BDNF基因工程细胞对帕金森大鼠纹状体多巴胺及其代谢物影响的研究

目的:观察经侧脑室移植pIRESneo-EGFP-BDNF修饰骨髓间充质干细胞(MSCs)对帕金森病(PD)大鼠纹状体多巴胺(DA)及代谢产物的影响。方法:采用电穿孔法将pIRESneo-EGFP-BDNF转染至骨髓MSCs;制备PD大鼠模型,随机分为Sham组,PD组,MSCs组,脑源性神经生长因子(BDNF)组,经侧脑室移植MSCs或pIRESneo-EGFP-BDNF修饰骨髓MSCs,术后2周,4周,8周,腹腔注射阿朴吗啡(APO)诱导PD大鼠旋转行为;应用高效液相色谱测定各组大鼠纹状体内多巴胺(DA)、高香草酸(HVA)及二羟苯乙酸(DOPAC)。结果:移植术后2周,4周,8周BDNF组、MSCs组大鼠与PD组比较旋转次数明显减少(P<0.05),以BDNF组改善更为明显。移植细胞干预PD模型8周后BDNF组、MSCs组大鼠纹状体DA、HVA、DOPAC较PD组明显提高(P<0.01),以BDNF组更为显著。结论:经侧脑室移植pIRESneo-EGFP-BDNF修饰的骨髓MSCs干预PD大鼠模型,显著降低PD大鼠纹状体内DA代谢率,提高DA水平,改善PD大鼠的行为能力。     

大鼠实验性帕金森病的基因治疗

将稳定转染了大鼠酪氨酶羟化酶基因的大鼠成肌细胞移植于帕金森病大鼠模型模型的纹状体,进行基因治疗研究,ＲＴ－ＰＣＲ和免疫组织化学检测都证明转基因细胞可在纹状体内存活并表达ＴＨ,动物的不对称旋转行为明显改善,而且疗效可维持半年以上。     

骨髓间充质干细胞黑质内移植对帕金森病大鼠的治疗作用

目的探索骨髓间充质干细胞（BMSCs）移植到帕金森病（Parkinson’s disease,PD）大鼠毁损侧黑质内,PD模型大鼠的姿势不对称性和黑质及纹状体内酪氨酸羟化酶（tyrosinehy droxylase,TH）表达的改变,以及BM—SCs在大鼠脑内的存活、分化情况。方法黑质、前脑内侧束两点法注射6一羟多巴胺（6-OHDH）并行为学分析筛选PD模型大鼠。将PD模型大鼠随机分为移植组和对照组。BMSCs移植术后4周和8周,观察大鼠姿势不对称性,免疫组织化学及免疫荧光显色方法检测黑质和纹状体酪氨酸羟化酶（tyrosine hydroxylase,TH）的表达变化以及BMSCs在大鼠体内的存活、迁移及分化情况。结果BMSCs黑质内移植可使PD模型大鼠的转动频率由（10．62±2．97）r／min降至（4．65±1．08）r／min（P〈0．01）,显著增加毁损侧黑质TH阳性细胞数量和纹状体内TH阳性纤维密度。BMSCs在大鼠黑质内可以存活至少8周,部分细胞分化为神经干细胞、神经元和神经胶质细胞。结论黑质内移植BMSCs对PD模型大鼠有一定的治疗作用。     

大鼠实验性帕金森病的基因治疗

将稳定转染了大鼠酪氨酶羟化酶（Ｔｙｒｏｓｉｎｅｈｙｄｒｏｘｙｌａｓｅ,ＴＨ）基因的大鼠成肌细胞移植于帕金森病大鼠模型的纹状体,进行基因治疗研究。ＲＴ－ＰＣＲ和免疫组织化学检测都证明转基因细胞可在纹状体内存活并表达ＴＨ,动物的不对称旋转行为明显改善,而且疗效可维持半年以上。     

骨髓间充质干细胞源神经细胞移植治疗帕金森病大鼠模型

目的探讨骨髓间充质干细胞（mesenchymal stemcells,MSCs）源神经细胞脑内移植对帕金森病（Parkinson s disease,PD）大鼠的治疗作用。方法贴壁培养法分离、培养大鼠骨髓MSCs,脑匀浆上清诱导第3代MSCs向神经细胞分化,采用免疫细胞化学法鉴定诱导分化后细胞的性质,激光共聚焦显微镜检测诱导前后细胞Ca2＋浓度变化,6只PD大鼠行纹状体内MSCs源神经细胞移植作为细胞移植组,6只PD大鼠作为对照组。细胞移植术后4周检测PD大鼠的行为变化,观察移植细胞在脑内的分布情况。结果倒置显微镜下可见MSCs呈纺锤形和多角形,有1～2个核仁,MSCs经脑匀浆上清诱导后其胞体折光性增强,发出数个细长突起,互相交织成网,有的似轴突。诱导后细胞表达神经元特异性标志物神经元特异性烯醇化酶（NSE）和神经丝蛋白（NF）,胞质Ca2＋荧光强度显著增强,可推测诱导后的细胞为MSCs源神经细胞,将BrdU标记的MSCs源神经细胞移植到PD大鼠纹状体治疗4周后,可见细胞散在分布于注射侧脑组织,有少量细胞可迁移到对侧脑组织,PD大鼠的旋转行为得到显著改善。结论MSCs源神经细胞移植治疗帕金森病大鼠可使其旋转行为得到改善。     

