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      GEMINI: Initial behavioral results after full severance of the cervical spinal cord in mice

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          Abstract

          Background:

          The GEMINI spinal cord fusion protocol has been developed to achieve a successful cephalosomatic anastomosis. Here, we report the preliminary data on the use of a fusogen [polyethylene glycol (PEG)] after full cervical cord transection in mice to facilitate the fusion of both ends of a sharply transected spinal cord.

          Methods:

          Cervical laminectomy and a complete, visually confirmed cervical cord (C 5) transection was performed on female albino mice ( n = 16). In Group 1 ( n = 8), a fusogen, (PEG) was used to bridge the gap between the cut ends of the spinal cord. Group 2 received the same spinal cord transection but was treated with saline. Outcome was assessed daily using a standard scale (modified 22-point Basso-Beattie-Bresnahan scale) and filmed on camera.

          Results:

          The PEG group (group 1) showed partial restoration of motor function after 4 weeks of observation; group 2 (placebo) did not recover any useful motor activity.

          Conclusion:

          In this preliminary experiment, PEG, but not saline, promoted partial motor recovery in mice submitted to full cervical transection.

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          Spinal interneuron axons spontaneously regenerate after spinal cord injury in the adult feline.

          It is well established that long, descending axons of the adult mammalian spinal cord do not regenerate after a spinal cord injury (SCI). These axons do not regenerate because they do not mount an adequate regenerative response and growth is inhibited at the injury site by growth cone collapsing molecules, such as chondroitin sulfate proteoglycans (CSPGs). However, whether axons of axotomized spinal interneurons regenerate through the inhibitory environment of an SCI site remains unknown. Here, we show that cut axons from adult mammalian spinal interneurons can regenerate through an SCI site and form new synaptic connections in vivo. Using morphological and immunohistochemical analyses, we found that after a midsagittal transection of the adult feline spinal cord, axons of propriospinal commissural interneurons can grow across the lesion despite a close proximity of their growth cones to CSPGs. Furthermore, using immunohistochemical and electrophysiological analyses, we found that the regenerated axons conduct action potentials and form functional synaptic connections with motoneurons, thus providing new circuits that cross the transected commissures. Our results show that interneurons of the adult mammalian spinal cord are capable of spontaneous regeneration after injury and suggest that elucidating the mechanisms that allow these axons to regenerate may lead to useful new therapeutic strategies for restoring function after injury to the adult CNS.
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            HEAVEN: The head anastomosis venture Project outline for the first human head transplantation with spinal linkage (GEMINI)

            In 1970, the first cephalosomatic linkage was achieved in the monkey. However, the technology did not exist for reconnecting the spinal cord, and this line of research was no longer pursued. In this paper, an outline for the first total cephalic exchange in man is provided and spinal reconnection is described. The use of fusogens, special membrane-fusion substances, is discussed in view of the first human cord linkage. Several human diseases without cure might benefit from the procedure.
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              Regeneration: Not everything is scary about a glial scar.

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                Author and article information

                Contributors
                Journal
                Surg Neurol Int
                Surg Neurol Int
                SNI
                Surgical Neurology International
                Medknow Publications & Media Pvt Ltd (India )
                2229-5097
                2152-7806
                2016
                13 September 2016
                : 7
                : Suppl 24 , SNI: Head and Spinal Cord Transplantation a supplement to Surgical Neurology International
                : S629-S631
                Affiliations
                [1 ]Department of Stem Cell Biology, School of Medicine, Konkuk University, Seoul, Korea
                [2 ]Department of Laboratory Animal Medicine, College of Veterinary Medicine, Seoul National University, Seoul, Korea
                Author notes
                [* ]Corresponding author
                [†]

                These authors equally contributed to this work.

                Article
                SNI-7-629
                10.4103/2152-7806.190474
                5025949
                27656325
                06e243e0-1876-4c50-89ed-3b3b8f4ae0ff
                Copyright: © 2016 Surgical Neurology International

                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.

                History
                : 07 August 2016
                : 31 August 2016
                Categories
                Original Article

                Surgery
                cephalosomatic anastomosis,gemini,peg,spinal cord fusion
                Surgery
                cephalosomatic anastomosis, gemini, peg, spinal cord fusion

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