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Viability assessment of human peripheral blood-derived stem cells after three methods of nebulization. 三种雾化方法对人外周血源性干细胞生存能力的影响。
IF 1.8 Q4 CELL BIOLOGY Pub Date : 2021-10-15 eCollection Date: 2021-01-01
Yandy Marx Castillo Aleman, Carlos Agustin Villegas Valverde, Yendry Ventura Carmenate, Loubna Abdel Hadi, Rene Antonio Rivero Jimenez, Rachid Rezgui, Shahd Hani Alagha, Shadi Shamat, Antonio Alfonso Bencomo Hernandez

Background and objectives: Drug delivery by nebulization has become a crucial strategy for treating different respiratory and lung diseases. Emerging evidence implicates stem cell therapy as a promising tool in treating such conditions, not only by alleviating the related symptoms but by improving the prognosis. However, delivery of human peripheral blood-derived stem cells (hPBSCs) to the respiratory airways remains an innovative approach yet to be realized. This study is an analytic, translational, and in vitro research to assess the viability and morphological changes of identified cell populations in hPBSCs cocktail derived from COVID-19 patients.

Methods and results: Peripheral blood (PB) samples were obtained from patients enrolled in the SENTAD-COVID Study (ClinicalTrials.gov Reference: NCT04473170). hPBSCs cocktails (n=15) were provided by the Cells Processing Laboratory of Abu Dhabi Stem Cells Center, and were nebulized by three different methods of nebulization: compressor (jet), ultrasonic, and mesh. Our results reported that nucleated CD45dim cell count was significantly lower after the three nebulization methods, but nucleated CD45- cells show a significant decrease only after mesh nebulization. Mesh-nebulized samples had a significant reduction in viability of both CD45dim and CD45- cells.

Conclusions: This study provides evidence that stem cells derived from PB of COVID-19 patients can be nebulized without substantial loss of cell viability, cell count, and morphological changes using the compressor nebulization. Therefore, we recommend compressor nebulizers as the preferable procedure for hPBSCs delivery to the respiratory airways in further clinical settings.

背景和目的:雾化给药已成为治疗各种呼吸和肺部疾病的重要策略。新出现的证据表明,干细胞治疗不仅可以减轻相关症状,还可以改善预后,是治疗此类疾病的一种有前途的工具。然而,将人外周血源性干细胞(hPBSCs)输送到呼吸道仍然是一种有待实现的创新方法。本研究是一项分析、转化和体外研究,旨在评估来自COVID-19患者的hPBSCs混合物中鉴定的细胞群的活力和形态变化。方法和结果:从SENTAD-COVID研究(ClinicalTrials.gov参考号:NCT04473170)的患者中采集外周血(PB)样本。hPBSCs鸡尾酒(n=15)由阿布扎比干细胞中心细胞处理实验室提供,采用三种不同的雾化方法:压缩机(喷射)、超声波和网状雾化。我们的研究结果表明,三种雾化方法后有核CD45dim细胞计数均显著降低,而有核CD45-细胞计数只有网状雾化后才显著降低。网状雾化样品的CD45dim和CD45-细胞活力均显著降低。结论:本研究提供了证据,证明使用压缩机雾化的方法可以雾化来自COVID-19患者PB的干细胞,而不会导致细胞活力、细胞计数和形态变化的大幅下降。因此,我们建议在进一步的临床环境中将压缩雾化器作为hPBSCs输送到呼吸道的首选程序。
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引用次数: 0
Reciprocal signals between nerve and epithelium: how do neurons talk with epithelial cells? 神经与上皮之间的相互信号:神经元如何与上皮细胞对话?
IF 1.8 Q4 CELL BIOLOGY Pub Date : 2021-10-15 eCollection Date: 2021-01-01
Sadaruddin Chachar, Jing Chen, Yumei Qin, Xia Wu, Haiyan Yu, Qiang Zhou, Xiaojiao Fan, Chaochen Wang, Isaac Brownell, Ying Xiao

Most epithelium tissues continuously undergo self-renewal through proliferation and differentiation of epithelial stem cells (known as homeostasis), within a specialized stem cell niche. In highly innervated epithelium, peripheral nerves compose perineural niche and support stem cell homeostasis by releasing a variety of neurotransmitters, hormones, and growth factors and supplying trophic factors to the stem cells. Emerging evidence has shown that both sensory and motor nerves can regulate the fate of epithelial stem cells, thus influencing epithelium homeostasis. Understanding the mechanism of crosstalk between epithelial stem cells and neurons will reveal the important role of the perineural niche in physiological and pathological conditions. Herein, we review recent discoveries of the perineural niche in epithelium mainly in tissue homeostasis, with a limited touch in wound repair and pathogenesis.

