Clarkson E D, Rosa F G, Edwards-Prasad J, Weiland D A, Witta S E, Freed C R, Prasad K N
Department of Medicine, University of Colorado Health Sciences Center, Denver, CO 80262, USA.
Proc Natl Acad Sci U S A. 1998 Feb 3;95(3):1265-70. doi: 10.1073/pnas.95.3.1265.
The replacement of dopamine (DA) by DA neuron transplants in the treatment of advanced Parkinson disease (PD) is a rational approach. Because of limitations associated with fetal tissue transplants, a clone (1RB3AN27) of simian virus 40 large tumor antigen (LTa) gene-induced immortalized DA neurons were used in this study. These allogeneic immortalized dopamine neurons, when grafted into striata of normal rats, did not divide, did not form tumors, did not produce LTa, did not extend neurites to host neurons, and were not rejected, for as long as 13 months after transplantation. Grafted cells when recultured in vitro resumed cell proliferation and LTa production, suggesting the presence of a LTa gene-inhibiting factor in the brain. The grafting of undifferentiated and differentiated 1RB3AN27 cells or differentiated murine neuroblastoma (NBP2) cells into striata of 6-hydroxydopamine-lesioned rats (an animal model of PD) caused a time-dependent improvement in neurological deficits (reduction in the methamphetamine-induced turning rate). At 3 months after transplantation, 100% of the animals receiving differentiated 1RB3AN27 cells, 63% of the animals receiving undifferentiated 1RB3AN27 cells, 56% of the animals receiving differentiated NBP2 cells, and 0% of the sham-transplanted animals showed improvements in neurological deficits. At 6 months after transplantation, there was a progressive increase in spontaneous recovery in sham-transplanted animals. These results suggest that immortalized DA neurons should be further studied for their potential use in transplant therapy in advanced PD patients.
通过多巴胺(DA)神经元移植替代多巴胺来治疗晚期帕金森病(PD)是一种合理的方法。由于胎儿组织移植存在局限性,本研究使用了猿猴病毒40大肿瘤抗原(LTa)基因诱导的永生化DA神经元克隆(1RB3AN27)。这些同种异体永生化多巴胺神经元移植到正常大鼠纹状体后,不会分裂、不会形成肿瘤、不会产生LTa、不会向宿主神经元延伸神经突,并且在移植后长达13个月都不会被排斥。移植的细胞在体外重新培养时会恢复细胞增殖并产生LTa,这表明大脑中存在一种LTa基因抑制因子。将未分化和分化的1RB3AN27细胞或分化的小鼠神经母细胞瘤(NBP2)细胞移植到6-羟基多巴胺损伤大鼠(PD动物模型)的纹状体中,可使神经功能缺损出现时间依赖性改善(甲基苯丙胺诱导的旋转速率降低)。移植后3个月,接受分化的1RB3AN27细胞的动物中有100%、接受未分化的1RB3AN27细胞的动物中有63%、接受分化的NBP2细胞的动物中有56%以及假手术移植动物中有0%的神经功能缺损得到改善。移植后6个月,假手术移植动物的自发恢复逐渐增加。这些结果表明,永生化DA神经元在晚期PD患者移植治疗中的潜在用途应进一步研究。