Abstract:Due to their widely known therapeutic benefits, mesenchymal stem cells have been proposed as a novel treatment option for a wide range of diseases including Alzheimer's disease. To maximize these benefits, critical factors such as delivery route, cell viability, and cell migration must be accounted for. Out of the various delivery routes to the brain, the intracerebroventricular (ICV) route stands out due to the widespread distribution that can occur via cerebrospinal fluid flow. The major objective of this pr… Show more
“…Preconditioning with ethionamide enhanced the migration ability of MSCs, and CXCR4 and CXCL12 were involved in this process ( Figure 4 ). In previous studies, the administration route and dosage were optimized to acquire even distribution of the transplanted MSCs in both canine and mouse models [ 53 , 54 ]. Based on these findings, MSCs were injected into the lateral ventricle of the mouse brain and ETH-MSCs demonstrated a consistently higher migration ability compared to that of naive MSCs in vivo.…”
Section: Discussionmentioning
confidence: 99%
“…However, few studies have explored how the survival of these preconditioned MSCs are altered following transplantation into the brain. In particular, most human MSCs transplanted into the mouse brain are barely detectable by day 7 post-transplantation [ 39 , 53 , 65 ]. As shown in Figure 5 , the survival of ETH-MSCs was greater than that of naïve MSCs in the mouse brain.…”
Section: Discussionmentioning
confidence: 99%
“…Optical imaging (IVIS Spectrum In Vivo Imaging System, Perkin Elmer, Waltham, MA, USA) was performed after one week following the injection. Whole brain samples were harvested and divided into four regions as described previously [ 53 ] to investigate the migratory abilities of MSCs. The survival of injected MSCs was confirmed by Alu-qPCR seven days post- injection.…”
Mesenchymal stem cells (MSCs) are a useful source for cell-based therapy of a variety of immune-mediated diseases, including neurodegenerative disorders. However, poor migration ability and survival rate of MSCs after brain transplantation hinder the therapeutic effects in the disease microenvironment. Therefore, we attempted to use a preconditioning strategy with pharmacological agents to improve the cell proliferation and migration of MSCs. In this study, we identified ethionamide via the screening of a drug library, which enhanced the proliferation of MSCs. Preconditioning with ethionamide promoted the proliferation of Wharton’s jelly-derived MSCs (WJ-MSCs) by activating phosphatidylinositol 3-kinase (PI3K)/Akt and mitogen-activated protein kinase/extracellular signal-regulated protein kinase kinase (MEK)/extracellular signal-regulated kinase (ERK)1/2 signaling. Preconditioning with ethionamide also enhanced the migration ability of MSCs by upregulating expression of genes associated with migration, such as C-X-C motif chemokine receptor 4 (CXCR4) and C-X-C motif chemokine ligand 12 (CXCL12). Furthermore, preconditioning with ethionamide stimulated the secretion of paracrine factors, including neurotrophic and growth factors in MSCs. Compared to naïve MSCs, ethionamide-preconditioned MSCs (ETH-MSCs) were found to survive longer in the brain after transplantation. These results suggested that enhancing the biological process of MSCs induced by ethionamide preconditioning presents itself as a promising strategy for enhancing the effectiveness of MSCs-based therapies.
