Divison of Clinical Neurobiology, Department of Neurology, Innsbruck Medical University, Innsbruck, Austria.
PLoS One. 2011;6(5):e19808. doi: 10.1371/journal.pone.0019808. Epub 2011 May 18.
Mesenchymal stem cells (MSC) are currently strong candidates for cell-based therapies. They are well known for their differentiation potential and immunoregulatory properties and have been proven to be potentially effective in the treatment of a large variety of diseases, including neurodegenerative disorders. Currently there is no treatment that provides consistent long-term benefits for patients with multiple system atrophy (MSA), a fatal late onset α-synucleinopathy. Principally neuroprotective or regenerative strategies, including cell-based therapies, represent a powerful approach for treating MSA. In this study we investigated the efficacy of intravenously applied MSCs in terms of behavioural improvement, neuroprotection and modulation of neuroinflammation in the (PLP)-αsynuclein (αSYN) MSA model.
METHODOLOGY/PRINCIPAL FINDINGS: MSCs were intravenously applied in aged (PLP)-αSYN transgenic mice. Behavioural analyses, defining fine motor coordination and balance capabilities as well as stride length analysis, were performed to measure behavioural outcome. Neuroprotection was assessed by quantifying TH neurons in the substantia nigra pars compacta (SNc). MSC treatment on neuroinflammation was analysed by cytokine measurements (IL-1α, IL-2, IL-4, IL-5, IL-6, IL-10, IL-17, GM-CSF, INFγ, MCP-1, TGF-β1, TNF-α) in brain lysates together with immunohistochemistry for T-cells and microglia. Four weeks post MSC treatment we observed neuroprotection in the SNc, as well as downregulation of cytokines involved in neuroinflammation. However, there was no behavioural improvement after MSC application.
CONCLUSIONS/SIGNIFICANCE: To our knowledge this is the first experimental approach of MSC treatment in a transgenic MSA mouse model. Our data suggest that intravenously infused MSCs have a potent effect on immunomodulation and neuroprotection. Our data warrant further studies to elucidate the efficacy of systemically administered MSCs in transgenic MSA models.
间充质干细胞(MSC)是目前细胞治疗的热门候选。它们以分化潜能和免疫调节特性而闻名,已被证明在治疗多种疾病方面具有潜在的有效性,包括神经退行性疾病。目前,对于多系统萎缩症(MSA)患者,尚无提供一致长期益处的治疗方法。MSA 是一种致命的晚发性α-突触核蛋白病。主要的神经保护或再生策略,包括细胞治疗,代表了治疗 MSA 的一种强大方法。在这项研究中,我们研究了静脉应用 MSC 在行为改善、神经保护和调节(PLP)-α 突触核蛋白(αSYN)MSA 模型中的神经炎症方面的疗效。
方法/主要发现:将 MSC 静脉应用于老年(PLP)-αSYN 转基因小鼠。进行行为分析,定义精细运动协调和平衡能力以及步长分析,以测量行为结果。通过定量评估黑质致密部(SNc)中的 TH 神经元来评估神经保护。通过测量脑裂解物中的细胞因子(IL-1α、IL-2、IL-4、IL-5、IL-6、IL-10、IL-17、GM-CSF、INFγ、MCP-1、TGF-β1、TNF-α)以及 T 细胞和小胶质细胞的免疫组织化学分析,来分析 MSC 对神经炎症的治疗作用。在 MSC 治疗后 4 周,我们观察到 SNc 中的神经保护以及参与神经炎症的细胞因子下调。然而,MSC 应用后没有行为改善。
结论/意义:据我们所知,这是 MSC 治疗转基因 MSA 小鼠模型的首次实验方法。我们的数据表明,静脉内输注的 MSC 对免疫调节和神经保护具有强大的作用。我们的数据需要进一步研究,以阐明系统给予 MSC 在转基因 MSA 模型中的疗效。