Human Adipose-Derived Mesenchymal Stem Cells Systemically Injected Promote Peripheral Nerve Regeneration in the Mouse Model of Sciatic Crush

被引:4
作者
Marconi, Silvia [1 ]
Castiglione, Giusy [2 ]
Turano, Ermanna [1 ]
Bissolotti, Guido [2 ]
Angiari, Stefano [3 ]
Farinazzo, Alessia [1 ]
Constantin, Gabriela [3 ]
Bedogni, Giorgio [4 ,5 ]
Bedogni, Alberto [2 ]
Bonetti, Bruno [1 ]
机构
[1] Univ Verona, Neurol Sect, Dept Neurol Neuropsychol Morphol & Movement Sci, I-37134 Verona, Italy
[2] Univ Verona, Dent & Maxillofacial Surg Sect, Dept Surg, I-37134 Verona, Italy
[3] Univ Verona, Gen Pathol Sect, Dept Pathol & Diagnost, I-37134 Verona, Italy
[4] Liver Res Ctr, Clin Epidemiol Unit, Trieste, Italy
[5] Univ Milan, Osped Maggiore Policlin, Fdn IRCCS Ca Granda, Dept Maternal & Pediat Sci, Milan, Italy
基金
欧洲研究理事会;
关键词
MARROW STROMAL CELLS; BONE-MARROW; SCHWANN-CELLS; INJURY; TISSUE; DIFFERENTIATION; TRANSPLANTATION; AXONS; FAT;
D O I
10.1089/ten.tea.2011.0491
中图分类号
Q813 [细胞工程];
学科分类号
摘要
Mesenchymal stem cells (MSCs) represent a promising therapeutic approach in nerve tissue engineering. To date, the local implantation of MSC in injured nerves has been the only route of administration used. In case of multiple sites of injury, the systemic administration of cells capable of reaching damaged nerves would be advisable. In this regard, we found that an intravenous administration of adipose-derived MSC (ASC) 1 week after sciatic nerve crush injury, a murine model of acute axonal damage, significantly accelerated the functional recovery. Sciatic nerves from ASC-treated mice showed the presence of a restricted number of undifferentiated ASC together with a significant improvement in fiber sprouting and the reduction of inflammatory infiltrates for up to 3 weeks. Besides the immune modulatory effect, our results show that ASC may contribute to peripheral nerve regeneration because of their ability to produce in culture neuroprotective factors such as insulin-like growth factor I, brain-derived neurotrophic factor, or basic fibroblast growth factor. In addition to this production in vitro, we interestingly found that the concentration of glial-derived neurotrophic factor (GDNF) was significantly increased in the sciatic nerves in mice treated with ASC. Since no detectable levels of GDNF were observed in ASC cultures, we hypothesize that ASC induced the local production of GDNF by Schwann cells. In conclusion, we show that systemically injected ASC have a clear therapeutic potential in an acute model of axonal damage. Among the possible mechanisms promoting nerve regeneration, our results rule out a process of trans-differentiation and rather suggest the relevance of a bystander effect, including the production of in situ molecules, which, directly or indirectly through a cross-talk with local glial cells, may modulate the local environment with the down-regulation of inflammation and the promotion of axonal regeneration.
引用
收藏
页码:1264 / 1272
页数:9
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