“…Preconditioning with ethionamide enhanced the migration ability of MSCs, and CXCR4 and CXCL12 were involved in this process ( Figure 4 ). In previous studies, the administration route and dosage were optimized to acquire even distribution of the transplanted MSCs in both canine and mouse models [ 53 , 54 ]. Based on these findings, MSCs were injected into the lateral ventricle of the mouse brain and ETH-MSCs demonstrated a consistently higher migration ability compared to that of naive MSCs in vivo.…”
Section: Discussionmentioning
confidence: 99%
“…However, few studies have explored how the survival of these preconditioned MSCs are altered following transplantation into the brain. In particular, most human MSCs transplanted into the mouse brain are barely detectable by day 7 post-transplantation [ 39 , 53 , 65 ]. As shown in Figure 5 , the survival of ETH-MSCs was greater than that of naïve MSCs in the mouse brain.…”
Section: Discussionmentioning
confidence: 99%
“…Optical imaging (IVIS Spectrum In Vivo Imaging System, Perkin Elmer, Waltham, MA, USA) was performed after one week following the injection. Whole brain samples were harvested and divided into four regions as described previously [ 53 ] to investigate the migratory abilities of MSCs. The survival of injected MSCs was confirmed by Alu-qPCR seven days post- injection.…”
Mesenchymal stem cells (MSCs) are a useful source for cell-based therapy of a variety of immune-mediated diseases, including neurodegenerative disorders. However, poor migration ability and survival rate of MSCs after brain transplantation hinder the therapeutic effects in the disease microenvironment. Therefore, we attempted to use a preconditioning strategy with pharmacological agents to improve the cell proliferation and migration of MSCs. In this study, we identified ethionamide via the screening of a drug library, which enhanced the proliferation of MSCs. Preconditioning with ethionamide promoted the proliferation of Wharton’s jelly-derived MSCs (WJ-MSCs) by activating phosphatidylinositol 3-kinase (PI3K)/Akt and mitogen-activated protein kinase/extracellular signal-regulated protein kinase kinase (MEK)/extracellular signal-regulated kinase (ERK)1/2 signaling. Preconditioning with ethionamide also enhanced the migration ability of MSCs by upregulating expression of genes associated with migration, such as C-X-C motif chemokine receptor 4 (CXCR4) and C-X-C motif chemokine ligand 12 (CXCL12). Furthermore, preconditioning with ethionamide stimulated the secretion of paracrine factors, including neurotrophic and growth factors in MSCs. Compared to naïve MSCs, ethionamide-preconditioned MSCs (ETH-MSCs) were found to survive longer in the brain after transplantation. These results suggested that enhancing the biological process of MSCs induced by ethionamide preconditioning presents itself as a promising strategy for enhancing the effectiveness of MSCs-based therapies.
“…First, a previous study from our group showed that the injection concentration can affect the distribution of MSCs after injecting stem cells via the intracerebroventricular route. At higher concentrations, MSCs tended to aggregate, forming clumps, whereas at lower concentrations, MSCs were easily washed out via CSF flow [14]. Second, the cell dose may affect the migration of MSCs towards the brain.…”
Section: Discussionmentioning
confidence: 99%
“…Optimizing the administration dose and improving the therapeutic efficacy of MSCs must be considered in order to maximize clinical efficacy [14]. Choosing the optimal delivery route is especially important for CNS diseases [15].…”
Mesenchymal stem cells (MSCs) are considered as promising therapeutic agents for neurodegenerative disorders because they can reduce underlying pathology and also repair damaged tissues. Regarding the delivery of MSCs into the brain, intravenous and intra-arterial routes may be less feasible than intraparenchymal and intracerebroventricular routes due to the blood–brain barrier. Compared to the intraparenchymal or intracerebroventricular routes, however, the intrathecal route may have advantages: this route can deliver MSCs throughout the entire neuraxis and it is less invasive since brain surgery is not required. The objective of this study was to investigate the distribution of human Wharton’s jelly-derived MSCs (WJ-MSCs) injected via the intrathecal route in a rat model. WJ-MSCs (1 × 106) were intrathecally injected via the L2-3 intervertebral space in 6-week-old Sprague Dawley rats. These rats were then sacrificed at varying time points: 0, 6, and 12 h following injection. At 12 h, a significant number of MSCs were detected in the brain but not in other organs. Furthermore, with a 10-fold higher dose of WJ-MSCs, there was a substantial increase in the number of cells migrating to the brain. These results suggest that the intrathecal route can be a promising route for the performance of stem cell therapy for CNS diseases.
Alzheimer's disease (AD) is a neurodegenerative disease with multifactorial pathogenesis. However, most current therapeutic approaches for AD target a single pathophysiological mechanism, generally resulting in unsatisfactory therapeutic outcomes. Recently, mesenchymal stem cell (MSC) therapy, which targets multiple pathological mechanisms of AD, has been explored as a novel treatment. However, the low brain retention efficiency of administered MSCs limits their therapeutic efficacy. In addition, autologous MSCs from AD patients may have poor therapeutic abilities. Here, we overcome these limitations by developing iron oxide nanoparticle (IONP)-incorporated human Wharton's jelly-derived MSCs (MSC-IONPs). IONPs promote therapeutic molecule expression in MSCs. Following intracerebroventricular injection, MSC-IONPs showed a higher brain retention efficiency under magnetic guidance. This potentiates the therapeutic efficacy of MSCs in murine models of AD. Furthermore, human Wharton's jellyderived allogeneic MSCs may exhibit higher therapeutic abilities than those of autologous MSCs in aged AD patients. This strategy may pave the way for developing MSC therapies for AD.
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