大多数上皮组织在一个特殊的干细胞生态位内,通过上皮干细胞的增殖和分化(称为稳态)不断进行自我更新。在高度神经支配的上皮中,周围神经通过释放多种神经递质、激素和生长因子,并向干细胞提供营养因子,构成周围神经生态位,支持干细胞稳态。新的证据表明,感觉神经和运动神经都可以调节上皮干细胞的命运,从而影响上皮稳态。了解上皮干细胞与神经元之间的串扰机制将揭示神经周围生态位在生理和病理条件下的重要作用。在此,我们回顾了最近在上皮中发现的神经周围生态位,主要是在组织稳态中,在伤口修复和发病机制中有有限的接触。
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引用次数: 0
Evaluation of mesenchymal stem cells in the healing of anastomosed carotid arteries. 间充质干细胞在颈动脉吻合愈合中的应用价值。
IF 1.8 Q4 CELL BIOLOGY Pub Date : 2021-08-15 eCollection Date: 2021-01-01
Mohamed Sa Mohamed

Cell therapies could be the future of medicine. Many centers worldwide consider the use of stem cells to treat certain conditions. Well, proper homing remains the challenge, which means the ability to target the cells to the targeted site. Intraoperative transplantation of stem cells can overcome the homing challenge. However, it could be a double-edged sword, if a proper technique was not conducted. In this comment, a practical example of that is presented, where the use of stem cells in the vascular and neurovascular surgeries shows a promising potential, but the way in which the cells are processed and introduced is a critical step that should be given a lot of attention.

细胞疗法可能是医学的未来。世界上许多中心都在考虑使用干细胞来治疗某些疾病。正确的定位仍然是一个挑战,也就是说如何将细胞定位到目标位置。术中干细胞移植可以克服归巢的挑战。然而,如果不采取适当的技术,这可能是一把双刃剑。在这篇评论中,提出了一个实际的例子,在血管和神经血管手术中使用干细胞显示出很好的潜力,但是细胞的处理和引入的方式是一个应该给予很多关注的关键步骤。
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引用次数: 0
Microencapsulated Wharton Jelly-derived adult mesenchymal stem cells as a potential new therapeutic tool for patients with COVID-19 disease: an in vitro study. 微胶囊化沃顿果冻来源的成体间充质干细胞作为COVID-19疾病患者潜在的新治疗工具:一项体外研究
IF 1.8 Q4 CELL BIOLOGY Pub Date : 2021-08-15 eCollection Date: 2021-01-01
Pia Montanucci, Teresa Pescara, Alessia Greco, Daniela Francisci, Giuseppe Basta, Riccardo Calafiore

Background: The recent newly appeared Coronavirus disease (COVID-19), caused by an enveloped RNA virus named "severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)", is associated with severe respiratory morbidity and mortality. Recent studies have shown that lymphopenia and a cytokine mass release represent important pathogenic features, with clinical evidence of dyspnea and hypoxemia, often leading to acute respiratory distress syndrome (ARDS), in severely ill patients, with a high death toll. Currently, stem cells are actively being investigated for their potential use in many "untreatable" diseases. In this regard and in particular, Mesenchymal Stem Cells (MSC), due to their intrinsic features, including either ability to impact on regulation of the immune system, or association with both anti-viral and anti-inflammatory properties, or potential for differentiation into several cell lineages, have become a promising tool for cell and molecular-based therapies. On this background, we wished to explore whether human umbilical cord-derived mesenchymal stem cells (hUCMS) would represent a potential viable therapeutic approach for the management of critically ill COVID19 patients.

Methods: We tested the hUCMS effects on peripheral blood mononuclear cell (PBMCs) retrieved from patients with COVID19 (Ethical Committee CEAS Umbria, Italy CER N°3658/20 7, May, 2020), both as free cell monolayers and after envelopment in sodium alginate microcapsules. Both cell systems, after priming with IFN-γ, proved able to produce several immunomodulatory molecules such as IDO1 and HLAG5, although only the microencapsulated hUCMS were associated with massive and dose-dependent production of these factors.

