(Stroke. 2001;32:1005.)
© 2001 American Heart Association, Inc.
Original Contributions |
From Henry Ford Health Sciences Center, Department of Neurology (J.C., Y.L., L.W., Z.Z., M.C.), Neurosurgery (D.L.), and Biostatistics and Research Epidemiology (M.L.), Detroit, Mich; and Oakland University, Department of Physics (M.C.), Rochester, Mich.
Correspondence to Michael Chopp, PhD, Henry Ford Hospital, Neurology Department, 2799 W Grand Blvd, Detroit, MI 48202. E-mail chopp{at}neuro.hfh.edu
Background and PurposeWe tested the hypothesis that intravenous infusion of bone marrow derivedmarrow stromal cells (MSCs) enter the brain and reduce neurological functional deficits after stroke in rats.
MethodsRats (n=32) were subjected to 2 hours of middle cerebral artery occlusion (MCAO). Test groups consisted of MCAO alone (group 1, n=6); intravenous infusion of 1x106 MSCs at 24 hours after MCAO (group 2, n=6); or infusion of 3x106 MSCs (group 3, n=7). Rats in groups 1 to 3 were euthanized at 14 days after MCAO. Group 4 consisted of MCAO alone (n=6) and group 5, intravenous infusion of 3x106 MSCs at 7 days after MCAO (n=7). Rats in groups 4 and 5 were euthanized at 35 days after MCAO. For cellular identification, MSCs were prelabeled with bromodeoxyuridine. Behavioral tests (rotarod, adhesive-removal, and modified Neurological Severity Score [NSS]) were performed before and at 1, 7, 14, 21, 28, and 35 days after MCAO. Immunohistochemistry was used to identify MSCs or cells derived from MSCs in brain and other organs.
ResultsSignificant recovery of somatosensory behavior and Neurological Severity Score (P<0.05) were found in animals infused with 3x106 MSCs at 1 day or 7 days compared with control animals. MSCs survive and are localized to the ipsilateral ischemic hemisphere, and a few cells express protein marker phenotypic neural cells.
ConclusionsMSCs delivered to ischemic brain tissue through an intravenous route provide therapeutic benefit after stroke. MSCs may provide a powerful autoplastic therapy for stroke.
Key Words: bone marrow transplantation middle cerebral artery occlusion neuronal plasticity stroke, experimental stromal cells rats
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