cell transplantation

细胞移植
  • 文章类型: Journal Article
    在一些眼部疾病中,视网膜神经元变性可导致永久性失明。干细胞(SC)衍生的RGC的移植已被提出作为RGC损失的潜在疗法。尽管有SC衍生的RGC移植成功病例的报道,实现远距离再生和功能连接仍然是一个挑战。为了解决这些障碍,视网膜类器官被用于研究干细胞移植的调控机制。在这里,我们提出了一种改良的方案,用于将人类胚胎干细胞(ESC)分化为视网膜类器官,并将类器官衍生的RGC移植到鼠眼中。
    In several ocular diseases, degeneration of retinal neurons can lead to permanent blindness. Transplantation of stem cell (SC)-derived RGCs has been proposed as a potential therapy for RGC loss. Although there are reports of successful cases of SC-derived RGC transplantation, achieving long-distance regeneration and functional connectivity remains a challenge. To address these hurdles, retinal organoids are being used to study the regulatory mechanism of stem cell transplantation. Here we present a modified protocol for differentiating human embryonic stem cells (ESCs) into retinal organoids and transplanting organoid-derived RGCs into the murine eyes.
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  • 文章类型: Journal Article
    嗅鞘细胞(OEC)广泛用于移植研究。这种独特细胞类型的高度纯化对于医学应用是有价值的。尽管最近OEC隔离程序的改进开启了该领域的新纪元,高纯化效率和成活率仍备受关注。最广泛使用的OEC隔离技术可以根据粘附特性进行广泛分类,特别是在嗅球衍生的OEC隔离中。考虑到从人类嗅球收获OEC的侵入性,从嗅粘膜中高效纯化这些细胞可以使临床试验受益。在这项研究中,我们从大鼠嗅球和粘膜中分离了OECs,因为它们具有不同的粘附特性,并对它们进行了比较。
    细胞制剂的特征在于NGFRp75和S100β抗体,OEC的特定标记,使用免疫细胞化学和蛋白质印迹分析,分别。通过显微镜和MTT(3-[4,5-二甲基噻唑2-基]-2,5-二苯基四唑溴化物)测定随时间监测OEC的形态和活力。
    我们发现,使用我们建议的方法可以像嗅球一样有效地从嗅觉粘膜中纯化OEC。两种衍生的OEC均显示出高水平的NGFRp75和S100β表达,尽管S100β在嗅觉粘膜来源的OECs制剂中的表达更高(P<0.05)。此外,在我们建议的方案中,两种来源的细胞活力没有显著差异.
    由于非侵入性收获方法,在移植研究中,从临床角度来看,嗅觉粘膜来源的OECs是首选.
    UNASSIGNED: Olfactory ensheathing cells (OECs) are widely used in transplantation studies. The high purification of this unique cell type is valuable for medical applications. Although recent improvements in OECs isolation procedures opened a new era in this field, the high purification efficacy and viability rate are still of concern. The most widely used OECs isolation techniques can be broadly classified based on adherence properties, particularly in olfactory bulb-derived OEC isolation. Considering the invasive nature of harvesting OECs from human olfactory bulbs, a highly efficient purification of these cells from olfactory mucosa can benefit clinical trials. In this study, we isolated OECs from rats\' olfactory bulbs and mucosa due to their differential adherence properties and compared them.
    UNASSIGNED: Cell preparations were characterized by NGFR p75 and S100β antibodies, the specific markers for OECs, using immunocytochemistry and western blot analysis, respectively. OECs morphology and viability were monitored over time by microscopy and MTT (3-[4,5-dimethylthiazol2-yl]-2,5-diphenyltetrazolium bromide) assay.
    UNASSIGNED: We found that OECs could be purified from the olfactory mucosa using our suggested method as efficiently as the olfactory bulb. Both derived OECs showed high levels of NGFR p75 and S100β expression, although the S100β expression was higher in olfactory mucosa-derived OECs preparations (P<0.05). Moreover, there was no significant difference between the two sources in cell viability in our suggested protocol.