Results: The microencapsulated hUCMS improved allo-suppression in mixed lymphocytes reactions (MLRs), while also blunting T helper 1 and T helper 17 responses, that are involved with the cytokine storm and greatly contribute to the patient death. Moreover, we observed that both free and microencapsulated hUCMS permitted 5 days survival of in vitro culture maintained PBMCs extracted from very ill patients.

Conclusion: We have provided evidence that microencapsulated hUCMS in vitro, seem to represent a powerful tool to impact on several immune pathways, clearly deranged in COVID19 patients. Further study is necessary to begin in vivo assessment of this experimental system, upon determining both, the most appropriate time of the disease onset for intervention, and cell dosage/patient of our experimental product.

背景:最近新出现的冠状病毒病(COVID-19)是由一种名为“严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)”的包膜RNA病毒引起的,与严重的呼吸道疾病发病率和死亡率相关。最近的研究表明,淋巴细胞减少和细胞因子的大量释放是重要的致病特征,临床证据是呼吸困难和低氧血症,常导致重症患者急性呼吸窘迫综合征(ARDS),死亡率高。目前,人们正在积极研究干细胞在许多“不治之症”中的潜在用途。在这方面,特别是间充质干细胞(MSC),由于其固有的特性,包括影响免疫系统调节的能力,或与抗病毒和抗炎特性相关,或分化成几种细胞系的潜力,已成为细胞和分子治疗的一个有前途的工具。在此背景下,我们希望探讨人脐带源性间充质干细胞(hUCMS)是否代表一种潜在可行的治疗方法,用于治疗covid - 19危重症患者。方法:我们检测了hUCMS对covid - 19患者外周血单个核细胞(PBMCs)的影响(伦理委员会CEAS翁布里亚,意大利CER N°3658/ 207/5/2020),包括游离细胞单层和海藻酸钠微胶囊包膜后的外周血单个核细胞。这两种细胞系统在IFN-γ启动后,都被证明能够产生多种免疫调节分子,如IDO1和HLAG5,尽管只有微胶囊化的hUCMS与这些因子的大量和剂量依赖性生产有关。结果:微囊化的hUCMS改善了混合淋巴细胞反应(MLRs)中的同种异体抑制,同时也减弱了与细胞因子风暴有关的T辅助1和T辅助17反应,这是导致患者死亡的主要原因。此外,我们观察到游离和微胶囊化的hUCMS均可使体外培养的重症患者pbmc存活5天。结论:我们提供的证据表明,体外微胶囊化的hUCMS似乎是一种强大的工具,可以影响几种免疫途径,这些途径在covid - 19患者中明显紊乱。在确定最合适的疾病发病时间和我们的实验产品的细胞剂量/患者后,需要进一步的研究来开始对该实验系统进行体内评估。
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引用次数: 0
Cancer stem cells in head and neck cancer. 头颈癌中的癌症干细胞。
IF 1.8 Q4 CELL BIOLOGY Pub Date : 2021-08-15 eCollection Date: 2021-01-01
Hector Picon, Achuta Kumar Guddati

Cancer stem cells (CSCs) are a unique population of cells found within tumors that are able to self-renew, restore the original heterogeneity of a tumor following treatment, and show increased tumorigenic potential when compared to other cancer cells. It is thought that they are responsible for the recurrence of tumors as well as the resistance to treatment that is seen clinically. CSCs are known to be involved in head and neck cancer (HNCs) specifically, as evidence for their existence can be found in head and neck squamous cell carcinoma (HNSCC), mucoepidermoid carcinoma (MEC), and adenoid cystic carcinoma (ACC), among others. Here, findings from various approaches to identifying and targeting CSCs and their downstream effectors in HNC are summarized, with an emphasis on recent advancements. Prognostic and therapeutic markers are discussed for each specific type of HNC, and novel treatment strategies and current clinical trials involving CSCs are detailed as well. The information provided here is intended to further the research on this important topic and lead to clinical impact in the battle against HNC.

