Transit of human neural stem cells, ReNcell CX, through the blood brain barrier (BBB) was
evaluated in an in vitro model of BBB and in nude mice. The BBB model was based on
rat brain microvascular endothelial cells (RBMECs) cultured on Millicell inserts bathed from the
basolateral side with conditioned media (CM) from astrocytes or glioma C6 cells. Glioma C6 CM
induced a significant transendothelial migration of ReNcells CX in comparison to astrocyte CM. The
presence in glioma C6 CM of high amounts of HGF, VEGF, zonulin and PGE2, together with
the low abundance of EGF, promoted ReNcells CX transmigration. In contrast cytokines IFN-α, TNF-α,
IL-12p70, IL-1β, IL-6, IL-8 and IL-10, as well as metalloproteinases -2 and -9 were present in equal
amounts in glioma C6 and astrocyte CMs. ReNcells expressed the tight junction proteins occludin and
claudins 1, 3 and 4, and the cell adhesion molecule CRTAM, while RBMECs expressed occludin, claudins
1 and 5 and CRTAM. Competing CRTAM mediated adhesion with soluble CRTAM, inhibited ReNcells CX
transmigration, and at the sites of transmigration, the expression of occludin and claudin-5
diminished in RBMECs. In nude mice we found that ReNcells CX injected into systemic circulation
passed the BBB and reached intracranial gliomas, which overexpressed HGF, VEGF and
zonulin/prehaptoglobin 2.