    UNASSIGNED: Due to the non-invasive harvesting method, olfactory mucosa-derived OECs are preferred from a clinical point of view in transplantation studies.
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  • 文章类型: Journal Article
    由多孔支架和水凝胶填充组成的复合支架可以促进植入,生存,并保留在细胞移植过程中。本研究提出了一种由聚(ε-己内酯)(PCL)和甲基丙烯酸酯化透明质酸(MeHA)水凝胶制成的复合支架,并描述了相应的物理性质(表面积,孔隙度,和机械强度)和皮下移植后的宿主反应(血管生成和纤维化)。具体来说,我们合成了具有不同取代度的MeHA,并制备了具有不同孔隙率的PCL支架。随后,我们通过将这些水凝胶和支架相结合,构建了一系列PCL/MeHA复合支架。在老鼠的实验中,由3%PCL和10-100kDa组成的支架,70%MeHA的取代度导致最少的纤维化和更高程度的血管生成。这项研究强调了PCL/MeHA复合支架用于皮下细胞移植的潜力,考虑到它们理想的物理性质和宿主反应。
    A composite scaffold composed of a porous scaffold and hydrogel filling can facilitate engraftment, survival, and retention in cell transplantation processes. This study presents a composite scaffold made of poly(ε-caprolactone) (PCL) and methacrylated hyaluronic acid (MeHA) hydrogel and describes the corresponding physical properties (surface area, porosity, and mechanical strength) and host response (angiogenesis and fibrosis) after subcutaneous transplantation. Specifically, we synthesise MeHA with different degrees of substitution and fabricate a PCL scaffold with different porosities. Subsequently, we construct a series of PCL/MeHA composite scaffolds by combining these hydrogels and scaffolds. In experiments with mice, the scaffold composed of 3% PCL and 10-100 kDa, degree of substitution 70% MeHA results in the least fibrosis and a higher degree of angiogenesis. This study highlights the potential of PCL/MeHA composite scaffolds for subcutaneous cell transplantation, given their desirable physical properties and host response.
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  • 文章类型: Journal Article
    中风,欧洲第二大死亡和残疾原因,主要是由血液供应中断引起的,导致缺血再灌注(IR)损伤和随后的神经元死亡。目前的治疗选择有限,强调对新疗法的需求。神经干细胞(NSC)在治疗各种神经系统疾病方面显示出希望,包括中风。然而,NSC介导的恢复机制尚不清楚.
    80只C57Bl/6-Tyrc-Brd小鼠经历了缺血性中风诱导,并分为四组:假手术,受中风影响,中风受基础细胞培养基注射影响,和受神经干细胞移植影响的中风。NSC,从小鼠胚胎中分离出来,被立体定向移植到受中风影响的大脑中。磁共振成像(MRI)和神经评分用于评估恢复。进行免疫组织化学分析和基因表达测定以评估焦亡和坏死标记。
    NSC移植与对照组相比显著改善了神经恢复。此外,虽然没有统计学意义,NSC减少了每搏输出量。免疫组织化学分析显示卒中后GasderminD(GSDMD)表达上调,主要在小胶质细胞和星形胶质细胞。然而,NSC移植导致星形胶质细胞GSDMD信号强度降低,提示NSC对GSDMD活性的影响。此外,神经干细胞下调混合谱系激酶结构域样蛋白(Mlkl)表达,表明坏死减少。免疫组织化学显示NSC移植后,神经元中磷酸化MLKL(pMLKL)的信号强度降低,而星形胶质细胞中的信号强度保持不变,随着小胶质细胞分布的增加。
    NSC移植通过靶向焦亡和坏死途径在中风恢复中具有治疗潜力。这些发现揭示了NSC介导的神经保护的潜在机制,并支持了他们作为中风患者有希望的治疗方法的进一步探索。
    UNASSIGNED: Stroke, the second leading cause of death and disability in Europe, is primarily caused by interrupted blood supply, leading to ischemia-reperfusion (IR) injury and subsequent neuronal death. Current treatment options are limited, highlighting the need for novel therapies. Neural stem cells (NSCs) have shown promise in treating various neurological disorders, including stroke. However, the underlying mechanisms of NSC-mediated recovery remain unclear.