癌症干细胞(CSCs)是肿瘤中发现的一种独特的细胞群,它们能够自我更新,在治疗后恢复肿瘤的原始异质性,并且与其他癌细胞相比,显示出更高的致瘤潜力。据认为,它们是肿瘤复发的原因,也是临床上对治疗产生抗药性的原因。已知CSCs与头颈癌(HNCs)特异性相关,其存在的证据可以在头颈鳞状细胞癌(HNSCC)、黏液表皮样癌(MEC)和腺样囊性癌(ACC)等中发现。本文总结了在HNC中识别和靶向CSCs及其下游效应物的各种方法的发现,重点介绍了最近的进展。讨论了每种特定类型HNC的预后和治疗标志物,并详细介绍了涉及csc的新治疗策略和当前临床试验。这里提供的信息旨在进一步研究这一重要课题,并在与HNC的斗争中产生临床影响。
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引用次数: 0
Hematopoietic stem and progenitor cells directly participate in host immune response. 造血干细胞和祖细胞直接参与宿主免疫应答。
IF 1.8 Q4 CELL BIOLOGY Pub Date : 2021-06-15 eCollection Date: 2021-01-01
Olusola Jumoke Daramola, Stephen Osasan, Hebah Ali, Perpetua Emeagi

The properties of hematopoietic stem and progenitor cells (HSPCs), including self-renewal and pluripotency, have been extensively studied. These features have been explored in the management of several haematological disorders and malignancies. Although their role as precursors of innate immune cells is well understood, little is known about their direct participation in host immune response. In this review, we explicate the direct role of HSPCs in the host immune response and highlight therapeutic options for the infectious disease burden that is currently ravaging the world, including COVID-19.

造血干细胞和祖细胞(HSPCs)的特性,包括自我更新和多能性,已经被广泛研究。这些特点已经在一些血液系统疾病和恶性肿瘤的管理探索。虽然它们作为先天免疫细胞前体的作用被很好地理解,但它们直接参与宿主免疫应答的作用却知之甚少。在这篇综述中,我们阐述了热造血干细胞在宿主免疫反应中的直接作用,并强调了目前正在肆虐世界的传染病负担的治疗选择,包括COVID-19。
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引用次数: 0
Inhibition of PKCε induces primordial germ cell reprogramming into pluripotency by HIF1&2 upregulation and histone acetylation. 抑制PKCε可通过HIF1&2上调和组蛋白乙酰化诱导原始生殖细胞重编程为多能性。
IF 1.8 Q4 CELL BIOLOGY Pub Date : 2021-02-15 eCollection Date: 2021-01-01
Adrian Moratilla, Diego Sainz de la Maza, Marta Cadenas Martin, Pilar López-Iglesias, Pilar González-Peramato, Maria P De Miguel

Historically, primordial germ cells (PGCs) have been a good model to study pluripotency. Despite their low numbers and limited accessibility in the mouse embryo, they can be easily and rapidly reprogrammed at high efficiency with external physicochemical factors and do not require transcription factor transfection. Employing this model to deepen our understanding of cell reprogramming, we specifically aimed to determine the relevance of Ca2+ signal transduction pathway components in the reprogramming process. Our results showed that PGC reprogramming requires a normal extracellular [Ca2+] range, in contrast to neoplastic or transformed cells, which can continue to proliferate in Ca2+-deficient media, differentiating normal reprogramming from neoplastic transformation. Our results also showed that a spike in extracellular [Ca2+] of 1-3 mM can directly reprogram PGC. Intracellular manipulation of Ca2+ signal transduction pathway components revealed that inhibition of classical Ca2+ and diacylglycerol (DAG)-dependent PKCs, or intriguingly, of only the novel DAG-dependent PKC, PKCε, were able to induce reprogramming. PKCε inhibition changed the metabolism of PGCs toward glycolysis, increasing the proportion of inactive mitochondria. This metabolic switch from oxidative phosphorylation to glycolysis is mediated by hypoxia-inducible factors (HIFs), given we found upregulation of both HIF1α and HIF2α in the first 48 hours of culturing. PKCε inhibition did not change the classical pluripotency gene expression of PGCs, Oct4, or Nanog. PKCε inhibition changed the histone acetylation of PGCs, with histones H2B, H3, and H4 becoming acetylated in PKCε-inhibited cultures (markers were H2BacK20, H3acK9, and H4acK5K8, K12, K16), suggesting that reprogramming by PKCε inhibition is mediated by histone acetylation.

