SCI Regeneration MapWhat the world knows about repairing the injured spinal cord

Seven directions of research

Chondroitinase ABC

A list of codes kept in this browser. No name, no medical answer and no account — nothing personal is stored and nothing is registered.

Relationship graph

Class: Biologic protein

What this is

An enzyme delivered to the injury site to break down part of the scar substance.

What problem it is trying to solve

The scar does more than fill the hole: it contains substances that stop nerve fibres from growing.

How it is supposed to work

The proposed mechanism is that removing those inhibiting substances lets surviving fibres grow further, and that training then consolidates the new connections.

Where this is known from: StatPearls Publishing, on the NCBI Bookshelf (NLM) · nobody has yet read that source against these sentences

What this acts on

The parts of the body and the phases of an injury this technology is aimed at, in plain words. Each one opens the rest of what is known about it.

Open this plate

The cord in cross-section at reading size: butterfly-shaped grey matter with its dorsal, lateral and ventral horns; white matter around it; the groove behind and the fissure in front; the sensory rootlets entering behind through their ganglion and the motor rootlets leaving in front, joining as one spinal nerve that then divides. Two arrows: sensation in, movement out.
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Plate 3Atlas of a spinal cord injury3of 19Insidethe cordBackThe cord in cross-section at reading size: butterfly-shaped grey matter with its dorsal, lateral and ventral horns; white matter around it; the groove behind and the fissure in front; the sensory rootlets entering behind through their ganglion and the motor rootlets leaving in front, joining as one spinal nerve that then divides. Two arrows: sensation in, movement out.White matterWhite matterDorsal rootDorsal rootDorsal hornDorsal hornDorsal root ganglionDorsal root ganglionThe cross-sectionThe cross-sectionFrontVentral hornVentral hornVentral rootVentral rootLateral hornLateral hornSpinal nerveSpinal nerveGrey matterGrey matter

What is being changed here, drawn

Inside the cord

The ring around the grey matter. Long fibres in a myelin sheath — the wires the signal travels up and down.

Open this plate · 3 of 19 →

  • White matterThe ring around the grey matter. Long fibres in a myelin sheath — the wires the signal travels up and down.
  • Secondary injuryThe biological processes that begin minutes after the blow and continue for hours, days and weeks. This is where most research aims: unlike the primary damage, this stage is still in progress.
  • Changing the scar and its surroundingsA scar and a chemistry in which a fibre will not grow form around the injury. This direction tries to change that environment rather than the fibre.

How far this has actually got

No step has been recorded for this approach.

A step is recorded when a study in this corpus moves it. Nothing has, so there is no step to show — which is different from the step being zero.

Claims and their evidence states

Human and preclinical evidence are counted separately and never merged.

Human evidence

Nothing has been recorded here yet.

This map holds only what has been read and checked against a source, and nothing has been recorded for this section. Empty here means exactly that — not zero, and not a fault in the page.

Preclinical evidence

Nothing has been recorded here yet.

This map holds only what has been read and checked against a source, and nothing has been recorded for this section. Empty here means exactly that — not zero, and not a fault in the page.

Studies

No study has been recorded for this technology yet.

This map holds only what has been read and checked against a source, and nothing has been recorded for this section. Empty here means exactly that — not zero, and not a fault in the page.

Limits and known risks

The enzyme is unstable and loses activity quickly, so it needs a way of being delivered for long enough and in the right place. The work in this corpus is mostly in animals; there is little in people here.

Safety signals

No safety signal has been recorded.

This map holds only what has been read and checked against a source, and nothing has been recorded for this section. Empty here means exactly that — not zero, and not a fault in the page.

Who researches this, and where

The sites are those the registry record names itself, word for word. A place that is absent was not published by the registry, and no location here is guessed.

Where this work was done

No place is recorded for the studies behind this technology.

A place is kept only where the source published one in the field its basis names. Some registry records do not publish a facility, and nothing is inferred from an address that was never given.

Laboratory

Nothing has been recorded here yet.

This map holds only what has been read and checked against a source, and nothing has been recorded for this section. Empty here means exactly that — not zero, and not a fault in the page.

Clinical trial

Nothing has been recorded here yet.

This map holds only what has been read and checked against a source, and nothing has been recorded for this section. Empty here means exactly that — not zero, and not a fault in the page.

What is still missing

What is missing: a way of delivering it safely in a person, and any study in people with a measured outcome.

Completeness of the literature search

Nothing has been recorded here yet.

This map holds only what has been read and checked against a source, and nothing has been recorded for this section. Empty here means exactly that — not zero, and not a fault in the page.

The originals

Every record behind this page, with a way straight to the publication or the registry entry itself. Nothing here is our text.

No record in this corpus is attributed to this approach.

The searches that were run returned nothing a declared rule could attribute to it. The sources register says what was searched and what each source permits.

Found in the sources and not yet checked

Records the sources hold about this approach that nobody has read yet. They are not evidence and are not counted anywhere on this page.

See what the sources hold — 278 records

In detail: how all of this was measured

Nothing below has been removed or softened — it is the whole evidence model, one screen down, for anybody who wants to check the sentences above rather than take them.

Where this record was first named

The four states

Four separate statements. They are never rolled into one: a technology shown to work in rodents and never tried in people must read as exactly that.

Biologically possible

Not investigated

Nothing has been recorded either way.

Claims and their evidence states

Demonstrated in animals

Not investigated

Nothing has been recorded either way.

Claims and their evidence states

Demonstrated in humans

Not investigated

Nothing has been recorded either way.

Claims and their evidence states

Clinically available

Not investigated

Nothing has been recorded either way.

Claims and their evidence states

Combination · Prognostic value

Combination

No dataNothing has been recorded here yet. This is not a zero.

Prognostic value

No dataNothing has been recorded here yet. This is not a zero.

Readiness by injury phase and impairment band

CompleteSensory incompleteMotor incompleteMixedNot applicableAIS not reportedOutside our vocabulary
AcuteNo dataNo dataNo dataNo dataNo dataNo dataNo data
SubacuteNo dataNo dataNo dataNo dataNo dataNo dataNo data
ChronicNo dataNo dataNo dataNo dataNo dataNo dataNo data
UnknownNo dataNo dataNo dataNo dataNo dataNo dataNo data

Nothing has been recorded here yet. This is not a zero.

The eight evidence dimensions

No dataNothing has been recorded here yet. This is not a zero.

Technologies · Relationships

Nothing has been recorded here yet.

This map holds only what has been read and checked against a source, and nothing has been recorded for this section. Empty here means exactly that — not zero, and not a fault in the page.

Outcome measure

Nothing has been recorded here yet.

This map holds only what has been read and checked against a source, and nothing has been recorded for this section. Empty here means exactly that — not zero, and not a fault in the page.

Cell type, biomaterial or animal model

Nothing has been recorded here yet.

This map holds only what has been read and checked against a source, and nothing has been recorded for this section. Empty here means exactly that — not zero, and not a fault in the page.

Relationships to other technologies

No relationship to another technology has been recorded.

This map holds only what has been read and checked against a source, and nothing has been recorded for this section. Empty here means exactly that — not zero, and not a fault in the page.