    UNASSIGNED: Eighty C57Bl/6-Tyrc-Brd mice underwent ischemic stroke induction and were divided into four groups: sham, stroke-affected, stroke-affected with basal cell medium injection, and stroke-affected with NSCs transplantation. NSCs, isolated from mouse embryos, were stereotaxically transplanted into the stroke-affected brains. Magnetic resonance imaging (MRI) and neurological scoring were used to assess recovery. Immunohistochemical analysis and gene expression assays were performed to evaluate pyroptosis and necroptosis markers.
    UNASSIGNED: NSC transplantation significantly improved neurological recovery compared to control groups. In addition, although not statistically significant, NSCs reduced stroke volume. Immunohistochemical analysis revealed upregulation of Gasdermin D (GSDMD) expression post-stroke, predominantly in microglia and astrocytes. However, NSC transplantation led to a reduction in GSDMD signal intensity in astrocytes, suggesting an effect of NSCs on GSDMD activity. Furthermore, NSCs downregulated Mixed Lineage Kinase Domain-Like Protein (Mlkl) expression, indicating a reduction in necroptosis. Immunohistochemistry demonstrated decreased phosphorylated MLKL (pMLKL) signal intensity in neurons while stayed the same in astrocytes following NSC transplantation, along with increased distribution in microglia.
    UNASSIGNED: NSC transplantation holds therapeutic potential in stroke recovery by targeting pyroptosis and necroptosis pathways. These findings shed light on the mechanisms underlying NSC-mediated neuroprotection and support their further exploration as a promising therapy for stroke patients.
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  • 文章类型: Journal Article
    基于荧光素-荧光素酶反应的发光技术作为定量成像模态已广泛用于各种学科。由于其非侵入性成像能力,它已经发展成为一种有价值的体内生物成像工具,特别是在基因和细胞疗法等领域的小动物模型中。我们先前已经成功地产生了在Rosa26基因座上系统表达荧光素酶基因的大鼠。在这项研究中,我们将这些大鼠的骨髓移植到微型猪体内,并使用体内成像技术对移植细胞的动力学进行非侵入性分析。此外,我们确定大鼠到猪的移植系统是一个不和谐的系统,类似于猪到人的移植系统。因此,大鼠-猪移植可以为猪-人异种移植提供临床上合适的大型动物模型.
    Luminescent technology based on the luciferin-luciferase reaction has been extensively employed across various disciplines as a quantitative imaging modality. Owing to its non-invasive imaging capacity, it has evolved as a valuable in vivo bioimaging tool, particularly in small animal models in fields such as gene and cell therapies. We have previously successfully generated rats with a systemic expression of the luciferase gene at the Rosa26 locus. In this study, we transplanted bone marrow from these rats into micro-mini pigs and used in vivo imaging to non-invasively analyze the dynamics of the transplanted cells. In addition, we established that the rat-to-pig transplantation system is a discordant system, similar to the pig-to-human transplantation system. Thus, rat-to-pig transplantation may provide a clinically appropriate large animal model for pig-to-human xenotransplantation.
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  • 文章类型: Journal Article
    背景:牙周组织丢失是牙周病导致牙齿移动和丢失的主要原因。牙囊干细胞(DFSCs)在牙周再生中具有显著的治疗潜力,这可能主要取决于它们有效的免疫调节能力。因此,本研究旨在阐明植入的异种DFSCs对牙周缺损修复早期和晚期先天免疫反应的影响.
