학술논문

Leveraging biomedical informatics for assessing plasticity and repair in primate spinal cord injury
Document Type
article
Source
Subject
Biomedical and Clinical Sciences
Neurosciences
Regenerative Medicine
Rehabilitation
Spinal Cord Injury
Physical Injury - Accidents and Adverse Effects
Neurodegenerative
Traumatic Head and Spine Injury
5.1 Pharmaceuticals
Neurological
Animals
Disease Models
Animal
Humans
Macaca mulatta
Medical Informatics
Motor Activity
Neuronal Plasticity
Recovery of Function
Spinal Cord Injuries
Spinal Cord Regeneration
Translational Research
Biomedical
Treatment Outcome
Non-human primate
Spinal cord injury
Bioinformatics
Big-data
Syndromics
Statistics
Translation
Plasticity
Recovery
Motor function
Sensory function
Autonomic function
Psychology
Cognitive Sciences
Neurology & Neurosurgery
Biological psychology
Language
Abstract
Recent preclinical advances highlight the therapeutic potential of treatments aimed at boosting regeneration and plasticity of spinal circuitry damaged by spinal cord injury (SCI). With several promising candidates being considered for translation into clinical trials, the SCI community has called for a non-human primate model as a crucial validation step to test efficacy and validity of these therapies prior to human testing. The present paper reviews the previous and ongoing efforts of the California Spinal Cord Consortium (CSCC), a multidisciplinary team of experts from 5 University of California medical and research centers, to develop this crucial translational SCI model. We focus on the growing volumes of high resolution data collected by the CSCC, and our efforts to develop a biomedical informatics framework aimed at leveraging multidimensional data to monitor plasticity and repair targeting recovery of hand and arm function. Although the main focus of many researchers is the restoration of voluntary motor control, we also describe our ongoing efforts to add assessments of sensory function, including pain, vital signs during surgery, and recovery of bladder and bowel function. By pooling our multidimensional data resources and building a unified database infrastructure for this clinically relevant translational model of SCI, we are now in a unique position to test promising therapeutic strategies' efficacy on the entire syndrome of SCI. We review analyses highlighting the intersection between motor, sensory, autonomic and pathological contributions to the overall restoration of function. This article is part of a Special Issue entitled SI: Spinal cord injury.