基础医学与临床 ›› 2013, Vol. 33 ›› Issue (1): 33-38.

• 研究论文 • 上一篇    下一篇

人骨髓间充质细胞脑内移植治疗食蟹猴脑缺血

朱华1,冯铭2,卢姗3,李秦4,刘颖4,安沂华5,赵春华6,王任直7,秦川8   

  1. 1. 中国医学科学院医学实验动物研究所
    2. 中国医学科学院北京协和医学院北京协和医院神经外科
    3. 中国医学科学院基础医学研究所组织工程研究中心
    4. 中国医学科学院实验动物研究所
    5. 首都医科大学 北京市神经外科研究所
    6. 中国医学科学院基础医学研究所组织工程中心
    7. 中国医学科学院 北京协和医学院 北京协和医院 神经外科
    8. 中国医学科学院 北京协和医学院 实验动物研究所
  • 收稿日期:2012-02-15 修回日期:2012-10-29 出版日期:2013-01-05 发布日期:2012-12-25
  • 通讯作者: 秦川 E-mail:qinchuan@pumc.edu.cn,chuanqin@vip.sina.com
  • 基金资助:
    国家863计划

Human mesenchymal stem cell transplantation promotes functional recovery of macaca fascicularis with cerebral ischemia

  • Received:2012-02-15 Revised:2012-10-29 Online:2013-01-05 Published:2012-12-25

摘要: 目的 评价人骨髓间充质干细胞脑内移植对食蟹猴脑缺血模型的治疗作用。方法 健康成年食蟹猴18只,光化学法造模4周后,用脑立体定位法在缺血灶周围植入人骨髓间充质干细胞5×106和1×106 ,对照组等体积生理盐水。利用影像学(MRI、PET)、行为学(神经功能评分、精准上肢测试系统)和组织病理学对干细胞移植效果进行评价。结果 神经功能评分和精准上肢运动测试分别在在干细胞植入2周和3d后显著降低(P <0.05)。PET结果显示干细胞移植后4、6周高、低剂量组缺血灶周围皮层、基底节核团的SUV%值比对照组显著升高(P <0.05)。MRI显示剂量组缺血灶的修复速度大于对照组。病理检查可见低剂量组坏死灶面积小于对照组(P <0.05),出血灶周围有大量新生血管生成。结论 在缺血灶周围入hBMSC可促进食蟹猴损伤神经组织的恢复,为进一步研究干细胞这一治疗神经系统疾病新手段的临床应用提供了参考。

关键词: 间充质干细胞,脑出血,移植,食蟹猴

Abstract: Objective By using human bone marrow-derived mesenchymal stem cell (hBMSC) transplantation to treat experimentally induced cerebral ischemia in Macaca fascicularis to examine the effects of hBMSC transplantation on the recovery of neurological function. Methods In 18 Macaca fasciculari, cerebral ischemia was induced by photochemical occlusion to generate the stoke model. The animals were randomly divided into high-dose, low-dose, and control groups. After 4 weeks, 250 μl of hBMSC at 5×106, 1×106 , or saline were injected respectively at the edge of the hematoma. High field MR scanning and positron-emission tomography (PET) scans were performed every 2 weeks before and after the hBMSC transplant. Neurological functioning and upper limb motor test were used to evaluate on 24hrs,3d,and 1, 2, 3, 4,5,6,7,8,9,10,12weeks after the surgery. Results After hBMSC transplantation, neural function scores and upper limb motor test improved significantly in the high-and low-dose groups compared with the control group. 4and 6 weeks after the transplantation, SUV% of the surrounding area of the lesion had significant different between dose group and control group(P<0.05). At week 4 and 12, pathological examination showed a large amount of angiogenesis around the lesion. The area of the lesion of low-dose group decreased significant compared to the control group (P <0.05). Conclusions- Intracerebral transplantation of human mesenchymal stem cells can improve functional recovery of Macaca fascicularis and can be used to restore neurological deficits in experimentally induced ischemia stroke.

Key words: mesenchymal stem cells, cerebral ischemia, transplantation, Macaca fascicularis