Human umbilical cord blood mesenchymal stem cells protect mice brain after trauma

OBJECTIVE:To investigate whether human umbilical cord blood mesenchymal stem cells, a novel source of progenitors with multilineage potential1) decrease traumatic brain injury sequelae and restore brain function; 2) are able to survive and home to the lesioned region; and 3) induce relevant changes...

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Veröffentlicht in:Critical care medicine 2011-11, Vol.39 (11), p.2501-2510
Hauptverfasser: Zanier, Elisa R, Montinaro, Mery, Vigano, Mariele, Villa, Pia, Fumagalli, Stefano, Pischiutta, Francesca, Longhi, Luca, Leoni, Matteo L, Rebulla, Paolo, Stocchetti, Nino, Lazzari, Lorenza, De Simoni, Maria-Grazia
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container_end_page 2510
container_issue 11
container_start_page 2501
container_title Critical care medicine
container_volume 39
creator Zanier, Elisa R
Montinaro, Mery
Vigano, Mariele
Villa, Pia
Fumagalli, Stefano
Pischiutta, Francesca
Longhi, Luca
Leoni, Matteo L
Rebulla, Paolo
Stocchetti, Nino
Lazzari, Lorenza
De Simoni, Maria-Grazia
description OBJECTIVE:To investigate whether human umbilical cord blood mesenchymal stem cells, a novel source of progenitors with multilineage potential1) decrease traumatic brain injury sequelae and restore brain function; 2) are able to survive and home to the lesioned region; and 3) induce relevant changes in the environment in which they are infused. DESIGN:Prospective experimental study. SETTING:Research laboratory. SUBJECTS:Male C57Bl/6 mice. INTERVENTIONS:Mice were subjected to controlled cortical impact/sham brain injury. At 24 hrs postinjury, human umbilical cord blood mesenchymal stem cells (150,000/5 μL) or phosphate-buffered saline (control group) were infused intracerebroventricularly contralateral to the injured side. Immunosuppression was achieved by cyclosporine A (10 mg/kg intraperitoneally). MEASUREMENTS AND MAIN RESULTS:After controlled cortical impact, human umbilical cord blood mesenchymal stem cell transplantation induced an early and long-lasting improvement in sensorimotor functions assessed by neuroscore and beam walk tests. One month postinjury, human umbilical cord blood mesenchymal stem cell mice showed attenuated learning dysfunction at the Morris water maze and reduced contusion volume compared with controls. Hoechst positive human umbilical cord blood mesenchymal stem cells homed to lesioned tissue as early as 1 wk after injury in 67% of mice and survived in the injured brain up to 5 wks. By 3 days postinjury, cell infusion significantly increased brain-derived neurotrophic factor concentration into the lesioned tissue, restoring its expression close to the levels observed in sham operated mice. By 7 days postinjury, controlled cortical impact human umbilical cord blood mesenchymal stem cell mice showed a nonphagocytic activation of microglia/macrophages as shown by a selective rise (260%) in CD11b staining (a marker of microglia/macrophage activation/recruitment) associated with a decrease (58%) in CD68 (a marker of active phagocytosis). Thirty-five days postinjury, controlled cortical impact human umbilical cord blood mesenchymal stem cell mice showed a decrease of glial fibrillary acidic protein positivity in the scar region compared with control mice. CONCLUSIONS:These findings indicate that human umbilical cord blood mesenchymal stem cells stimulate the injured brain and evoke trophic events, microglia/macrophage phenotypical switch, and glial scar inhibitory effects that remodel the brain and lead to significant improvement of neu
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DESIGN:Prospective experimental study. SETTING:Research laboratory. SUBJECTS:Male C57Bl/6 mice. INTERVENTIONS:Mice were subjected to controlled cortical impact/sham brain injury. At 24 hrs postinjury, human umbilical cord blood mesenchymal stem cells (150,000/5 μL) or phosphate-buffered saline (control group) were infused intracerebroventricularly contralateral to the injured side. Immunosuppression was achieved by cyclosporine A (10 mg/kg intraperitoneally). MEASUREMENTS AND MAIN RESULTS:After controlled cortical impact, human umbilical cord blood mesenchymal stem cell transplantation induced an early and long-lasting improvement in sensorimotor functions assessed by neuroscore and beam walk tests. One month postinjury, human umbilical cord blood mesenchymal stem cell mice showed attenuated learning dysfunction at the Morris water maze and reduced contusion volume compared with controls. Hoechst positive human umbilical cord blood mesenchymal stem cells homed to lesioned tissue as early as 1 wk after injury in 67% of mice and survived in the injured brain up to 5 wks. By 3 days postinjury, cell infusion significantly increased brain-derived neurotrophic factor concentration into the lesioned tissue, restoring its expression close to the levels observed in sham operated mice. By 7 days postinjury, controlled cortical impact human umbilical cord blood mesenchymal stem cell mice showed a nonphagocytic activation of microglia/macrophages as shown by a selective rise (260%) in CD11b staining (a marker of microglia/macrophage activation/recruitment) associated with a decrease (58%) in CD68 (a marker of active phagocytosis). Thirty-five days postinjury, controlled cortical impact human umbilical cord blood mesenchymal stem cell mice showed a decrease of glial fibrillary acidic protein positivity in the scar region compared with control mice. 