Comparative Dose of Intracarotid Autologous Bone Marrow Mononuclear Therapy in Chronic Ischemic Stroke in Rats

Abstract

Research on chronic ischemic stroke is limited. One of the more promising approaches showing positive effects in the acute stage is mononuclear bone marrow cell therapy. This research may be the first which presents data about the optimum dose of bone marrow mononuclear cells (BM-MNCs) for chronic ischemic stroke in rats and discusses factors influencing recovery in the chronic stage.
 We performed temporary middle cerebral artery occlusion (MCAO) procedures on the rats which were then randomly assigned to one of two experimental groups in which they were given either low or high doses of autologous BM-MNCs (5 million or 10 million cells per kg body weight). 
 Rat brains were fixed for HE, CD31, and doublecortin staining for analysis of the effects. Rat behavior was assessed weekly using the cylinder test and a modified neurological severity score (NSS) test. 
 In the four weeks prior to administration of BM-MNC, cylinder test scores improved to near normal, and NSS test scores improved moderately. The infarct zone decreased significantly (p <0,01), there was an improvement in angiogenesis (p = 0.1590) and a significant improvement in neurogenesis (p <0,01). Reduction of the infarct zone was associated with a higher dose whereas both higher and lower doses were found to have a similar effect on improving angiogenesis, and neurogenesis. Recovery was superior after twelve weeks compared with the recovery assessment at eight weeks. 
 In conclusion, a dose of 10 million cells was more effective than a dose of 5 million cells per kg body weight for reducing the infarct zone and ameliorating neurogenesis. There was an improvement of histopathological parameters associated with the longer infarct period.

Behaviour test in chronic brain ischemia rats: A bibliometric approach

“…It's crucial to use tests that are able to detect the neurological deficits to the injury to the brain and the treatments used. Due to the loss of limb function following a stroke, many tests focus on motor and sensory testing (Lipsanen et al, 2011;Makkiyah et al, 2021;Sun et al, 2016;Wakayama et al, 2007). Because learning and memory problems are frequent after a stroke, cognitive testing is particularly important for determining the full extent of the difficulties (Barros et al, 2009;Dhaliwal et al, 2021;Hei et al, 2018;Yao et al, 2021).…”

“…After a central nervous system injury, the cylinder test was initially used to measure spontaneous forelimb motor performance. It has been used in many publications in research related to behaviour tests in chronic stroke rats (Barros et al, 2009;Huang et al, 2018;Lipsanen et al, 2011;Loris et al, 2017;Makkiyah et al, 2021;Shaafi et al, 2019). The cylinder task has been shown to be objective, simple to use and score, sensitive to chronic issues that other tests overlook, and has strong inter-rater reliability.…”