Transient but not permanent benefit of neuronal progenitor cell therapy after traumatic brain injury: potential causes and translational consequences
Background: Numerous studies have reported a beneficial impact of neural progenitor cell (NPC) transplantation on functional outcome after traumatic brain injury (TBI) during short and medium follow-up periods. However, our knowledge regarding long-term functional effects is fragmentary while a dire...
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doaj-e25ed257be554d50a42958c2754144282020-11-25T00:35:48ZengFrontiers Media S.A.Frontiers in Cellular Neuroscience1662-51022014-10-01810.3389/fncel.2014.00318110023Transient but not permanent benefit of neuronal progenitor cell therapy after traumatic brain injury: potential causes and translational consequencesMarco eSkardelly0Marco eSkardelly1Khaled eGaber2Swen eBurdack3Franziska eScheidt4Martin Ulrich Schuhmann5Martin Ulrich Schuhmann6Heidegard eHilbig7Juergen eMeixensberger8Johannes eBoltze9University of LeipzigUniversity of TuebingenUniversity of LeipzigUniversity of LeipzigUniversity of LeipzigUniversity of LeipzigUniversity of TuebingenUniversity of LeipzigUniversity of LeipzigFraunhofer Institute for Cell Therapy and ImmunologyBackground: Numerous studies have reported a beneficial impact of neural progenitor cell (NPC) transplantation on functional outcome after traumatic brain injury (TBI) during short and medium follow-up periods. However, our knowledge regarding long-term functional effects is fragmentary while a direct comparison between local and systemic transplantation is missing so far. Objectives: This study investigated the long-term (12 week) impact of human fetal neuronal progenitor cell (hNPC) transplantation 24h after severe TBI in rats. Methods: Cells were either transplanted stereotactically (1x105) into the putamen or systemically (5x105) via the tail vein. Control animals received intravenous transplantation of vehicle solution. Results: An overall functional benefit was observed after systemic, but not local hNPC transplantation by area under the curve analysis (p<0.01). Surprisingly, this effect vanished during later stages after TBI with all groups exhibiting comparable functional outcomes 84 days after TBI. Investigation of cell-mediated inflammatory processes revealed increasing microglial activation and macrophage presence during these stages, which was statistically significant after systemic cell administration (p<0.05). Intracerebral hNPC transplantation slightly diminished astrogliosis in perilesional areas (p<0.01), but did not translate into a permanent functional benefit. No significant effects on angiogenesis were observed among the groups.Conclusion: Our results suggest the careful long-term assessment of cell therapies for TBI, as well as to identify potential long-term detrimental effects of such therapies before moving on to clinical trials. Moreover, immunosuppressive protocols, though widely used, should be rigorously assessed for their applicability in the respective setup.http://journal.frontiersin.org/Journal/10.3389/fncel.2014.00318/fullcell therapyTBITranslational researchneural progenitor cellslong-term functional outcome |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marco eSkardelly Marco eSkardelly Khaled eGaber Swen eBurdack Franziska eScheidt Martin Ulrich Schuhmann Martin Ulrich Schuhmann Heidegard eHilbig Juergen eMeixensberger Johannes eBoltze |
spellingShingle |
Marco eSkardelly Marco eSkardelly Khaled eGaber Swen eBurdack Franziska eScheidt Martin Ulrich Schuhmann Martin Ulrich Schuhmann Heidegard eHilbig Juergen eMeixensberger Johannes eBoltze Transient but not permanent benefit of neuronal progenitor cell therapy after traumatic brain injury: potential causes and translational consequences Frontiers in Cellular Neuroscience cell therapy TBI Translational research neural progenitor cells long-term functional outcome |
author_facet |
Marco eSkardelly Marco eSkardelly Khaled eGaber Swen eBurdack Franziska eScheidt Martin Ulrich Schuhmann Martin Ulrich Schuhmann Heidegard eHilbig Juergen eMeixensberger Johannes eBoltze |
author_sort |
Marco eSkardelly |
title |
Transient but not permanent benefit of neuronal progenitor cell therapy after traumatic brain injury: potential causes and translational consequences |
title_short |
Transient but not permanent benefit of neuronal progenitor cell therapy after traumatic brain injury: potential causes and translational consequences |
title_full |
Transient but not permanent benefit of neuronal progenitor cell therapy after traumatic brain injury: potential causes and translational consequences |
title_fullStr |
Transient but not permanent benefit of neuronal progenitor cell therapy after traumatic brain injury: potential causes and translational consequences |
title_full_unstemmed |
Transient but not permanent benefit of neuronal progenitor cell therapy after traumatic brain injury: potential causes and translational consequences |
title_sort |
transient but not permanent benefit of neuronal progenitor cell therapy after traumatic brain injury: potential causes and translational consequences |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Cellular Neuroscience |
issn |
1662-5102 |
publishDate |
2014-10-01 |
description |
Background: Numerous studies have reported a beneficial impact of neural progenitor cell (NPC) transplantation on functional outcome after traumatic brain injury (TBI) during short and medium follow-up periods. However, our knowledge regarding long-term functional effects is fragmentary while a direct comparison between local and systemic transplantation is missing so far. Objectives: This study investigated the long-term (12 week) impact of human fetal neuronal progenitor cell (hNPC) transplantation 24h after severe TBI in rats. Methods: Cells were either transplanted stereotactically (1x105) into the putamen or systemically (5x105) via the tail vein. Control animals received intravenous transplantation of vehicle solution. Results: An overall functional benefit was observed after systemic, but not local hNPC transplantation by area under the curve analysis (p<0.01). Surprisingly, this effect vanished during later stages after TBI with all groups exhibiting comparable functional outcomes 84 days after TBI. Investigation of cell-mediated inflammatory processes revealed increasing microglial activation and macrophage presence during these stages, which was statistically significant after systemic cell administration (p<0.05). Intracerebral hNPC transplantation slightly diminished astrogliosis in perilesional areas (p<0.01), but did not translate into a permanent functional benefit. No significant effects on angiogenesis were observed among the groups.Conclusion: Our results suggest the careful long-term assessment of cell therapies for TBI, as well as to identify potential long-term detrimental effects of such therapies before moving on to clinical trials. Moreover, immunosuppressive protocols, though widely used, should be rigorously assessed for their applicability in the respective setup. |
topic |
cell therapy TBI Translational research neural progenitor cells long-term functional outcome |
url |
http://journal.frontiersin.org/Journal/10.3389/fncel.2014.00318/full |
work_keys_str_mv |
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