从历史上看,原始生殖细胞(PGCs)一直是研究多能性的良好模型。尽管它们在小鼠胚胎中的数量少且可及性有限,但它们可以在外部物理化学因子的作用下轻松快速地高效重编程,而不需要转染转录因子。利用该模型加深我们对细胞重编程的理解,我们专门旨在确定Ca2+信号转导途径组分在重编程过程中的相关性。我们的研究结果表明,PGC重编程需要正常的细胞外[Ca2+]范围,而肿瘤细胞或转化细胞可以在Ca2+缺乏的介质中继续增殖,从而将正常重编程与肿瘤转化区分开来。我们的研究结果还表明,1-3 mM的细胞外[Ca2+]峰值可以直接重编程PGC。细胞内Ca2+信号转导途径组分的操纵表明,抑制经典的Ca2+和二酰基甘油(DAG)依赖性PKC,或仅抑制新型DAG依赖性PKC PKCε,能够诱导重编程。PKCε抑制改变了PGCs的糖酵解代谢,增加了无活性线粒体的比例。这种从氧化磷酸化到糖酵解的代谢转换是由缺氧诱导因子(hif)介导的,因为我们发现在培养的前48小时HIF1α和HIF2α都上调。PKCε抑制并未改变PGCs、Oct4或Nanog的经典多能基因表达。PKCε抑制改变了PGCs的组蛋白乙酰化,在PKCε抑制的培养物中,组蛋白H2B、H3和H4被乙酰化(标记为H2BacK20、H3acK9和H4acK5K8、K12、K16),表明PKCε抑制的重编程是由组蛋白乙酰化介导的。
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引用次数: 0
HspB5 protects mouse neural stem/progenitor cells from paraquat toxicity. HspB5保护小鼠神经干细胞/祖细胞免受百草枯毒性。
IF 1.8 Q4 CELL BIOLOGY Pub Date : 2020-12-25 eCollection Date: 2020-01-01
Naveen Kumar Mekala, Shyama Sasikumar, Kranthi Kiran Akula, Yash Parekh, Ch Mohan Rao, Kiran Kumar Bokara

Introduction: HspB5 (αB-crystallin) is known to be involved in a variety of cellular functions, including, protection of cells from oxidative damage and inhibiting apoptosis. Neural stem/progenitor cells (NSPCs) have significant therapeutic value, especially in the NSC/NPC transplantation therapy. However, the viability of the transplanted NSPCs remains low because of various factors, including oxidative stress.

Objective: The current investigation explored the possible role of HspB5 in the protection of mouse NSPCs (mNSPCs) against paraquat-induced toxicity.

Methods: The recombinant human HspB5 was expressed in E.coli and was purified using gel filtration and Ion-exchange chromatography. The biophysical characterization of HspB5 was carried out using DLS, CD, and Analytical Ultracentrifugation (SV); the chaperone activity of HspB5 was determined by alcohol dehydrogenase aggregation assay. We have subjected the mNSPCs to paraquat-induced oxidative stress and monitored the protective ability of HspB5 by MTT assay and Hoechst-PI staining. Furthermore, increase in the expression of the anti-apoptotic protein, procaspase-3 was monitored using western blotting.

Results: The recombinant HspB5 was purified to its homogeneity and was characterized using various biophysical techniques. The externally added FITC-labeled HspB5 was found to be localized within the cytoplasm of mNSPCs. Our Immunocytochemistry results showed that the externally added FITC-labeled HspB5 not only entered the cells but also conferred cytoprotection against paraquat-induced toxicity. The protective events were monitored by a decrease in the PI-positive cells and an increase in the procaspase-3 expression through Immunocytochemistry and Western blotting respectively.

Conclusion: Our results clearly demonstrate that exogenously added recombinant human HspB5 enters the mNSPCs and confers protection against paraquat toxicity.

HspB5 (αB-crystallin)被认为参与多种细胞功能,包括保护细胞免受氧化损伤和抑制细胞凋亡。神经干/祖细胞(NSPCs)具有重要的治疗价值,特别是在NSC/NPC移植治疗中。然而,由于各种因素,包括氧化应激,移植的NSPCs的生存能力仍然很低。目的:探讨HspB5对小鼠NSPCs (mNSPCs)抗百草枯毒性的保护作用。方法:在大肠杆菌中表达重组人HspB5,采用凝胶过滤和离子交换层析纯化。采用DLS、CD和分析性超离心(SV)对HspB5进行生物物理表征;用乙醇脱氢酶聚集法测定HspB5的伴侣活性。我们将mNSPCs置于百草枯诱导的氧化应激下,通过MTT法和Hoechst-PI染色检测HspB5的保护能力。western blotting检测抗凋亡蛋白procaspase-3表达的增加。结果:重组HspB5的纯化达到了均匀性,并利用多种生物物理技术对其进行了表征。外部添加的fitc标记的HspB5被发现定位在mNSPCs的细胞质中。我们的免疫细胞化学结果表明,外部添加的fitc标记的HspB5不仅进入细胞,而且对百草枯诱导的毒性具有细胞保护作用。免疫细胞化学和Western blotting分别检测pi阳性细胞的减少和procaspase-3表达的增加。结论:我们的研究结果清楚地表明外源添加的重组人HspB5进入mNSPCs并对百草枯毒性具有保护作用。
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引用次数: 0
Cell transplantation as a novel therapeutic strategy for autism spectrum disorders: a clinical study. 细胞移植作为一种治疗自闭症谱系障碍的新策略:临床研究。
IF 1.8 Q4 CELL BIOLOGY Pub Date : 2020-12-25 eCollection Date: 2020-01-01
Alok K Sharma, Nandini Gokulchandran, Pooja P Kulkarni, Hemangi M Sane, Ridhima Sharma, Alitta Jose, Prerna B Badhe

