach up to 10 ¹⁴ m ⁻² over the plasma membrane, with a consequent hyperpolarization and a phase shift of the neuronal firing. Whereas, where the pore density remains at its default value 10 ⁹ m ⁻² , the neuronal response is slightly affected in spikes frequency and shape, but still maintaining its firing functions. Conclusions : this study provides an innovative multiphysics implementation on a realist 2D iNSC model, that has demonstrated the 100-μsPEF influence on the neurodynamic response. Clinical or Biological Impact: the results obtained give powerful insights for further in vitro and in vivo experiments, that will validate the use of the device proposed within RISEUP for SCI regeneration.