Yamauchi Tomohiro, Saito Hisayasu, Ito Masaki, Shichinohe Hideo, Houkin Kiyohiro, Kuroda Satoshi
Department of Neurosurgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Transl Stroke Res. 2014 Dec;5(6):701-10. doi: 10.1007/s12975-014-0360-z. Epub 2014 Jul 26.
Autologous human bone marrow stromal cells (hBMSCs) should be expanded in the animal serum-free condition within clinically relevant periods in order to secure safe and effective cell therapy for ischemic stroke. This study was aimed to assess whether the hBMSCs enhance their proliferation capacity and provide beneficial effect in the infarct brain when cultured with platelet lysate (PL) and granulocyte-colony stimulating factor (G-CSF). The hBMSCs were cultured in the fetal calf serum (FCS)-, PL-, or PL/G-CSF-containing medium. Cell growth kinetics was analyzed. The hBMSCs-PL, hBMSC-PL/G-CSF, or vehicle was stereotactically transplanted into the ipsilateral striatum of the rats subjected to permanent middle cerebral artery occlusion 7 days after the insult. Motor function was assessed for 8 weeks, and the fate of transplanted hBMSCs was examined using immunohistochemistry. As the results, the hBMSCs-PL/G-CSF showed more enhanced proliferation than the hBMSCs-FCS and hBMSCs-PL. Transplantation of hBMSCs expanded with the PL- or PL/G-CSF-containing medium equally promoted functional recovery compared with the vehicle group. Histological analysis revealed that there were no significant differences in their migration, survival, and neural differentiation in the infarct brain between the hBMSCs-PL and hBMSCs-PL/G-CSF. These findings strongly suggest that the combination of PL and G-CSF may accelerate hBMSC expansion and serve safe cell therapy for patients with ischemic stroke at clinically relevant timing.
为确保对缺血性中风进行安全有效的细胞治疗,自体人骨髓基质细胞(hBMSCs)应在临床相关时间段内在无动物血清条件下进行扩增。本研究旨在评估hBMSCs与血小板裂解液(PL)和粒细胞集落刺激因子(G-CSF)共同培养时,其增殖能力是否增强以及对梗死脑是否具有有益作用。将hBMSCs分别培养于含胎牛血清(FCS)、PL或PL/G-CSF的培养基中,分析细胞生长动力学。在永久性大脑中动脉闭塞损伤7天后,将hBMSCs-PL、hBMSC-PL/G-CSF或赋形剂立体定向移植到大鼠同侧纹状体。评估运动功能8周,并采用免疫组织化学检查移植的hBMSCs的转归。结果显示,hBMSCs-PL/G-CSF比hBMSCs-FCS和hBMSCs-PL具有更强的增殖能力。与赋形剂组相比,用含PL或PL/G-CSF的培养基扩增的hBMSCs移植同样促进了功能恢复。组织学分析显示,hBMSCs-PL和hBMSCs-PL/G-CSF在梗死脑中的迁移、存活和神经分化方面无显著差异。这些发现强烈表明,PL和G-CSF的组合可能加速hBMSC扩增,并在临床相关时机为缺血性中风患者提供安全的细胞治疗。