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Apheresis ; Brain Injuries - complications ; Brain Injuries - pathology ; Brain Injuries - therapy ; Cognition Disorders - etiology ; Cognition Disorders - prevention &amp; control ; Cord Blood Stem Cell Transplantation ; Humans ; Intensive care medicine ; Learning Disorders - etiology ; Learning Disorders - prevention &amp; control ; Male ; Medical sciences ; Mesenchymal Stem Cell Transplantation ; Mice ; Prospective Studies ; Transfusions. Complications. Transfusion reactions. 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DESIGN:Prospective experimental study. SETTING:Research laboratory. SUBJECTS:Male C57Bl/6 mice. INTERVENTIONS:Mice were subjected to controlled cortical impact/sham brain injury. At 24 hrs postinjury, human umbilical cord blood mesenchymal stem cells (150,000/5 μL) or phosphate-buffered saline (control group) were infused intracerebroventricularly contralateral to the injured side. Immunosuppression was achieved by cyclosporine A (10 mg/kg intraperitoneally). MEASUREMENTS AND MAIN RESULTS:After controlled cortical impact, human umbilical cord blood mesenchymal stem cell transplantation induced an early and long-lasting improvement in sensorimotor functions assessed by neuroscore and beam walk tests. One month postinjury, human umbilical cord blood mesenchymal stem cell mice showed attenuated learning dysfunction at the Morris water maze and reduced contusion volume compared with controls. Hoechst positive human umbilical cord blood mesenchymal stem cells homed to lesioned tissue as early as 1 wk after injury in 67% of mice and survived in the injured brain up to 5 wks. By 3 days postinjury, cell infusion significantly increased brain-derived neurotrophic factor concentration into the lesioned tissue, restoring its expression close to the levels observed in sham operated mice. By 7 days postinjury, controlled cortical impact human umbilical cord blood mesenchymal stem cell mice showed a nonphagocytic activation of microglia/macrophages as shown by a selective rise (260%) in CD11b staining (a marker of microglia/macrophage activation/recruitment) associated with a decrease (58%) in CD68 (a marker of active phagocytosis). Thirty-five days postinjury, controlled cortical impact human umbilical cord blood mesenchymal stem cell mice showed a decrease of glial fibrillary acidic protein positivity in the scar region compared with control mice. CONCLUSIONS:These findings indicate that human umbilical cord blood mesenchymal stem cells stimulate the injured brain and evoke trophic events, microglia/macrophage phenotypical switch, and glial scar inhibitory effects that remodel the brain and lead to significant improvement of neurologic outcome.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Animals</subject><subject>Behavior, Animal</subject><subject>Biological and medical sciences</subject><subject>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</subject><subject>Brain Injuries - complications</subject><subject>Brain Injuries - pathology</subject><subject>Brain Injuries - therapy</subject><subject>Cognition Disorders - etiology</subject><subject>Cognition Disorders - prevention &amp; control</subject><subject>Cord Blood Stem Cell Transplantation</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Learning Disorders - etiology</subject><subject>Learning Disorders - prevention &amp; control</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mesenchymal Stem Cell Transplantation</subject><subject>Mice</subject><subject>Prospective Studies</subject><subject>Transfusions. Complications. Transfusion reactions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Animals</topic><topic>Behavior, Animal</topic><topic>Biological and medical sciences</topic><topic>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</topic><topic>Brain Injuries - complications</topic><topic>Brain Injuries - pathology</topic><topic>Brain Injuries - therapy</topic><topic>Cognition Disorders - etiology</topic><topic>Cognition Disorders - prevention &amp; control</topic><topic>Cord Blood Stem Cell Transplantation</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Learning Disorders - etiology</topic><topic>Learning Disorders - prevention &amp; control</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mesenchymal Stem Cell