    方法:为了追踪和研究DFSCs在体内的免疫调节机制,使用表达CD63增强的绿色荧光蛋白(CD63-EGFP)和β-肌动蛋白-mCherry蛋白(ACTB-mCherry)的慢病毒载体对DFSC进行工程改造(E-DFSC),以显示绿色和红色荧光。通过增殖验证E-DFSCs的生物学特性和功能,分化,和体外共培养实验。在体内,通过植入小鼠牙周缺损模型检测E-DFSCs的牙周再生能力,先天性免疫细胞的反应在1号被检测到,3rd,植入后第5天(早期)和第4周(晚期)。
    结果:体外评估显示E-DFSC保持与其非工程化对应物相似的性质,但表现出增强的巨噬细胞免疫调节能力。在小鼠模型中,四周的显微CT和组织学评估表明,E-DFSCs在牙周缺损再生中具有与DFSCs相当的效率。在小鼠牙周缺损修复的早期阶段,荧光示踪表明,植入的E-DFSCs可能主要通过直接接触和间接作用激活内源性细胞,这些细胞大部分是髓过氧化物酶阳性的中性粒细胞。此外,与对照组相比,E-DFSC组中性粒细胞浸润和N2型转化明显增加.在缺陷再生的后期,更多的M2型巨噬细胞,更少的TRAP+破骨细胞,与对照组相比,在E-DFSC组中检测到OPG/RANKL比率上调,这表明免疫平衡向愈合和骨形成倾斜。
    结论:异种植入的DFSCs可以在早期诱导中性粒细胞的N2表型。激活宿主固有免疫机制,促进牙周组织再生。
    BACKGROUND: Periodontal tissue loss is the main reason for tooth mobility and loss caused by periodontal disease. Dental follicle stem cells (DFSCs) have significant therapeutic potential in periodontal regeneration, which maybe mainly depends on their potent immunomodulatory capacity. Consequently, this study aims to elucidate the impact of implanted xenogenous DFSCs on innate immune responses during early and late stages in the periodontal defect repair period.
    METHODS: To trace and investigate the immunomodulation mechanisms of DFSCs in vivo, DFSCs were engineered (E-DFSCs) using lentiviral vectors expressing CD63-enhanced green fluorescent protein (CD63-EGFP) and β-Actin-mCherry protein (ACTB-mCherry) to exhibit green and red fluorescence. The biological characteristics and functions of E-DFSCs were verified by proliferation, differentiation, and co-culture experiments in vitro. In vivo, the periodontal regeneration capacity of E-DFSCs was detected by implantation of murine periodontal defect model, and the response of innate immune cells was detected at the 1st, 3rd, and 5th days (early stage) and 4th week (late stage) after implantation.
    RESULTS: In vitro assessments showed that E-DFSCs retain similar properties to their non-engineered counterparts but exhibit enhanced macrophage immunomodulation capability. In mice models, four-week micro-CT and histological evaluations indicated that E-DFSCs have equivalent efficiency to DFSCs in periodontal defect regeneration. At the early stage of repair in mice periodontal defect, fluorescence tracking showed that implanted E-DFSCs might primarily activate endogenous cells through direct contact and indirect actions, and most of these cells are myeloperoxidase-positive neutrophils. Additionally, compared with the control group, the neutrophilic infiltration and conversion of N2-type were significantly increased in the E-DFSC group. At the late stage of defect regeneration, more M2-type macrophages, fewer TRAP + osteoclasts, and an upregulated OPG/RANKL ratio were detected in the E-DFSC group compared to the control group, which indicated that immune balance tilts towards healing and bone formation.
    CONCLUSIONS: The xenogenous implanted DFSCs can induce the N2 phenotype of neutrophils in the early stage, which can activate the innate immune mechanism of the host to promote periodontal tissue regeneration.
