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自体骨髓单核细胞增强中青年大鼠急性缺血性脑卒中后的恢复。

Autologous bone marrow mononuclear cells enhance recovery after acute ischemic stroke in young and middle-aged rats.

机构信息

Department ofNeurology, University of Texas, Houston Medical School, Houston, Texas 77030, USA.

出版信息

J Cereb Blood Flow Metab. 2010 Jan;30(1):140-9. doi: 10.1038/jcbfm.2009.198. Epub 2009 Sep 23.

Abstract

We investigated intra-arterially administered autologous bone marrow mononuclear cells (MNCs) in rats with acute ischemic stroke. Long Evans rats (2 to 3 months or 12 months old) underwent tandem reversible common carotid artery (CCA)/middle cerebral artery (MCA) occlusion (CCAo/MCAo) for 3 h and then 24 h later underwent tibial bone marrow harvest. Ten million or 4 million cells were re-injected by an intra-carotid infusion. Control animals underwent marrow needle insertion and then saline injection into the carotid artery. Animals were assessed on a battery of neurological tests. MNCs in the ischemic brain were tracked using Q-dot nanocrystal labeling. Infarct volume and cytokines in the ischemia-affected brain were analyzed. Cell-treated animals in the younger and older groups showed improvement from 7 to 30 days after stroke compared with vehicle-treated animals. MNCs significantly reduced infarct volume compared with saline. There was a significant reduction in tumor necrosis factor-alpha, interleukin-1alpha (IL-1alpha), IL-beta, IL-6, and a significant increase in IL-10 in injured brains harvested from the cell-treated groups compared with saline controls. Labeled MNCs were found in the peri-infarcted area at 1 h and exponentially decreased over the ensuing week after injection. Autologous bone marrow MNCs can be safely harvested from rodents after stroke, migrate to the peri-infarct area, enhance recovery, and modulate the post-ischemic inflammatory response.

摘要

我们研究了急性缺血性脑卒中大鼠经动脉内输注自体骨髓单个核细胞(MNCs)的效果。长爪沙鼠(2 至 3 个月或 12 个月大)接受颈内动脉(CCA)/大脑中动脉(MCA)串联可逆闭塞(CCAo/MCAo)3 小时,然后在 24 小时后进行胫骨骨髓采集。通过颈动脉内输注回输 1000 万或 400 万个细胞。对照动物仅进行骨髓针插入和随后的颈动脉生理盐水注射。对动物进行一系列神经学测试评估。使用 Q-dot 纳米晶体标记追踪缺血性大脑中的 MNC。分析缺血性脑损伤中的梗死体积和细胞因子。与载体处理的动物相比,年轻和老年组的细胞处理动物在卒中后 7 至 30 天显示出改善。与生理盐水相比,MNC 显著减少梗死体积。与生理盐水对照组相比,细胞处理组损伤大脑中的肿瘤坏死因子-α、白细胞介素-1α(IL-1α)、IL-β、IL-6 显著减少,IL-10 显著增加。注射后 1 小时在梗死周边区发现标记的 MNC,随后在接下来的一周内呈指数减少。卒中后可以从啮齿动物安全地采集自体骨髓 MNC,可以迁移到梗死周边区,促进恢复,并调节缺血后炎症反应。

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