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将少突胶质细胞祖细胞直接注射到未受伤的哥廷根小型猪脊髓中的安全性。

Safety of direct injection of oligodendrocyte progenitor cells into the spinal cord of uninjured Göttingen minipigs.

作者信息

Fessler Richard G, Liu Charles Y, McKenna Stephen, Fessler R David, Lebkowski Jane S, Priest Catherine A, Wirth Edward D

机构信息

1Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois.

2USC Neurorestoration Center, Los Angeles.

出版信息

J Neurosurg Spine. 2021 Jul 9;35(3):389-397. doi: 10.3171/2020.12.SPINE201853. Print 2021 Sep 1.

Abstract

OBJECTIVE

This study was conducted as a final proof-of-safety direct injection of oligodendrocyte progenitor cells into the uninjured spinal cord prior to translation to the human clinical trials.

METHODS

In this study, 107 oligodendrocyte progenitor cells (LCTOPC1, also known as AST-OPC1 and GRNOPC1) in 50-μL suspension were injected directly into the uninjured spinal cords of 8 immunosuppressed Göttingen minipigs using a specially designed stereotactic delivery device. Four additional Göttingen minipigs were given Hanks' Balanced Salt Solution and acted as the control group.

RESULTS

Cell survival and no evidence of histological damage, abnormal inflammation, microbiological or immunological abnormalities, tumor formation, or unexpected morbidity or mortality were demonstrated.

CONCLUSIONS

These data strongly support the safety of intraparenchymal injection of LCTOPC1 into the spinal cord using a model anatomically similar to that of the human spinal cord. Furthermore, this research provides guidance for future clinical interventions, including mechanisms for precise positioning and anticipated volumes of biological payloads that can be safely delivered directly into uninjured portions of the spinal cord.

摘要

目的

本研究旨在作为将少突胶质前体细胞直接注射到未损伤脊髓的安全性最终验证,为开展人体临床试验做准备。

方法

在本研究中,使用专门设计的立体定向给药装置,将50微升悬浮液中的107个少突胶质前体细胞(LCTOPC1,也称为AST-OPC1和GRNOPC1)直接注射到8只免疫抑制的哥廷根小型猪的未损伤脊髓中。另外4只哥廷根小型猪给予汉克斯平衡盐溶液,作为对照组。

结果

证明了细胞存活,且未发现组织学损伤、异常炎症、微生物或免疫异常、肿瘤形成或意外发病或死亡的证据。

结论

这些数据有力地支持了使用与人类脊髓解剖结构相似的模型将LCTOPC1实质内注射到脊髓中的安全性。此外,本研究为未来的临床干预提供了指导,包括精确定位机制以及可安全直接递送至脊髓未损伤部分的预期生物制剂体积。

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