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  • 文章类型: Journal Article
    本研究旨在评估自体脂肪间充质干细胞(AAD-MSC)的作用,有或没有合成可吸收羟基磷灰石(HAP-91),关于兔子的骨骼再生。34只雌性白色新西兰兔接受了10毫米远端骨干桡骨骨切除术,根据建立的治疗分为3个实验组。骨间隙填充0.15ml含有两百万AAD-MSC(G1)的0.9%盐溶液,或与HAP-91相关联的AAD-MSC(G2)。对照组(CG)仅接受0.15ml的0.9%盐水溶液。术后做了射线照片,15、30、45和90天后。50%的样品在45天接受组织学检查,其余样品在术后90天接受组织学检查。射线照相,骨膜反应,G2时骨痂体积和骨桥质量均较好(P<0.05)。组织学上,在第45天,G1期的骨修复更快,更有效(P<0.05)。总之,AAD-MSC改善了兔实验性骨缺损的再生;然而,考虑到物种中产生的肉芽肿反应,使用羟基磷灰石需要谨慎。
    This study aims to evaluate the effect of autologous adipose-derived mesenchymal stem cells (AAD-MSC), with and without synthetic absorbable hydroxyapatite (HAP-91), on the bone regeneration in rabbits. Thirty-four female white New Zealand rabbits were submitted to a 10 mm distal diaphyseal radius ostectomy, divided into 3 experimental groups according to the treatment established. The bone gap was filled with 0.15 ml of a 0.9% saline solution containing two million AAD-MSC (G1), or AAD-MSC associated with HAP-91 (G2). The control group (CG) received only 0.15 ml of the 0.9% saline solution. Radiographs were made post-operatively, and after 15, 30, 45 and 90 days. Fifty percent of the samples were submitted to a histological examination at 45 days and the remaining ones at 90 days post-operatively. Radiographically, the periosteal reaction, bone callus volume and bone bridge quality were superior in G2 (P < 0.05). Histologically, the bone repair was faster and more efficient in G1 at 45 days (P < 0.05). In conclusion, AAD-MSC improved the regeneration on the experimentally induced bone defects in rabbits; however, the use of hydroxyapatite requires caution given the granulomatous reaction produced in the species.
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  • 文章类型: Journal Article
    干细胞(SC)移植已显示出作为卵巢早衰(POF)的治疗方法的潜力。尽管如此,尚未对SC治疗人类POF的疗效进行定量分析。为了解决这个差距,本研究进行了一项荟萃分析,以评估SC移植改善POF患者卵巢功能的有效性.通过搜索PubMed,在这方面进行了系统的审查,ScienceDirect,clinicalTrial.gov,和Cochrane的图书馆数据库进行,以确定相关的研究,同时也考虑了相关的评论。提取的数据包括诸如雌二醇(E2),卵泡刺激素(FSH),卵泡计数(FC),卵巢重量(OW),怀孕次数,和活产。根据上次随访时间的综合效果,SC组的FSH和AMH水平低于基线水平(SMD:1.58,95%CI:0.76至3.92,P值:0.185>0.05,I2:94.03%)和(SMD:1.34,95%CI:0.77至1.92,P值:0.001<0.05,I2:0%)。而SC组的E2和OW平均值高于基线(SMD:-0.47,95%CI:-0.73至-0.21,P值:0.001<0.01,I2:38.23%)和(SMD:-1.18,95%CI:-2.62至0.26,P值:0.108>0.05,I2:76.68%)。以5%的显着性水平的妊娠和活产比例测量的总效应大小为(组合比例:0.09,95%CI:0.03至0.15,P值:0.002<0.05,I2:46.29%)和(SMD:0.09,95%CI:0.03至0.15,P值:0.003<0.05,I2:1.76%)。基于固定效应模型,卵泡计数的估计平均对数比值比为1.0234(95%CI:0.1252~1.9216).因此,由于SC移植,平均结局与0显着不同(P值:0.0255<0.05)。这些结果表明,使用SCs恢复卵巢功能对于治疗POF可能是可行的。然而,由于受检研究的异质性,将来需要进行更大,质量更好的调查.
