Dipartimento di Chirurgia e Medicina Interdisciplinare, Università degli Studi di Milano-Bicocca, via Cadore 48, 20900 Monza, Italy.
Exp Cell Res. 2013 Nov 15;319(19):2989-99. doi: 10.1016/j.yexcr.2013.08.016. Epub 2013 Aug 22.
Over the last few years the therapeutic approach to demyelinating diseases has radically changed, strategies having been developed aimed at partnering the classic symptomatic treatments with the most advanced regenerative medicine tools. At first, the transplantation of myelinogenic cells, Schwann cells or oligodendrocytes was suggested, but the considerable technical difficulties, (poor availability, difficulties in harvesting and culturing, and the problem of rejection in the event of non-autologous sources), shifted attention towards more versatile cellular types, such as Mesenchymal Stem Cells (MSCs). Recent studies have already demonstrate both in vitro and in vivo that glially-primed MSCs (through exposure to chemical cocktails) have myelogenic abilities. In spite of a large number of papers on glially-differentiated MSCs, little is known about the ability of undifferentiated MSCs to myelinate axons and processes. Here we have demonstrated that also undifferentiated MSCs have the ability to myelinate, since they induce the myelination of rat DRG neuron processes after direct co-culturing. In this process a pivotal role is performed by the p75 receptor.
在过去的几年中,脱髓鞘疾病的治疗方法发生了根本性的变化,已经开发出了各种策略,旨在将经典的对症治疗与最先进的再生医学工具相结合。最初,人们建议移植髓鞘形成细胞、施万细胞或少突胶质细胞,但由于存在相当大的技术困难(来源有限、采集和培养困难以及非同源来源的排斥问题),研究的重点转向了更具通用性的细胞类型,如间充质干细胞(MSCs)。最近的研究已经在体外和体内证明,胶质前体细胞诱导的 MSCs(通过暴露于化学鸡尾酒)具有髓鞘生成能力。尽管有大量关于胶质分化的 MSCs 的论文,但对于未分化的 MSCs 具有髓鞘化能力的了解甚少。在这里,我们已经证明,未分化的 MSCs 也具有髓鞘化的能力,因为它们在直接共培养后诱导大鼠 DRG 神经元过程的髓鞘化。在这个过程中,p75 受体起着关键作用。