Every year, thousands of people end up paralyzed when their
spinal cords are injured. Right now, these patients almost
never fully recover. But, as this ScienCentral News video reports,
one nanotechnologist says there may be a way to grow back injured
nerve cells—and repair damaged spinal cords, so that
paralyzed patients can leave their wheelchairs behind.
Tiny Scaffolding
Some of the 250,000 Americans who have been paralyzed by spinal
cord injuries are pressing medical researchers for a cure.
The most prominent is actor and director Christopher Reeve, who was paralyzed after a fall
from his horse in 1995. At a symposium on spinal cord research
at Rockefeller University, held on November 24, 2003,
Reeve commented on "a certain frustration" that he and other
paralyzed patients feel over the current pace of American research,
which has been hampered by political debate over the use of stem
cells. "I think that we need to inject more urgency into
the whole process here," Reeve observed.
Another speaker at the Rockefeller symposium was Michael Di
Scipio, 34, who was paralyzed after a diving accident in July
1999, when he was 29. A single father, he says his two young
children have been injured, too—by what he can't do: "Not
being able to run around and play with them, hold them, tickle
them, tuck them in, give them a kiss good night. Things we're
supposed to do as parents."
One reason that prospects for recovery are dim at present
for patients with spinal cord injury is that unlike other cells,
nerve cells, or neurons in the central nervous system (the brain and spinal cord)
are unique in that they cannot replicate themselves in their
mature state. So repairing spinal cords means finding a way
to get nerve cells to grow back across the gap in a spinal
cord that has been severed.
Some prominent nanotechnologists are hard at work on the problem. Samuel Stupp is professor of chemistry at Northwestern University,
where he is director of the Institute
for Bioengineering and Nanoscience in Advanced Medicine.
He and his research team say they have engineered a nanoscale scaffold upon which new neurons can grow
and bridge the gap in a damaged spinal cord.
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The more green that Stupp's team sees
through a microscope, the more neurons they know they
have been able to grow with their nanoscale scaffolding.
image: Samuel Stupp |
Stupp starts out with a liquid made up of negatively-charged
molecules, which normally would repel each other. "We started
with a very simple concept," explains Stupp, "asking, can we
design a material from the bottom up, that is made of nanostructures
that assemble themselves?” When the negatively-charged
liquid comes across positively-charged molecules found in living
tissue, such as calcium or sodium ions, they instantly clump
together into a gel. This gel forms into tiny fibers, or tubes,
each about five nanometers wide and several hundreds of nanometers
long. Gabriel Silva, a member of Stupp's research team,
explains that each fiber has a hydrophilic, or water loving,
core and a hydrophobic, or water-repelling, surface. In water,
the fibers assemble themselves into miniature scaffolding. Molecules
on the surface of each fiber that are capable of reacting when
they come in contact with biological material like neural cells,
promote the growth of neurons through and around the scaffolding. "In
order to find ways or strategies to re-grow the spinal cord,
we need to be able to give cells the right instructions," says
Stupp. "We are able to induce neural cells to become neurons,
instead of becoming another type of cell of the central nervous
system."
When Stupp's team observes the growth of neurons on their
scaffold through a microscope, Silva says the neurons they
are looking for show as green areas, whereas a less desirable
type of neural cell appears as red spots.
As they reported in the journal Science, the
researchers were surprised by how much green they saw—in
short, many new neurons they have been able to grow. That
could mean hope for Reeve, Di Scipio and others like them,
who one day may be able to leave their wheelchairs permanently.
This research appeared in the January 29, 2004 issue of Science and was
funded by the Department of Energy (DOE), the National Institutes of Health (NIH),
and the National Science Foundation (NSF).