Transplantation</topic><topic>Mice</topic><topic>Prospective Studies</topic><topic>Transfusions. Complications. Transfusion reactions. Cell and gene therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zanier, Elisa R</creatorcontrib><creatorcontrib>Montinaro, Mery</creatorcontrib><creatorcontrib>Vigano, Mariele</creatorcontrib><creatorcontrib>Villa, Pia</creatorcontrib><creatorcontrib>Fumagalli, Stefano</creatorcontrib><creatorcontrib>Pischiutta, Francesca</creatorcontrib><creatorcontrib>Longhi, Luca</creatorcontrib><creatorcontrib>Leoni, Matteo L</creatorcontrib><creatorcontrib>Rebulla, Paolo</creatorcontrib><creatorcontrib>Stocchetti, Nino</creatorcontrib><creatorcontrib>Lazzari, Lorenza</creatorcontrib><creatorcontrib>De Simoni, Maria-Grazia</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zanier, Elisa R</au><au>Montinaro, Mery</au><au>Vigano, Mariele</au><au>Villa, Pia</au><au>Fumagalli, Stefano</au><au>Pischiutta, Francesca</au><au>Longhi, Luca</au><au>Leoni, Matteo L</au><au>Rebulla, Paolo</au><au>Stocchetti, Nino</au><au>Lazzari, Lorenza</au><au>De Simoni, Maria-Grazia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Human umbilical cord blood mesenchymal stem cells protect mice brain after trauma</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>2011-11</date><risdate>2011</risdate><volume>39</volume><issue>11</issue><spage>2501</spage><epage>2510</epage><pages>2501-2510</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><coden>CCMDC7</coden><abstract>OBJECTIVE:To investigate whether human umbilical cord blood mesenchymal stem cells, a novel source of progenitors with multilineage potential1) decrease traumatic brain injury sequelae and restore brain function; 2) are able to survive and home to the lesioned region; and 3) induce relevant changes in the environment in which they are infused. DESIGN:Prospective experimental study. SETTING:Research laboratory. SUBJECTS:Male C57Bl/6 mice. INTERVENTIONS:Mice were subjected to controlled cortical impact/sham brain injury. At 24 hrs postinjury, human umbilical cord blood mesenchymal stem cells (150,000/5 μL) or phosphate-buffered saline (control group) were infused intracerebroventricularly contralateral to the injured side. Immunosuppression was achieved by cyclosporine A (10 mg/kg intraperitoneally). MEASUREMENTS AND MAIN RESULTS:After controlled cortical impact, human umbilical cord blood mesenchymal stem cell transplantation induced an early and long-lasting improvement in sensorimotor functions assessed by neuroscore and beam walk tests. One month postinjury, human umbilical cord blood mesenchymal stem cell mice showed attenuated learning dysfunction at the Morris water maze and reduced contusion volume compared with controls. Hoechst positive human umbilical cord blood mesenchymal stem cells homed to lesioned tissue as early as 1 wk after injury in 67% of mice and survived in the injured brain up to 5 wks. By 3 days postinjury, cell infusion significantly increased brain-derived neurotrophic factor concentration into the lesioned tissue, restoring its expression close to the levels observed in sham operated mice. By 7 days postinjury, controlled cortical impact human umbilical cord blood mesenchymal stem cell mice showed a nonphagocytic activation of microglia/macrophages as shown by a selective rise (260%) in CD11b staining (a marker of microglia/macrophage activation/recruitment) associated with a decrease (58%) in CD68 (a marker of active phagocytosis). Thirty-five days postinjury, controlled cortical impact human umbilical cord blood mesenchymal stem cell mice showed a decrease of glial fibrillary acidic protein positivity in the scar region compared with control mice. CONCLUSIONS:These findings indicate that human umbilical cord blood mesenchymal stem cells stimulate the injured brain and evoke trophic events, microglia/macrophage phenotypical switch, and glial scar inhibitory effects that remodel the brain and lead to significant improvement of neurologic outcome.</abstract><cop>Hagerstown, MD</cop><pub>by the Society of Critical Care Medicine and Lippincott Williams &amp; Wilkins</pub><pmid>21725237</pmid><doi>10.1097/CCM.0b013e31822629ba</doi><tpages>10</tpages></addata></record>
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Behavior, Animal
Biological and medical sciences
Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis
Brain Injuries - complications
Brain Injuries - pathology
Brain Injuries - therapy
Cognition Disorders - etiology
Cognition Disorders - prevention & control
Cord Blood Stem Cell Transplantation
Humans
Intensive care medicine
Learning Disorders - etiology
Learning Disorders - prevention & control
Male
Medical sciences
Mesenchymal Stem Cell Transplantation
Mice
Prospective Studies
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
title Human umbilical cord blood mesenchymal stem cells protect mice brain after trauma
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