Background: Autism spectrum disorders [ASD] is a lifelong disability mainly affecting the development, communication, social interaction and behavior of an individual. Cell transplantation is emerging as a potential therapeutic strategy for ASD. Our previously published proof of concept study showed beneficial effects of cell transplantation in ASD. This study shows effect of cell transplantation in a larger sample size of ASD patients.

Methods: 254 patients diagnosed with ASD on DSM V criteria were enrolled in this open label non-randomized study. The intervention included intrathecal transplantation of autologous bone marrow mononuclear cells and neurorehabilitation. On mean follow up of 7.50 months, percentage analysis was performed on all symptomatic changes. Changes in outcome measures, Indian Scale for Assessment of Autism [ISAA] and Childhood Autism Rating Scale [CARS], were analyzed statistically using Wilcoxon Signed-Rank Test. Comparative analysis of Positron Emission Tomography [PET CT] scan brain, performed before and 6 months after intervention, was done in 86 patients to monitor the outcome at cellular level. Change in the standardized uptake values was statistically evaluated using T-Test [P≤0.05].

Results: Improvements were observed in eye contact, attention and concentration, hyperactivity, sitting tolerance, social interaction, stereotypical behavior, aggressiveness, communication, speech, command following and self-stimulatory behavior. Statistically significant improvement was observed in scores of ISAA and CARS after intervention. A significantly better outcome of the intervention was found in patients at younger age and with shorter duration of disease [<5 years from time of diagnosis]. 86 patients who underwent a repeat PET CT scan showed improved brain metabolism after intervention in areas which correlated to the symptomatic changes. No major procedure related adverse events were recorded. However, 5 patients, with history of seizure and abnormal EEG, had an episode of seizure which was managed using medications. Outcome of intervention in these patients was not affected by seizures as improvements were observed in them.

Conclusion: The results of this study indicate that autologous bone marrow mononuclear cells in combination with neurorehabilitation are a safe and effective treatment modality for ASD. It improves the quality of life of patients and helps them to integrate in mainstream lifestyle.

