Department of Neurology, Charité - University Medicine Berlin, CCM, Charitéplatz 1, 10117 Berlin, Germany.
Neurosci Lett. 2012 Mar 28;513(1):25-30. doi: 10.1016/j.neulet.2012.01.078. Epub 2012 Feb 10.
Mesenchymal stem cells (MSC) from bone marrow induce neuroprotective effects and improve clinical symptoms in animal models for acute cerebral ischemia. So far only few data are available from the murine system. Moreover, no data exist regarding neuroprotective effects depending on the application route. Because most preclinical trials regarding restorative therapy in stroke are performed in mice, we aimed to investigate the neuroprotective capacities of human MSC (hMSC) in the middle cerebral artery occlusion (MCAo)-mouse model of cerebral ischemia. As systemic transplantation of MSC could provide a gentle therapeutic procedure for the (mostly elderly) stroke patients, we analyzed effects of this application at a clinically relevant time point. Bone marrow-derived hMSCs were administered intravenously 24 h after MCAo. Mortality and clinical outcome of the transplanted mice did not differ from PBS-treated controls. After 3 and 7 days hMSC were robustly detected in lung, spleen, kidney and intestine, but not in the brain. MRI measurements revealed no differences in infarct size in hMSC injected animals compared to controls. In the neurogenic subventricular zone and the dentate gyrus no significant increase of endogenous cell proliferation was detected following systemic hMSC transplantation. This data further prove the week neurogenic and neuroprotective effect and the limitations of systemically administered hMSCs in cerebral ischemia.
骨髓间充质干细胞(MSC)可诱导急性脑缺血动物模型产生神经保护作用并改善临床症状。到目前为止,仅从鼠类系统中获得了少量数据。此外,关于不同给药途径的神经保护作用的数据尚不存在。由于大多数关于中风恢复治疗的临床前试验都是在小鼠中进行的,我们旨在研究人骨髓间充质干细胞(hMSC)在大脑中动脉闭塞(MCAo)-脑缺血小鼠模型中的神经保护能力。由于 MSC 的全身移植可为(大多数为老年人)中风患者提供温和的治疗方法,因此我们分析了这种应用在临床相关时间点的效果。在 MCAo 后 24 小时,通过静脉内给予骨髓源性 hMSC。与 PBS 处理的对照组相比,移植小鼠的死亡率和临床结局没有差异。3 天和 7 天后,在肺、脾、肾和肠中均能检测到 hMSC,但在脑内则不能。MRI 测量显示,与对照组相比,注射 hMSC 的动物的梗塞面积没有差异。在神经发生的侧脑室下区和齿状回中,未观察到系统性 hMSC 移植后内源性细胞增殖有明显增加。这些数据进一步证明了弱的神经发生和神经保护作用,以及系统给予 hMSC 在脑缺血中的局限性。