    Stem cell (SC) transplantation has shown potential as a therapeutic approach for premature ovarian failure (POF). Despite this, no quantitative analysis has been conducted on the efficacy of SC therapy for POF in humans. To address this gap, the present study conducted a meta-analysis to evaluate the effectiveness of the transplantation of SC in improving ovarian function among POF patients. A systematic review in this regard by searching PubMed, ScienceDirect, clinicalTrial.gov, and Cochrane\'s library databases was conducted to identify relevant studies, while associated reviews were also considered. The extracted data included parameters such as estradiol (E2), follicle-stimulating hormone (FSH), follicle count (FC), ovarian weight (OW), number of pregnancies, and live birth. As per the combined effect taking the last follow-up time, the level of FSH and AMH for the SC group was lower than these were at the baseline as (SMD: 1.58, 95% CI: 0.76 to 3.92, P-value: 0.185 > 0.05, I2: 94.03%) and (SMD: 1.34, 95% CI: 0.77 to 1.92, P-value: 0.001 < 0.05, I2: 0%) respectively. While the means of E2 and OW for the SC group was higher than these were at the baseline as (SMD: -0.47, 95% CI: -0.73 to -0.21, P-value: 0.001 < 0.01, I2: 38.23%) and (SMD: -1.18, 95% CI: -2.62 to 0.26, P-value: 0.108 > 0.05, I2: 76.68%) respectively. The overall effect size measured with proportion of pregnancy and live birth at a 5% level of significance expected SC transplantation results were as (combined proportion: 0.09, 95% CI: 0.03 to 0.15, P-value: 0.002 < 0.05, I2: 46.29%) and (SMD: 0.09, 95% CI: 0.03 to 0.15, P-value: 0.003 < 0.05, I2: 1.76%) respectively. Based on the fixed-effects model, the estimated average log odds ratio of Follicles count was 1.0234 (95% CI: 0.1252 to 1.9216). Therefore, the average outcome differed significantly from zero (P-value: 0.0255 < 0.05) due to SC transplantation. These results suggest that using SCs to restore ovarian function may be viable for treating POF. However, larger and better-quality investigations would need to be conducted in the future due to the heterogeneity of the examined studies.
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  • 文章类型: Journal Article
    目的:本研究的目的是开发和评估一种新型的经轴手术方法的可行性和安全性,该方法用于使用非人灵长类动物和与人类临床翻译相关的手术技术和工具将人诱导性多能干细胞衍生的多巴胺能神经祖细胞(DANPCs)传递到壳核中。
    方法:九种免疫抑制,未释放的成年食蟹猴(4只雌性,5名男性)在实时术中MRI指导下接受了媒介物或DANPC(0.9×105至1.1×105细胞/µL)的静脉内注射。将输注液与1-mMgadoteridol(用于术中MRI可视化)结合,并使用经轴入路通过每个半球的两个轨道(腹侧和背侧)输送。左右壳核的输注总体积分别为25微升和50微升,分别(输注速率2.5微升/分钟)。用一系列临床和行为结果测量评价动物,并在手术后7或30天安乐死;由董事会认证的兽医病理学家进行完整的尸检。收集脑组织并进行免疫组化处理,包括针对人类特异性标记STEM121。
    结果:优化的手术技术和工具通过经轴入路成功靶向壳核。术中MR图像证实了所有动物的目标内注射。所有动物存活至预定终止,没有神经缺陷的临床证据。前4只接受手术的动物在手术结束时出现轻度脑肿胀,其中3例出现短暂性视力下降;在手术过程中给予甘露醇治疗和减少静脉输液可解决这些并发症.针对STEM121的免疫染色证实了在DANPC处理的动物的靶向壳核区域内沿着注射轨迹存在移植细胞。所有不良组织学发现范围有限,与手术操作一致。注射程序,以及由插管插入引起的机械破坏的术后炎症反应。
    结论:输送系统,注射程序,和DANPCs在所有动物中均有良好的耐受性。通过甘露醇给药和减少手术期间的静脉输液来预防轻度脑肿胀可以避免视觉效果。研究结果确定,这种新颖的跨轴方法可用于正确,安全地将细胞注射到连合后壳核并支持临床研究。
    OBJECTIVE: The objective of this study was to develop and evaluate the feasibility and safety of a novel transaxial surgical approach for the delivery of human induced pluripotent stem cell-derived dopaminergic neuroprogenitor cells (DANPCs) into the putamen nucleus using nonhuman primates and surgical techniques and tools relevant to human clinical translation.
