Döbrössy Máté D, Dunnett Stephen B
Brain Repair Group, School of Biosciences, Cardiff University, Cardiff CF10 3US, UK.
Cell Transplant. 2008;17(10-11):1125-34. doi: 10.3727/096368908787236558.
Clinical trials of cell replacement therapy in Huntington's disease have shown its safety, feasibility, and potentially long-lasting effects. However, more needs to be known regarding the conditions that stimulate plasticity and compensation achieved by neural grafts to maximize posttransplantation recovery of such neurorehabilitative therapies. The effects of enriched environment (EE), behavioral experience, and transplantation can each separately influence neuronal plasticity and recovery of function after brain damage, and the mechanisms by which these factors interact to modify the survival, integration, or function of grafted tissues are at present unknown. To investigate the effects of variable housing conditions and duration on morphological and cellular changes within embryonic striatal transplants, rats received unilateral excitotoxic lesions of the striatum, followed by E15 whole-ganglionic eminence suspension grafts. The rats were divided into three groups according to housing: full-time EE, 1 h/day exposure to EE, or standard laboratory cages. The experimental design included "early" (7 weeks postgrafting) and "late" (13 weeks postgrafting) survival time points to explore the effects of exposure lengths to the three housing conditions. The morphological and cellular effects on the grafts were analyzed using immunohistochemistry, cell morphology, image analysis, and enzyme-linked immunoassay. Both the duration of the exposure and the housing conditions were seen to influence multiple parameters of grafted cell morphology. The factors acted either independently (e.g., on graft size), complementarily (e.g., on spine density), or had no distinctive effect (e.g., on lesion size) on graft development. Features of embryonic striatal grafts and their trophic milieu were influenced both by the complexity of the environmental conditions and by the length of exposure to them. The data suggest that neurorehabilitation should be a feature of clinical trials of cell transplantation in order to exploit the underlying mechanisms that promote anatomical integration of the grafted cells and maximize transplant-mediated functional recovery.
亨廷顿舞蹈病细胞替代疗法的临床试验已证明其安全性、可行性及潜在的长期效果。然而,关于刺激可塑性及神经移植实现补偿作用以最大化此类神经康复疗法移植后恢复效果的条件,仍有更多需要了解。丰富环境(EE)、行为经验和移植各自都能分别影响脑损伤后神经元的可塑性及功能恢复,而这些因素相互作用以改变移植组织存活、整合或功能的机制目前尚不清楚。为研究不同饲养条件及持续时间对胚胎纹状体移植体内形态和细胞变化的影响,大鼠接受纹状体单侧兴奋性毒性损伤,随后移植E15全神经节隆起悬浮组织。根据饲养条件将大鼠分为三组:全时EE组、每天1小时暴露于EE组或标准实验室笼养组。实验设计包括“早期”(移植后7周)和“晚期”(移植后13周)存活时间点,以探究暴露于三种饲养条件的时长的影响。使用免疫组织化学、细胞形态学、图像分析和酶联免疫吸附测定法分析对移植组织的形态和细胞影响。暴露时长和饲养条件均被发现会影响移植细胞形态的多个参数。这些因素对移植组织发育的作用要么独立(如对移植组织大小)、互补(如对棘密度),要么无显著影响(如对损伤大小)。胚胎纹状体移植组织的特征及其营养环境受到环境条件复杂性及其暴露时长的影响。数据表明,神经康复应成为细胞移植临床试验的一个特点,以便利用促进移植细胞解剖整合并最大化移植介导功能恢复的潜在机制。