Kawaguchi Tatsuya, Mori Tetsuji, Adachi Kaori, Fujii Jun, Maegaki Yoshihiro, Obata Fumiko
Division of Child Neurology, Department of Brain and Neurosciences, Faculty of Medicine, Tottori University, Yonago, Japan.
Department of Biological Regulation, School of Health Science, Faculty of Medicine, Tottori University, Yonago, Japan.
Brain Behav. 2025 Jan;15(1):e70242. doi: 10.1002/brb3.70242.
Acute encephalopathy (AE) in childhood due to a viral infection causes convulsions and altered consciousness, leading to severe sequelae and death. Among the four types of AE, cytokine storm-induced AE is the most severe and causes serious damage to the brain. Moreover, a fundamental treatment for AE has not been established yet. Recently, it has been shown that the administration of multilineage-differentiating stress-enduring (Muse) cells, a population of mesenchymal stem cells, improves symptoms in various types of brain injuries when administered in the subacute phase (1-7 days after brain damage). We aimed to examine the effects of Muse cells in a cytokine storm-induced AE animal model using immunocompromised nonobese diabetic/severe combined immunodeficiency (NOD/SCID) neonatal mice.
We established a modified protocol to induce AE-like symptoms in NOD/SCID. Then, Muse cells were injected at an acute phase (2-4 h after hyperthermia treatment).
Injection of Muse cells significantly improved body weight gain 1 day after treatment and the survival ratio for 3 weeks.
These effects could be a result of the direct and/or indirect upregulation of IL-10, an anti-inflammatory cytokine, in the Muse cell-treated brain. Although non-Muse cells, a residual cell population in the bone marrow after isolating Muse cells, also improved some symptoms, their effects were weaker than those of Muse cells. Our results indicate that the injection of Muse cells in the acute phase has an effect on AE, suggesting that they exert their therapeutic effects not only in the subacute phase but also in the acute phase.
病毒感染所致儿童急性脑病(AE)可引起惊厥和意识改变,导致严重后遗症甚至死亡。在AE的四种类型中,细胞因子风暴诱导的AE最为严重,会对大脑造成严重损害。此外,AE的根本治疗方法尚未确立。最近有研究表明,多能分化应激耐受(Muse)细胞(一种间充质干细胞群体)在亚急性期(脑损伤后1 - 7天)给药时,可改善各种类型脑损伤的症状。我们旨在使用免疫缺陷的非肥胖糖尿病/严重联合免疫缺陷(NOD/SCID)新生小鼠,研究Muse细胞在细胞因子风暴诱导的AE动物模型中的作用。
我们建立了一种改良方案以在NOD/SCID小鼠中诱导类似AE的症状。然后,在急性期(热疗后2 - 4小时)注射Muse细胞。
注射Muse细胞显著改善了治疗后1天的体重增加以及3周的存活率。
这些作用可能是由于在接受Muse细胞治疗的大脑中,抗炎细胞因子白细胞介素 - 10直接和/或间接上调所致。虽然非Muse细胞(分离Muse细胞后骨髓中的残余细胞群体)也改善了一些症状,但其作用比Muse细胞弱。我们的结果表明,在急性期注射Muse细胞对AE有作用,这表明它们不仅在亚急性期而且在急性期都发挥治疗作用。