背景:自闭症谱系障碍(Autism spectrum disorders, ASD)是一种主要影响个体发育、沟通、社会交往和行为的终身残疾。细胞移植正在成为一种潜在的治疗ASD的策略。我们之前发表的概念证明研究表明,细胞移植对ASD有有益的影响。这项研究显示了细胞移植在更大样本量的ASD患者中的效果。方法:254例符合DSM V标准诊断为ASD的患者被纳入这项开放标签非随机研究。干预包括自体骨髓单核细胞鞘内移植和神经康复。平均随访7.50个月,对所有症状变化进行百分比分析。结果测量指标印度自闭症评估量表(ISAA)和儿童自闭症评定量表(CARS)的变化采用Wilcoxon sign - rank检验进行统计学分析。对86例患者进行干预前和干预后6个月的脑正电子发射断层扫描(PET CT)对比分析,以监测细胞水平的预后。标准化摄取值的变化采用t检验进行统计学评价[P≤0.05]。结果:在眼神交流、注意力集中、多动、静坐耐受力、社会交往、刻板行为、攻击性、沟通、言语、命令服从和自我刺激行为方面均有改善。干预后ISAA和CARS评分有统计学意义的改善。结论:自体骨髓单个核细胞联合神经康复治疗是一种安全有效的治疗ASD的方式。提高患者的生活质量,帮助患者融入主流生活方式。
{"title":"Cell transplantation as a novel therapeutic strategy for autism spectrum disorders: a clinical study.","authors":"Alok K Sharma,&nbsp;Nandini Gokulchandran,&nbsp;Pooja P Kulkarni,&nbsp;Hemangi M Sane,&nbsp;Ridhima Sharma,&nbsp;Alitta Jose,&nbsp;Prerna B Badhe","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Autism spectrum disorders [ASD] is a lifelong disability mainly affecting the development, communication, social interaction and behavior of an individual. Cell transplantation is emerging as a potential therapeutic strategy for ASD. Our previously published proof of concept study showed beneficial effects of cell transplantation in ASD. This study shows effect of cell transplantation in a larger sample size of ASD patients.</p><p><strong>Methods: </strong>254 patients diagnosed with ASD on DSM V criteria were enrolled in this open label non-randomized study. The intervention included intrathecal transplantation of autologous bone marrow mononuclear cells and neurorehabilitation. On mean follow up of 7.50 months, percentage analysis was performed on all symptomatic changes. Changes in outcome measures, Indian Scale for Assessment of Autism [ISAA] and Childhood Autism Rating Scale [CARS], were analyzed statistically using Wilcoxon Signed-Rank Test. Comparative analysis of Positron Emission Tomography [PET CT] scan brain, performed before and 6 months after intervention, was done in 86 patients to monitor the outcome at cellular level. Change in the standardized uptake values was statistically evaluated using T-Test [P≤0.05].</p><p><strong>Results: </strong>Improvements were observed in eye contact, attention and concentration, hyperactivity, sitting tolerance, social interaction, stereotypical behavior, aggressiveness, communication, speech, command following and self-stimulatory behavior. Statistically significant improvement was observed in scores of ISAA and CARS after intervention. A significantly better outcome of the intervention was found in patients at younger age and with shorter duration of disease [<5 years from time of diagnosis]. 86 patients who underwent a repeat PET CT scan showed improved brain metabolism after intervention in areas which correlated to the symptomatic changes. No major procedure related adverse events were recorded. However, 5 patients, with history of seizure and abnormal EEG, had an episode of seizure which was managed using medications. Outcome of intervention in these patients was not affected by seizures as improvements were observed in them.</p><p><strong>Conclusion: </strong>The results of this study indicate that autologous bone marrow mononuclear cells in combination with neurorehabilitation are a safe and effective treatment modality for ASD. It improves the quality of life of patients and helps them to integrate in mainstream lifestyle.</p>","PeriodicalId":7657,"journal":{"name":"American journal of stem cells","volume":" ","pages":"89-100"},"PeriodicalIF":1.8,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7811933/pdf/ajsc0009-0089.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38854911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can Wharton jelly derived or adipose tissue derived mesenchymal stem cell can be a treatment option for duchenne muscular dystrophy? Answers as transcriptomic aspect. 沃顿果冻提取物或脂肪组织提取物间充质干细胞能否成为治疗杜兴氏肌肉萎缩症的一种选择?转录组方面的答案。
IF 1.8 Q4 CELL BIOLOGY Pub Date : 2020-08-25 eCollection Date: 2020-01-01
Eda Sun, Erdal Karaoz

Introduction: Mesenchymal stem cells (MSCs) are able to differentiate into several cell lineages including skeletal muscle. In addition to their differentiation capacities, they have the ability to transfer their content genomic information horizontally through their exosomes and fusion abilities, as we have shown in our previous clinic study on Duchenne Muscular Dystrophy (DMD) patients, dystrophin expression increased after MSC treatment. Therefore, this study aimed to compare the transcriptomic properties of Wharton's jelly derived (WJ-) MSC and Adipose tissue (AT-) derived MSC, which are the two most preferred sources in MSC treatments applied in DMD.

Methods: Both MSC cell lines obtained from ATCC (PCS-500-010; PCS-500-011) were characterized by flow cytometry then WJ-MSC and AT-MSC cell lines were sequenced via RNA-SEQ. R language was used to obtain the differentially expressed genes (DEGs) and differentially expressed miRNAs, respectively. Additionally, in order to support the results of our study, a gene expression profile data set of DMD patients (GSE1004) were acquired from Gene Expression Omnibus (GEO) database.

Results: Here, we demonstrated that activated WNT signaling and downregulated TGF-β pathways under the control of decreased mir-24 which are involved in myogenic differentiation are differentially expressed in WJ-MSC. We have shown that the expression of mir-199a-5p, which is known to increase in exosomes of DMD patients, is less in WJ-MSC. Additionally, we have shown activated PI3K/Akt pathway, which is controlling mitochondria transfer via Tunnelling Nanotube as a new perspective in cellular therapies in myodegenerative diseases, in WJ-MSC more than in AT-MSCs.

