Liu Yan-Ning, Yan Xi, Sun Zhao, Han Qin, Zhao Robert Chun-Hua
Center of Tissue Engineering, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100005, China.
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2007 Apr;15(2):306-12.
Duchenne muscular dystrophy (DMD) is a common X-linked disease characterized by widespread muscle damage that invariably leads to paralysis and death. There is currently no therapy for this disease. This study was purposed to investigate the feasibility to use adult adipose-derived mesenchymal stem cells (AD-MSCs) in the therapy of DMD. The Flk-1(+) MSCs were isolated from adipose tissue of adult GFP mice; the phenotype and cell cycle of MSCs were analyzed by flow cytometry; the AD-MSCs were directionally differentiated by myoblast and endotheliablast induction system in vitro and were identified by immumofluorecence staining and RT-PCR; the AD-MSCs were transplanted into CTX-injured mice model or mdx mice (DMD animal model) through tail vein; the distribution and differentiation of AD-MSCs were detected by immunofluorescence staining and RT-PCR respectively, and statistic analysis was performed. The results showed that the Flk-1(+) AD-MSCs could be induced to differentiate into myoblasts and endothelial cells in vitro. After transplanted into CTX-injured mice model or mdx mice, GFP-positive cells could be detected in damaged muscle, and these donor-derived cells were also positive for MHC, vWF, or Pax7. Flk-1(+) AD-MSC transplantation also partly reconstituted the expression of dystrophin, and reduced the percentage of centronucleated myofibers in mdx mice. It is concluded that Flk-1(+) AD-MSCs represent a possible tool for future cell therapy applications in DMD disease, as they can be delivered through the circulation for their potential of muscle homing. And Flk-1(+) AD-MSCs also show the ability to contribute to muscle repair, improvement of blood supply and long term reconstitution of dystrophy muscle.
杜氏肌营养不良症(DMD)是一种常见的X连锁疾病,其特征是广泛的肌肉损伤,最终导致瘫痪和死亡。目前尚无针对该疾病的治疗方法。本研究旨在探讨使用成人脂肪来源的间充质干细胞(AD-MSCs)治疗DMD的可行性。从成年GFP小鼠的脂肪组织中分离出Flk-1(+)间充质干细胞;通过流式细胞术分析间充质干细胞的表型和细胞周期;在体外利用成肌细胞和内皮细胞诱导系统对AD-MSCs进行定向分化,并通过免疫荧光染色和RT-PCR进行鉴定;通过尾静脉将AD-MSCs移植到CTX损伤的小鼠模型或mdx小鼠(DMD动物模型)中;分别通过免疫荧光染色和RT-PCR检测AD-MSCs的分布和分化情况,并进行统计学分析。结果表明,Flk-1(+) AD-MSCs在体外可被诱导分化为成肌细胞和内皮细胞。移植到CTX损伤的小鼠模型或mdx小鼠后,在受损肌肉中可检测到GFP阳性细胞,这些供体来源的细胞对MHC、vWF或Pax7也呈阳性。Flk-1(+) AD-MSC移植还部分恢复了肌营养不良蛋白的表达,并降低了mdx小鼠中核内肌纤维的百分比。结论是,Flk-1(+) AD-MSCs代表了未来用于DMD疾病细胞治疗应用的一种可能工具,因为它们可以通过循环输送,具有肌肉归巢的潜力。并且Flk-1(+) AD-MSCs还显示出有助于肌肉修复、改善血液供应和长期重建营养不良肌肉的能力。