Synergic Effects of Rehabilitation and Intravenous Infusion of Mesenchymal Stem Cells After Stroke in Rats

Abstract Background Intravenous infusion of mesenchymal stem cells (MSCs) derived from adult bone marrow improves behavioral function in rat stroke models. Rehabilitation therapy through physical exercise also provides therapeutic efficacy for cerebral ischemia. Objective The purpose of this study w...

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Veröffentlicht in:Physical therapy 2016-11, Vol.96 (11), p.1791-1798
Hauptverfasser: Sasaki, Yuichi, Sasaki, Masanori, Kataoka-Sasaki, Yuko, Nakazaki, Masahito, Nagahama, Hiroshi, Suzuki, Junpei, Tateyama, Daiki, Oka, Shinichi, Namioka, Takahiro, Namioka, Ai, Onodera, Rie, Mikami, Takeshi, Wanibuchi, Masahiko, Kakizawa, Masafumi, Ishiai, Sumio, Kocsis, Jeffery D., Honmou, Osamu
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container_end_page 1798
container_issue 11
container_start_page 1791
container_title Physical therapy
container_volume 96
creator Sasaki, Yuichi
Sasaki, Masanori
Kataoka-Sasaki, Yuko
Nakazaki, Masahito
Nagahama, Hiroshi
Suzuki, Junpei
Tateyama, Daiki
Oka, Shinichi
Namioka, Takahiro
Namioka, Ai
Onodera, Rie
Mikami, Takeshi
Wanibuchi, Masahiko
Kakizawa, Masafumi
Ishiai, Sumio
Kocsis, Jeffery D.
Honmou, Osamu
description Abstract Background Intravenous infusion of mesenchymal stem cells (MSCs) derived from adult bone marrow improves behavioral function in rat stroke models. Rehabilitation therapy through physical exercise also provides therapeutic efficacy for cerebral ischemia. Objective The purpose of this study was to investigate whether synergic effects of daily rehabilitation and intravenous infusion of MSCs has therapeutic effects after stroke in rats. Design This was an experimental study. Methods A permanent middle cerebral artery occlusion (MCAO) was induced by intraluminal vascular occlusion with a microfilament. Four experimental groups were studied: group 1 (vehicle only, n=10), group 2 (vehicle + exercise, n=10), group 3 (MSCs only, n=10), and group 4 (MSCs + exercise, n=10). Rat MSCs were intravenously infused at 6 hours after MCAO, and the rats received daily rehabilitation with treadmill running exercise for 20 minutes. Lesion size was assessed at 1, 14, and 35 days using magnetic resonance imaging. Functional outcome was assessed using the Limb Placement Test. Results Both combined therapy and MSC infusion reduced lesion volume, induced synaptogenesis, and elicited functional improvement compared with the groups without MSC infusion, but the effect was greater in the combined therapy group. Limitations A limitation of this study is that the results were limited to an animal model and cannot be generalized to humans. Conclusions The data indicate that the combined therapy of daily rehabilitation and intravenous infusion of MSCs improved functional outcome in a rat MCAO model.
doi_str_mv 10.2522/ptj.20150504
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Rehabilitation therapy through physical exercise also provides therapeutic efficacy for cerebral ischemia. Objective The purpose of this study was to investigate whether synergic effects of daily rehabilitation and intravenous infusion of MSCs has therapeutic effects after stroke in rats. Design This was an experimental study. Methods A permanent middle cerebral artery occlusion (MCAO) was induced by intraluminal vascular occlusion with a microfilament. Four experimental groups were studied: group 1 (vehicle only, n=10), group 2 (vehicle + exercise, n=10), group 3 (MSCs only, n=10), and group 4 (MSCs + exercise, n=10). Rat MSCs were intravenously infused at 6 hours after MCAO, and the rats received daily rehabilitation with treadmill running exercise for 20 minutes. Lesion size was assessed at 1, 14, and 35 days using magnetic resonance imaging. Functional outcome was assessed using the Limb Placement Test. Results Both combined therapy and MSC infusion reduced lesion volume, induced synaptogenesis, and elicited functional improvement compared with the groups without MSC infusion, but the effect was greater in the combined therapy group. Limitations A limitation of this study is that the results were limited to an animal model and cannot be generalized to humans. Conclusions The data indicate that the combined therapy of daily rehabilitation and intravenous infusion of MSCs improved functional outcome in a rat MCAO model.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.2522/ptj.20150504</identifier><identifier>PMID: 27174259</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Animals ; Bone marrow ; Care and treatment ; Carotid arteries ; Disease Models, Animal ; Fitness equipment ; Infusions, Intravenous ; Ischemia ; Mesenchymal Stem Cell Transplantation ; Methods ; Nervous system ; NMR ; Nuclear magnetic resonance ; Patient outcomes ; Physical Conditioning, Animal ; Rats ; Rats, Sprague-Dawley ; Rehabilitation ; Rodents ; Stem cell transplantation ; Stem cells ; Stroke ; Stroke (Disease) ; Stroke Rehabilitation - methods ; Studies ; Transplantation ; Veins &amp; arteries</subject><ispartof>Physical therapy, 2016-11, Vol.96 (11), p.1791-1798</ispartof><rights>2016 American Physical Therapy Association 2016</rights><rights>2016 American Physical Therapy Association.