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Project 0.20329123573262475 in Spain
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Project 0.20329123573262475 in Spain

    Statements

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    116,160.0 Euro
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    145,200.0 Euro
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    80.0 percent
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    1 January 2018
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    31 December 2021
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    FUNDACION DEL HOSPITAL NACIONAL DE PARAPLEJICOS
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    45168
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    EN EL PASADO, LOS TRATAMIENTOS DE LAS LESIONES DE LA MEDULA ESPINAL CONSISTIERON EN ESTRATEGIAS UNIDIRECCIONALES BASADAS EN FARMACOLOGIA, BIOMATERIALES O IMPLANTES DE CELULAS MADRE. AUNQUE CASI TODAS LAS PUBLICACIONES MUESTRAN UNA MEJORA DE LA RECUPERACION FUNCIONAL DE LOS ANIMALES, LOS ENSAYOS CLINICOS REALIZADOS CON DICHOS TRATAMIENTOS APENAS HAN MOSTRADO BENEFICIOS A LOS PACIENTES. UNA DE LAS ESTRATEGIAS MAS PROMETEDORAS ES EL IMPLANTE DE CELULAS MADRE MESENQUIMALES, QUE ACTUAN SOBRE LOS PROCESOS DEGENERATIVOS TISULARES. SIN EMBARGO, LOS ESTUDIOS REALIZADOS NO MUESTRAN RESULTADOS DE SUPERVIVENCIA O INTEGRACION DE LAS CELULAS IMPLANTADAS A LARGO TIEMPO. EN ESTE PROYECTO ABORDAREMOS ESTE PROBLEMA. INDUCIREMOS UN MICROAMBIENTE ANTI-INFLAMATORIO Y PROREGENERATIVO, CREANDO ASI UN NICHO QUE FAVOREZCA LA SUPERVIVENCIA DE LAS CELULAS MADRE. EL PROGRAMA DE TRABAJO TIENE CINCO OBJETIVOS: 1) SEGUN RESULTADOS DE NUESTRO GRUPO, TGR5 ES UNA NUEVA DIANA QUE PROMUEVE UN FENOTIPO DE MICROGLIA ANTI-INFLAMATARIO Y PROREGENERATIVO. ESTUDIAREMOS LAS RUTAS DE SEÑALIZACION ACTIVADAS POR AGONISTAS DE TGR5 EN LA MICROGLIA. PARA ELLO, LA COMPAÑIA INTERCEPT PHARMA (EEUU) NOS FACILITARA UN NUEVO AGONISTA DE TGR5 MAS ESPECIFICO, INT777, QUE COMPARAREMOS CON LIGANDOS NATURALES. 2) INVESTIGAREMOS LA HIPOTESIS DE QUE LA ACTIVACION DE TGR5 APOYE LA SUPERVIVENCIA DE NEURONAS Y LA REGENERACION AXONAL. 3) UTILIZAREMOS LA ACTIVACION DEL RECEPTOR TGR5 DE ACIDOS BILIARES COMO AGENTE ANTI-INFLAMATORIO Y CITOPROTECTOR EN UN MODELO PRECLINICO POR CONTUSION DE LA MEDULA ESPINAL DE RATAS. 4) COOPERAMOS CON LA COMPAÑIA NEUROPLAST BV (PAISES BAJOS). NEUROPLAST HA DESARROLLADO UN PROCEDIMIENTO DE PURIFICACION DE CELULAS MADRE MESENQUIMALES DE LA MEDULA OSEA HUMANA PARA SU APLICACION EN EL SISTEMA NERVIOSO CENTRAL. ESTUDIAREMOS, COMO LA SEÑALIZACION DE TGR5 INFLUYE SOBRE LA SUPERVIVENCIA, PROLIFERACION Y DIFERENCIACION DE LAS CELUAS MADRE. 5) SEGUN LOS RESULTADOS (1-4) COMBINAREMOS EL TRATAMIENTO FARMACOLOGICO VIA TGR5 CON LA INYECCION INTRATECAL DE CELULAS MADRE MESENQUIMALES TRAS LA LESION MEDULAR EN RATAS. DETERMINAREMOS LA APORTACION DE CADA UNA DE LOS MECANISMOS MOLECULARES DE TRG5 EN LOS EFECTOS ANTI-INFLAMATORIOS Y PROREGENERATIVOS DE LAS CELULAS MADRES. SE CUANTIFICARA EL EXITO TERAPEUTICO A NIVEL MOLECULAR, INUNOHISTOQUIMICO, CON RESONANCIA MAGNETICA DE ANIMALES (TRACTOGRAFIA) Y CON ENSAYOS DE COMPORTAMIENTO. (Spanish)
