Department of Physiology, Keio University School of Medicine, Tokyo, Japan.
Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Stem Cells Transl Med. 2019 Mar;8(3):260-270. doi: 10.1002/sctm.18-0096. Epub 2018 Nov 28.
Tumorigenesis is an important problem that needs to be addressed in the field of human stem/progenitor cell transplantation for the treatment of subacute spinal cord injury (SCI). When certain "tumorigenic" cell lines are transplanted into the spinal cord of SCI mice model, there is initial improvement of motor function, followed by abrupt deterioration secondary to the effect of tumor growth. A significant proportion of the transplanted cells remains undifferentiated after transplantation and is thought to increase the risk of tumorigenesis. In this study, using lentiviral vectors, we introduced the herpes simplex virus type 1 thymidine kinase (HSVtk) gene into a human induced pluripotent stem cell-derived neural stem/progenitor cell (hiPSC-NS/PC) line that is known to undergo tumorigenic transformation. Such approach enables selective ablation of the immature proliferating cells and thereby prevents subsequent tumor formation. In vitro, the HSVtk system successfully ablated the immature proliferative neural cells while preserving mature postmitotic neuronal cells. Similar results were observed in vivo following transplantation into the injured spinal cords of immune-deficient (nonobese diabetic-severe combined immune-deficient) mice. Ablation of the proliferating cells exerted a protective effect on the motor function which was regained after transplantation, simultaneously defending the spinal cord from the harmful tumor growth. These results suggest a potentially promising role of suicide genes in opposing tumorigenesis during stem cell therapy. This system allows both preventing and treating tumorigenesis following hiPSC-NS/PC transplantation without sacrificing the improved motor function. Stem Cells Translational Medicine 2019;8:260&270.
肿瘤发生是人类干细胞/祖细胞移植治疗亚急性脊髓损伤(SCI)领域需要解决的一个重要问题。当某些“致瘤性”细胞系被移植到 SCI 小鼠模型的脊髓中时,运动功能会有初步改善,但随后由于肿瘤生长的影响会突然恶化。移植后,相当一部分移植细胞仍未分化,被认为会增加致瘤的风险。在这项研究中,我们使用慢病毒载体将单纯疱疹病毒 1 胸苷激酶(HSVtk)基因导入已知具有致瘤转化能力的人诱导多能干细胞源性神经干细胞/祖细胞(hiPSC-NS/PC)系。这种方法能够选择性地消融未成熟的增殖细胞,从而防止随后的肿瘤形成。在体外,HSVtk 系统成功地消融了未成熟的增殖神经细胞,同时保留了成熟的有丝分裂后神经元细胞。在免疫缺陷(非肥胖型糖尿病-严重联合免疫缺陷)小鼠损伤脊髓内移植后,体内也观察到了类似的结果。增殖细胞的消融对移植后恢复的运动功能具有保护作用,同时防止脊髓受到肿瘤生长的有害影响。这些结果表明自杀基因在干细胞治疗中对抗肿瘤发生可能具有潜在的应用前景。该系统允许在不牺牲改善运动功能的情况下,预防和治疗 hiPSC-NS/PC 移植后的肿瘤发生。《干细胞转化医学》2019 年;8:260&270。
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