Conclusion: Summing up, WJ-MSC, which we recommend as an appropriate source candidate due to its immune-regulation properties, stands forward as a preferable source in the cellular treatment of DMD patients due to its transcriptomic aspect.

简介间充质干细胞(MSCs)能够分化成多种细胞系,包括骨骼肌。除了分化能力外,间充质干细胞还能通过其外泌体和融合能力水平转移其基因组信息,正如我们之前对杜氏肌营养不良症(DMD)患者进行的临床研究显示的那样,间充质干细胞治疗后,肌营养不良蛋白的表达增加。因此,本研究旨在比较沃顿果冻间充质干细胞(WJ-)和脂肪组织间充质干细胞(AT-)的转录组学特性:方法:通过流式细胞仪对从 ATCC(PCS-500-010;PCS-500-011)获得的两种间充质干细胞系进行表征,然后通过 RNA-SEQ 对 WJ-MSC 和 AT-MSC 细胞系进行测序。使用 R 语言分别获得了差异表达基因(DEGs)和差异表达 miRNAs。此外,为了支持我们的研究结果,我们还从基因表达总库(Gene Expression Omnibus,GEO)数据库中获取了DMD患者的基因表达谱数据集(GSE1004):结果:我们在此证明,在参与成肌分化的mir-24的控制下,激活的WNT信号和下调的TGF-β通路在WJ-间充质干细胞中有差异表达。我们发现,已知在 DMD 患者外泌体中增加的 mir-199a-5p 在 WJ-MSC 中表达较少。此外,我们还发现,WJ-间充质干细胞中的 PI3K/Akt 通路比 AT-MSCs 中的更活跃,PI3K/Akt 通路通过隧道纳米管控制线粒体的转移,是肌退行性疾病细胞疗法的新视角:总之,WJ-间充质干细胞因其免疫调节特性而被我们推荐为合适的候选来源,由于其转录组学方面的优势,WJ-间充质干细胞有望成为DMD患者细胞治疗的首选来源。
{"title":"Can Wharton jelly derived or adipose tissue derived mesenchymal stem cell can be a treatment option for duchenne muscular dystrophy? Answers as transcriptomic aspect.","authors":"Eda Sun, Erdal Karaoz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Mesenchymal stem cells (MSCs) are able to differentiate into several cell lineages including skeletal muscle. In addition to their differentiation capacities, they have the ability to transfer their content genomic information horizontally through their exosomes and fusion abilities, as we have shown in our previous clinic study on Duchenne Muscular Dystrophy (DMD) patients, dystrophin expression increased after MSC treatment. Therefore, this study aimed to compare the transcriptomic properties of Wharton's jelly derived (WJ-) MSC and Adipose tissue (AT-) derived MSC, which are the two most preferred sources in MSC treatments applied in DMD.</p><p><strong>Methods: </strong>Both MSC cell lines obtained from ATCC (PCS-500-010; PCS-500-011) were characterized by flow cytometry then WJ-MSC and AT-MSC cell lines were sequenced via RNA-SEQ. R language was used to obtain the differentially expressed genes (DEGs) and differentially expressed miRNAs, respectively. Additionally, in order to support the results of our study, a gene expression profile data set of DMD patients (GSE1004) were acquired from Gene Expression Omnibus (GEO) database.</p><p><strong>Results: </strong>Here, we demonstrated that activated WNT signaling and downregulated TGF-β pathways under the control of decreased mir-24 which are involved in myogenic differentiation are differentially expressed in WJ-MSC. We have shown that the expression of mir-199a-5p, which is known to increase in exosomes of DMD patients, is less in WJ-MSC. Additionally, we have shown activated PI3K/Akt pathway, which is controlling mitochondria transfer via Tunnelling Nanotube as a new perspective in cellular therapies in myodegenerative diseases, in WJ-MSC more than in AT-MSCs.</p><p><strong>Conclusion: </strong>Summing up, WJ-MSC, which we recommend as an appropriate source candidate due to its immune-regulation properties, stands forward as a preferable source in the cellular treatment of DMD patients due to its transcriptomic aspect.</p>","PeriodicalId":7657,"journal":{"name":"American journal of stem cells","volume":"9 4","pages":"57-67"},"PeriodicalIF":1.8,"publicationDate":"2020-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7486554/pdf/ajsc0009-0057.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38379463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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American journal of stem cells
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