</rights><rights>COPYRIGHT 2016 Oxford University Press</rights><rights>COPYRIGHT 2016 Oxford University Press</rights><rights>Copyright AMERICAN PHYSICAL THERAPY ASSOCIATION Nov 2016</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c733t-6fc655b0ceefd7f79af905c1a5e765ab32ef52ee77b3b0a046fa82cec98616f13</citedby><cites>FETCH-LOGICAL-c733t-6fc655b0ceefd7f79af905c1a5e765ab32ef52ee77b3b0a046fa82cec98616f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27174259$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sasaki, Yuichi</creatorcontrib><creatorcontrib>Sasaki, Masanori</creatorcontrib><creatorcontrib>Kataoka-Sasaki, Yuko</creatorcontrib><creatorcontrib>Nakazaki, Masahito</creatorcontrib><creatorcontrib>Nagahama, Hiroshi</creatorcontrib><creatorcontrib>Suzuki, Junpei</creatorcontrib><creatorcontrib>Tateyama, Daiki</creatorcontrib><creatorcontrib>Oka, Shinichi</creatorcontrib><creatorcontrib>Namioka, Takahiro</creatorcontrib><creatorcontrib>Namioka, Ai</creatorcontrib><creatorcontrib>Onodera, Rie</creatorcontrib><creatorcontrib>Mikami, Takeshi</creatorcontrib><creatorcontrib>Wanibuchi, Masahiko</creatorcontrib><creatorcontrib>Kakizawa, Masafumi</creatorcontrib><creatorcontrib>Ishiai, Sumio</creatorcontrib><creatorcontrib>Kocsis, Jeffery D.</creatorcontrib><creatorcontrib>Honmou, Osamu</creatorcontrib><title>Synergic Effects of Rehabilitation and Intravenous Infusion of Mesenchymal Stem Cells After Stroke in Rats</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>Abstract Background Intravenous infusion of mesenchymal stem cells (MSCs) derived from adult bone marrow improves behavioral function in rat stroke models. Rehabilitation therapy through physical exercise also provides therapeutic efficacy for cerebral ischemia. Objective The purpose of this study was to investigate whether synergic effects of daily rehabilitation and intravenous infusion of MSCs has therapeutic effects after stroke in rats. Design This was an experimental study. Methods A permanent middle cerebral artery occlusion (MCAO) was induced by intraluminal vascular occlusion with a microfilament. Four experimental groups were studied: group 1 (vehicle only, n=10), group 2 (vehicle + exercise, n=10), group 3 (MSCs only, n=10), and group 4 (MSCs + exercise, n=10). Rat MSCs were intravenously infused at 6 hours after MCAO, and the rats received daily rehabilitation with treadmill running exercise for 20 minutes. Lesion size was assessed at 1, 14, and 35 days using magnetic resonance imaging. Functional outcome was assessed using the Limb Placement Test. Results Both combined therapy and MSC infusion reduced lesion volume, induced synaptogenesis, and elicited functional improvement compared with the groups without MSC infusion, but the effect was greater in the combined therapy group. Limitations A limitation of this study is that the results were limited to an animal model and cannot be generalized to humans. 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Rehabilitation therapy through physical exercise also provides therapeutic efficacy for cerebral ischemia. Objective The purpose of this study was to investigate whether synergic effects of daily rehabilitation and intravenous infusion of MSCs has therapeutic effects after stroke in rats. Design This was an experimental study. Methods A permanent middle cerebral artery occlusion (MCAO) was induced by intraluminal vascular occlusion with a microfilament. Four experimental groups were studied: group 1 (vehicle only, n=10), group 2 (vehicle + exercise, n=10), group 3 (MSCs only, n=10), and group 4 (MSCs + exercise, n=10). Rat MSCs were intravenously infused at 6 hours after MCAO, and the rats received daily rehabilitation with treadmill running exercise for 20 minutes. Lesion size was assessed at 1, 14, and 35 days using magnetic resonance imaging. Functional outcome was assessed using the Limb Placement Test. Results Both combined therapy and MSC infusion reduced lesion volume, induced synaptogenesis, and elicited functional improvement compared with the groups without MSC infusion, but the effect was greater in the combined therapy group. Limitations A limitation of this study is that the results were limited to an animal model and cannot be generalized to humans. Conclusions The data indicate that the combined therapy of daily rehabilitation and intravenous infusion of MSCs improved functional outcome in a rat MCAO model.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>27174259</pmid><doi>10.2522/ptj.20150504</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
subjects Animals
Bone marrow
Care and treatment
Carotid arteries
Disease Models, Animal
Fitness equipment
Infusions, Intravenous
Ischemia
Mesenchymal Stem Cell Transplantation
Methods
Nervous system
NMR
Nuclear magnetic resonance
Patient outcomes
Physical Conditioning, Animal
Rats
Rats, Sprague-Dawley
Rehabilitation
Rodents
Stem cell transplantation
Stem cells
Stroke
Stroke (Disease)
Stroke Rehabilitation - methods
Studies
Transplantation
Veins & arteries
title Synergic Effects of Rehabilitation and Intravenous Infusion of Mesenchymal Stem Cells After Stroke in Rats
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