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    IN THE PAST, EXPERIMENTAL TREATMENTS FOR SPINAL CORD INJURY (SCI) WERE SINGLE APPROACH STRATEGIES, BASED EITHER ON PHARMACOLOGY, BIOMATERIAL SCAFFOLDS OR, RECENTLY, THE IMPLANTATION OF STEM CELLS. ALTHOUGH MOST PUBLICATIONS REPORT IMPROVEMENTS OF FUNCTIONAL RECOVERY, THEY HAVE NOT YIELDED SUCCESSFUL CLINICAL STUDIES. THE NEED FOR A COMBINATORIAL APPROACH IS NOW GENERALLY ACKNOWLEDGED. ONE OF THE MOST SUCCESSFUL STRATEGIES CONSISTS IN THE IMPLANTATION OF STEM CELLS, WHICH INDUCE ENDOGENOUS REPAIR PROCESSES. AS A GENERAL RULE, HOWEVER, LONG TERM SURVIVAL AND INTEGRATION OF THE IMPLANTED CELLS DOES NOT OCCUR. THE PRESENT PROJECT ADDRESSES THIS PROBLEM BY INDUCING A MICROGLIAL PHENOTYPE THAT CREATES A PRO-REGENERATIVE ENVIRONMENT FOR THE IMPLANTATION OF STEM CELLS. FOR THIS WE INVESTIGATE A NEW TARGET IN THE CNS, THE BILE ACID RECEPTOR TGR5. THE PROJECT HAS FIVE MAJOR OBJECTIVES: 1) FOLLOWING THE DISCOVERY OF THE ANTI-INFLAMMATORY POTENTIAL OF THE BILE ACID RECEPTOR TGR5, WE WILL NOW UNRAVEL THE MOLECULAR MECHANISMS OF THIS PATHWAY IN MICROGLIA. FOR THIS PURPOSE, THE COMPANY INTERCEPT PHARMA (USA) PROVIDES US WITH A NEW, SPECIFIC AGONIST OF TGR5: INT777, WHICH WE COMPARE WITH NATURAL TGR5 LIGANDS. 2) BASED ON NEUROTROPHIC EFFECT OF BILE ACIDS, THE SIGNALING MECHANISMS OF TGR5 IN NEURONS WILL BE STUDIED. WE WILL TEST THE HYPOTHESIS THAT TGR5 ACTIVATION PROMOTES AXONAL REGENERATION. 3) IN AN ANIMAL MODEL OF SCI, WE WILL INVESTIGATE CELLULAR EFFECTS AND THE THERAPEUTIC VALUE OF PARMACOLOGICAL TGR5-ACTIVATION FOCUING ON THE INFLAMMATORY RESPONSE, NEURAL REGENERATION AND FUNCTIONAL OUTCOME (MOTOR RECOVERY). 4) OUR COOPERATION PARTNER NEUROPLAST BV (MAASTRICHT, NETHERLANDS) HAS DEVELOPED A FAST AND EFFICIENT METHOD TO PURIFY HUMAN MESENCHYMAL STEM CELLS (HMSC) FOR THE TREATMENT OF SCI. WE WILL INVESTIGATE THE INFLUENCE OF TGR5 SIGNALING ON SURVIVAL, PROLIFERATION AND DIFFERENTIATION OF THESE CELLS. 5) ACCORDING TO THE RESULTS (OBTAINED IN 1-4) THE MOST SUITABLE PHARMACOLOGICAL ACTIVATION OF TGR5 WILL BE COMBINED WITH INTRATHECAL INJECTION OF HMSC IN THE RAT SPINAL CORD CONTUSION MODEL. THE THERAPEUTIC OUTCOME WILL BE MONITORED WITH QUANTITATIVE RT-PCR, IMMUNE HISTOCHEMISTRY, DIFFUSION TENSOR IMAGING AND BEHAVIORAL ASSAYS OF FUNCTIONAL RECOVERY. (English)
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    Toledo
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    Identifiers

    SAF2017-89366-R
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