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经皮移植骨髓间充质干细胞治疗实验性颅脑损伤。

Transplantation of mesenchymal stem cells to the brain by topical application in an experimental traumatic brain injury model.

机构信息

Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China.

出版信息

J Clin Neurosci. 2013 Feb;20(2):306-9. doi: 10.1016/j.jocn.2012.03.028. Epub 2012 Dec 7.

Abstract

Mesenchymal stem cells (MSCs) have been shown in various animal models to be capable of neurorepair and neuroprotection. To carry out a therapeutic function, MSCs must be delivered to the target organ. MSCs are administered to patients via systemic infusion, which has many drawbacks, including a low engraftment rate and the migration of MSCs to non-target organs. However, other approaches such as direct intracerebral injection of MSCs might cause cerebral bleeding. In this study, a traumatic brain injury (TBI) was induced over the right parietal cerebral cortex in Sprague Dawley rats, and green fluorescent protein (GFP)-expressing MSCs (GFP-MSCs), together with a thin layer of fibrin, were applied to the external surface of the contralateral side 2 days later. Within 5 days of topical application, the GFP-MSCs had migrated from the site of application on the cortical surface, through the white matter, and had emerged at the cortical surface of the TBI site on the contralateral cerebral hemisphere, apparently following axons along the corpus callosum. In sham-injured control animals, the topically applied GFP-MSCs proliferated superficially on the cortex at the site of application, and no GFP-MSCs were found at the contralateral cortical surface. In all instances, GFP-MSCs were not detected in other organs of either the test or the control animals. Our study demonstrated that MSCs topically applied to the brain surface can migrate to a TBI site.

摘要

间充质干细胞(MSCs)在各种动物模型中已被证明具有神经修复和神经保护作用。为了发挥治疗作用,MSCs 必须被递送到靶器官。MSCs 通过全身输注递送给患者,但这种方法有许多缺点,包括低植入率和 MSCs 向非靶器官的迁移。然而,其他方法,如直接脑内注射 MSCs,可能会导致脑出血。在这项研究中,我们在 Sprague Dawley 大鼠右侧顶叶大脑皮质诱导创伤性脑损伤(TBI),并在 2 天后将表达绿色荧光蛋白(GFP)的 MSCs(GFP-MSCs)与薄层纤维蛋白一起应用于对侧大脑皮质的外表面。在局部应用后的 5 天内,GFP-MSCs 已从皮质表面的应用部位迁移,穿过白质,并出现在对侧大脑半球 TBI 部位的皮质表面,显然是沿着胼胝体沿着轴突迁移。在假损伤对照动物中,局部应用的 GFP-MSCs 在应用部位的皮质表面浅层增殖,而在对侧皮质表面未发现 GFP-MSCs。在所有情况下,无论是实验组还是对照组动物的其他器官都未检测到 GFP-MSCs。我们的研究表明,局部应用于脑表面的 MSCs 可以迁移到 TBI 部位。

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