    METHODS: Nine immunosuppressed, unlesioned adult cynomolgus macaques (4 females, 5 males) received intraputaminal injections of vehicle or DANPCs (0.9 × 105 to 1.1 × 105 cells/µL) under real-time intraoperative MRI guidance. The infusates were combined with 1-mM gadoteridol (for intraoperative MRI visualization) and delivered via two tracks per hemisphere (ventral and dorsal) using a transaxial approach. The total volumes of infusion were 25 µL and 50 µL for the right and left putamen, respectively (infusion rate 2.5 µL/min). Animals were evaluated with a battery of clinical and behavioral outcome measures and euthanized 7 or 30 days postsurgery; full necropsies were performed by a board-certified veterinary pathologist. Brain tissues were collected and processed for immunohistochemistry, including against the human-specific marker STEM121.
    RESULTS: The optimized surgical technique and tools produced successful targeting of the putamen via the transaxial approach. Intraoperative MR images confirmed on-target intraputaminal injections in all animals. All animals survived to scheduled termination without clinical evidence of neurological deficits. The first 4 animals to undergo surgery had mild brain swelling noted at the end of surgery, of which 3 had transient reduced vision; administration of mannitol therapy and reduced intravenous fluid during the surgical procedure addressed these complications. Immunostaining against STEM121 confirmed the presence of grafted cells along the injection track within the targeted putamen area of DANPC-treated animals. All adverse histological findings were limited in scope and consistent with surgical manipulation, injection procedure, and postsurgical inflammatory response to the mechanical disruption caused by the cannula insertion.
    CONCLUSIONS: The delivery system, injection procedure, and DANPCs were well tolerated in all animals. Prevention of mild brain swelling by mannitol dosing and reduction of intravenous fluids during surgery allowed visual effects to be avoided. The results of the study established that this novel transaxial approach can be used to correctly and safely target cell injections to the postcommissural putamen and support clinical investigation.
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  • 文章类型: Journal Article
    下运动神经元(LMN)损伤导致相关肌肉靶标的去神经化,并且是脊髓损伤(SCI)的重要但未被重视的组成部分。神经支配的肌肉经历进行性变性和纤维脂肪浸润,这最终使肌肉不存活,除非在有限的时间窗内神经支配。被剥夺轴突的远端神经也经历变性和纤维化,使其对轴突的接受度降低。在这次审查中,我们描述了与SCI相关的LMN损伤及其临床后果.肌肉和神经的退化过程被分解成神经肌肉回路的主要组成部分,包括神经和施万细胞,神经肌肉接头,还有肌肉.最后,我们讨论了三种有希望的逆转去神经萎缩的策略。这些包括从局部来源提供替代轴突;将干细胞衍生的脊髓运动神经元引入神经以提供缺失的轴突;最后,建立高能电刺激的训练计划来直接恢复这些肌肉。成功的去神经萎缩干预措施将显着扩大宫颈SCI的重建选择,并且可能对脊髓圆锥和马尾神经的主要LMN损伤具有革命性。
    Lower motor neuron (LMN) damage results in denervation of the associated muscle targets and is a significant yet under-appreciated component of spinal cord injury (SCI). Denervated muscle undergoes a progressive degeneration and fibro-fatty infiltration that eventually renders the muscle non-viable unless reinnervated within a limited time window. The distal nerve deprived of axons also undergoes degeneration and fibrosis making it less receptive to axons. In this review, we describe the LMN injury associated with SCI and its clinical consequences. The process of degeneration of the muscle and nerve is broken down into the primary components of the neuromuscular circuit and reviewed, including the nerve and Schwann cells, the neuromuscular junction, and the muscle. Finally, we discuss three promising strategies to reverse denervation atrophy. These include providing surrogate axons from local sources; introducing stem cell-derived spinal motor neurons into the nerve to provide the missing axons; and finally, instituting a training program of high-energy electrical stimulation to directly rehabilitate these muscles. Successful interventions for denervation atrophy would significantly expand reconstructive options for cervical SCI and could be transformative for the predominantly LMN injuries of the conus medullaris and cauda equina.
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