Department of Neurosurgery, School of Medicine, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland.
Central Clinical Hospital of Ministry of the Interior and Administration in Warsaw, Warsaw, Poland.
Sci Rep. 2021 Mar 22;11(1):6581. doi: 10.1038/s41598-021-85820-3.
Stem cell transplantation proved promising in animal models of neurological diseases; however, in conditions with disseminated pathology such as ALS, delivery of cells and their broad distribution is challenging. To address this problem, we explored intra-arterial (IA) delivery route, of stem cells. The goal of this study was to investigate the feasibility and safety of MRI-guided transplantation of glial restricted precursors (GRPs) and mesenchymal stem cells (MSCs) in dogs suffering from ALS-like disease, degenerative myelopathy (DM). Canine GRP transplantation in dogs resulted in rather poor retention in the brain, so MSCs were used in subsequent experiments. To evaluate the safety of MSC intraarterial transplantation, naïve pigs (n = 3) were used as a pre-treatment control before transplantation in dogs. Cells were labeled with iron oxide nanoparticles. For IA transplantation a 1.2-French microcatheter was advanced into the middle cerebral artery under roadmap guidance. Then, the cells were transplanted under real-time MRI with the acquisition of dynamic T2*-weighted images. The procedure in pigs has proven to be safe and histopathology has demonstrated the successful and predictable placement of transplanted porcine MSCs. Transplantation of canine MSCs in DM dogs resulted in their accumulation in the brain. Interventional and follow-up MRI proved the procedure was feasible and safe. Analysis of gene expression after transplantation revealed a reduction of inflammatory factors, which may indicate a promising therapeutic strategy in the treatment of neurodegenerative diseases.
干细胞移植在神经疾病的动物模型中显示出很大的潜力;然而,在像 ALS 这样的扩散性疾病中,细胞的输送和广泛分布是具有挑战性的。为了解决这个问题,我们探索了干细胞的经动脉(IA)输送途径。本研究的目的是调查 MRI 引导的神经退行性疾病,退行性脊髓病(DM)犬中胶质限制前体细胞(GRP)和间充质干细胞(MSC)移植的可行性和安全性。犬 GRP 移植在脑中的保留效果较差,因此在后续实验中使用了 MSC。为了评估 MSC 经动脉移植的安全性,在犬移植前,将天真猪(n = 3)用作预处理对照。细胞用氧化铁纳米颗粒标记。在血管造影图的引导下,将 1.2 French 微导管推进大脑中动脉进行 IA 移植。然后,在实时 MRI 下进行细胞移植,采集动态 T2*-加权图像。该程序在猪中被证明是安全的,组织病理学显示成功且可预测地移植了猪 MSC。在 DM 犬中移植犬 MSC 导致其在大脑中积累。介入和随访 MRI 证明了该程序是可行和安全的。移植后基因表达的分析显示炎症因子减少,这可能表明在治疗神经退行性疾病方面具有有前途的治疗策略。