Immune remodelling of stromal cell grafts in the central nervous system: therapeutic inflammation or (harmless) side‐effect?

Over the past two decades, several cell types with fibroblast‐like morphology, including mesenchymal stem/stromal cells, but also other adult, embryonic and extra‐embryonic fibroblast‐like cells, have been brought forward in the search for cellular therapies to treat severe brain injuries and/or dis...

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Veröffentlicht in:Journal of tissue engineering and regenerative medicine 2017-10, Vol.11 (10), p.2846-2852
Hauptverfasser: Le Blon, Debbie, Hoornaert, Chloé, Detrez, Jan R., Bevers, Sanne, Daans, Jasmijn, Goossens, Herman, De Vos, Winnok H., Berneman, Zwi, Ponsaerts, Peter
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container_end_page 2852
container_issue 10
container_start_page 2846
container_title Journal of tissue engineering and regenerative medicine
container_volume 11
creator Le Blon, Debbie
Hoornaert, Chloé
Detrez, Jan R.
Bevers, Sanne
Daans, Jasmijn
Goossens, Herman
De Vos, Winnok H.
Berneman, Zwi
Ponsaerts, Peter
description Over the past two decades, several cell types with fibroblast‐like morphology, including mesenchymal stem/stromal cells, but also other adult, embryonic and extra‐embryonic fibroblast‐like cells, have been brought forward in the search for cellular therapies to treat severe brain injuries and/or diseases. Although current views in regenerative medicine are highly focused on the immune modulating and regenerative properties of stromal cell transplantation in vivo, many open questions remain regarding their true mode of action. In this perspective, this study integrates insights gathered over the past 10 years to formulate a unifying model of the cellular events that accompany fibroblast‐like cell grafting in the rodent brain. Cellular interactions are discussed step‐by‐step, starting from the day of implantation up to 10 days after transplantation. During the short period that precedes stable settlement of autologous/syngeneic stromal cell grafts, there is a complex interplay between hypoxia‐mediated cell death of grafted cells, neutrophil invasion, microglia and macrophage recruitment, astrocyte activation and neo‐angiogenesis within the stromal cell graft site. Consequently, it is speculated that regenerative processes following cell therapeutic intervention in the CNS are not only modulated by soluble factors secreted by grafted stromal cells (bystander hypothesis), but also by in vivo inflammatory processes following stromal cell grafting. Copyright © 2016 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/term.2188
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Consequently, it is speculated that regenerative processes following cell therapeutic intervention in the CNS are not only modulated by soluble factors secreted by grafted stromal cells (bystander hypothesis), but also by in vivo inflammatory processes following stromal cell grafting. 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subjects Angiogenesis
Animals
Autografts
Brain
Brain injury
Cell activation
Cell death
Central nervous system
Central Nervous System - immunology
Central Nervous System - pathology
Cytology
Embryo fibroblasts
Fibroblasts
Grafting
Grafts
graft‐remodelling
Head injuries
Humans
Hypoxia
Implantation
Inflammation
Inflammation - pathology
Macrophages
Mesenchyme
Microglia
Mode of action
Models, Biological
neuroinflammation
neuroprotection
Recruitment
Regenerative medicine
Stromal cells
Stromal Cells - cytology
Stromal Cells - immunology
Stromal Cells - transplantation
Surgical implants
Tissue engineering
Transplantation
title Immune remodelling of stromal cell grafts in the central nervous system: therapeutic inflammation or (harmless) side‐effect?
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