11 septiembre 2006

The Quest to Repair the Damaged Spinal Cord . Maria Teresa Moreno-Flores* and Jesús Ávila .

Recent Patents on CNS Drug Discovery, 2006, 1, 55-63 55

1574-8898/06 $100.00+.00 © 2006 Bentham Science Publishers Ltd.

The Quest to Repair the Damaged Spinal Cord

Maria Teresa Moreno-Flores* and Jesús Ávila

Centro de Biología Molecular “Severo Ochoa”, Facultad de Ciencias, Universidad Autónoma de Madrid, 28049

Madrid, Spain

Received: July 13, 2005; Accepted: September 13, 2005; Revised: September 20, 2005

Abstract: Spinal cord injuries devastate the lives of those affected. Normally, acute injury leads to chronic injury in the

spinal cord, although this has a variable impact on normal sensory and motor functions. Currently the only drug used to

treat acute spinal cord injury is methyl-prednisolone, administered in order to prevent secondary inflammatory neural

damage. Thus, it is time that alternative and complementary pharmacological, cell and gene therapies be developed. In

order to achieve this, several approaches to stimulate spinal cord repair must be considered. Indeed, the main lines of

research that have been established in different animal models of spinal cord regeneration are now beginning to produce

encouraging results. Several patents have been derived from these studies and hopefully, they will lead to the development

of new treatments for human spinal cord injuries. Here is presented a review of the main patents that have been generated

by this research, and that can be classified as:

- Patents involving the use of different factors that promote axonal regeneration.

- Patents aimed at overcoming the activity of glial scar inhibitory molecules that hinder axonal regeneration. These

approaches can be further subdivided into those that block Nogo and other myelin components, and those that involve the

use of chondroitinase against glial scar chondroitin sulphate proteoglycans.

- Patents concerning glial cell therapy, in which glial cells are used to mediate axonal repair in the spinal cord (Schwann

cells, olfactory ensheathing cells or astrocytes).

Keywords: Spinal cord repair, central nervous system regeneration, axonal regeneration, neurotrophic factors, glial scar

molecules, glial cell therapy.




ACKNOWLEDGMENTS

We are indebted to Neuropharma Inc., M. Botín and

Ramón Areces Foundations and the DGCYT. M.T.M. was

supported by contracts from the Spanish C.S.I.C, Neuropharma

Inc, and Severo Ochoa Foundation.