title: Electron microscopic study of the progeny of ependymal stem cells in the normal and injured spinal cord.
abstract: BACKGROUND
  Spinal cord injury (SCI) is a common and often irreversible lesion that can incapacitate patients. Precursor cells in the spinal cord proliferate in response to trauma, and this proliferation can be enhanced by exogenous stimuli such as specific growth factors. In the present study, we examined electron microscopic detection of the proliferation, distribution, and phenotypic fate of these precursor cells in the injured adult rat spinal cord.
  
  
  METHODS
  Adult female Sprague-Dawley rats weighing 250 to 300 g were divided into 3 groups. The first group consisted of spinal cord-injured animals with application of a 2.4-g clip extradurally around the spinal cord at the T1 level. A 26-g clip was applied in the second group. The third group included normal uninjured animals. Rats were sacrificed at 3 days, 3 weeks, and 6 weeks after injury. A segment of the spinal cord, 0.4 cm in length, encompassing the injury site was removed and was prepared for electron microscopy.
  
  
  RESULTS
  Three days after mild injury (2.4-g clip), ependymal cells had begun to proliferate and had migrated from the central canal. They had a tendency to surround perivascular spaces close to the axons. The central canal rostral to the lesion site was widely dilated at 6 weeks postoperative in the moderately injured groups (26-g clip). The layer of ependymal cells lining the dilated canal showed reduction in cell height. Traumatic syringomyelic cavities were observed in all of the animals. There was an active proliferative response of the ependymal cells to injury. Large clusters of displaced ependymal cells associated with the dilated central canal were observed. Rests of ependymal cells were observed remote from the central canal with a tendency to form rosettes and accessory lumina 6 weeks after trauma. Fascicles of 3 to 8 fibers enclosed within an ependymal cell were a common finding among the ependymal clusters. There were also debris and some ependymal cells in the lumen.
  
  
  CONCLUSIONS
  Trauma induces active proliferation of precursor cells in the ependymal region. These cells may replace neural tissue lost to SCI and may assist in axonal regeneration.
authors.affiliation: Department of Neurosurgery, Ankara University Faculty of Medicine, Samanpazari, Ankara 06100, Turkey. ayhanattar@hotmail.com
authors.forename: Ayhan
authors.initials: A
authors.lastname: Attar
authors.forename: Erkan
authors.initials: E
authors.lastname: Kaptanoglu
authors.forename: Zafer
authors.initials: Z
authors.lastname: Aydin
authors.forename: Murat
authors.initials: M
authors.lastname: Ayten
authors.forename: Mustafa F
authors.initials: MF
authors.lastname: Sargon
mesh_terms: D000818:Animals; D049109:Cell Proliferation; D004805:Ependyma / Q000503:physiopathology / Q000648:ultrastructure*; D005260:Female; D008854:Microscopy, Electron; D051381:Rats; D017207:Rats, Sprague-Dawley; D013119:Spinal Cord Injuries / Q000473:pathology* / Q000503:physiopathology; D013234:Stem Cells / Q000502:physiology* / Q000648:ultrastructure*; D013904:Thoracic Vertebrae; D013997:Time Factors