多巴胺合成相关酶基因联合治疗帕金森病大鼠模型的研究

目的 利用骨髓间充质干细胞（MSCs）作为运载细胞,携带DA合成代谢过程中3个重要相关酶的基因：酪氨酸羟化酶（TH）、芳香族氨基酸脱羧酶(AADC) 和三磷酸鸟苷酸环化水解酶-I (GCH-I)基因,治疗帕金森病(PD) 模型大鼠。方法 首先用重组病毒AAV-TH、AAV-AADC 和AAV-GCH-I的上清液对MSCs进行体外感染;将携带有TH、AADC和GCH-I基因的MSCs移植到PD模型大鼠纹状体内,检测纹状体及黑质内多巴胺及其代谢产物的变化,并观察其行为学的变化,以评估上述基因对PD大鼠的治疗作用。结果 重组假病毒颗粒感染MSCs后植入PD模型大鼠损伤侧纹状体内。通过逆转录聚合酶链反应 (RT-PCR) 和原位杂交的方法在移植后12w仍能检测到上述三种基因的表达。免疫荧光检测发现移植后12w MSCs在脑内存活良好;移植后4w、8w、12w行为学观察发现阿扑吗啡(APO)诱导旋转行为较对照组LacZ基因移植组有明显改善（p<0.01）;移植后12w时三重基因移植组较双重基因移植组有明显改善（p<0.01）。移植后12w用高效液相色谱（HPLC）电化学法测定损伤侧纹状体和黑质内DA及其代谢产物3,4-二羟苯丙酸（DOPAC）的含量,三重基因移植组较hTH+hGCH-I基因移植组有明显增高（p<0.01）;三重基因移植组较hTH+hAADC基因移植组有所增高,但两组之间没有显著性差异。结论 基因工程改造的MSCs 在移植到PD模型大鼠脑内后可以很好地表达目的基因并在对动物行为学及生化方面改善的长期观察中发现三重基因联合脑内移植可能是比双重基因联合移植更佳的帕金森病基因治疗途径。     

纹状体内移植胚胎干细胞来源的神经前体细胞可升高帕金森病小鼠纹状体内多巴胺含量

目的探讨胚胎干细胞来源的神经前体细胞移植治疗帕金森病(Parkinson's disease,PD)的疗效及作用机制。方法以小鼠腹腔注射1-甲基-4-苯基-1,2,3,6-四氢吡啶(1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine,MPTP)建立PD小鼠模型;于体外将小鼠胚胎干细胞(embryonic stem cells,ESCs)向神经前体细胞(neural precursor cells,NPC)方向分化,经PCR与免疫荧光染色分析鉴定后将高纯度的NPC移植入PD小鼠纹状体内,2周和4周分别取纹状体制作冰冻切片并进行免疫荧光染色,用高效液相色谱法测定纹状体多巴胺的含量;对移植后死亡小鼠,取其脑进行常规石蜡切片、HE染色。结果移植的NPC可在移植部位存活,并分化为表达酪氨酸羟化酶(TH)的多巴胺能神经元;高效液相色谱法检测显示,PD小鼠纹状体内多巴胺含量明显降低,移植NPC 2周后的PD小鼠纹状体内多巴胺含量较未移植小鼠明显升高,但仍低于正常对照小鼠;移植4周后PD小鼠纹状体内多巴胺含量与未移植小鼠接近;有18.75%的PD小鼠移植NPC后形成畸胎瘤而死亡。结论 ESCs来源的NPC移植因可补充病变处多巴胺含量而对PD有一定治疗作用。     

大鼠胚胎神经干细胞纹状体内移植后特性

观察大鼠胚胎神经干细胞移植入成年大鼠纹状体后的存活、迁移和分化状况。自14天胎鼠脑室下区分离获得神经干细胞,利用无血清培养基培养扩增并进行鉴定。经4～5代的扩增后,以BrdU标记的神经干细胞通过脑立体定位注射移植入成年大鼠纹状体内,然后分别于移植后2周、4周、6周和8周时做脑冰冻切片,通过免疫组织化学和免疫荧光方法检测移植细胞的数量、定位和分化情况。8周后移植细胞的检出率约16%;移植细胞向周围宿主组织有广泛的迁移表现,尤以沿着白质束向头尾方向的迁移最为显著,最远向后侧达到内囊;纹状体中移植细胞主要分化为神经元和星形胶质细胞。星形胶质细胞数量最多,主要位于移植区与宿主组织临界部位,而神经元处于移植区中央。培养的大鼠胚胎神经干细胞可以作为移植替代治疗神经退行性疾病研究的供体细胞源,而移植中的迁移现象值得注意。     

蝎源活性肽对早期帕金森病大鼠脑源性营养因子及神经肽Y的影响

目的：研究蝎源活性肽对早期帕金森病（PD）大鼠脑源性营养因子（BDNF）及神经肽Y （NPY）的影响。方法：实验动物随机分为三组（n=11）,分为早期PD模型组、假手术对照组和蝎源活性肽治疗组。将6羟多巴（6-OHDA,20μg/3μl含0.1%抗坏血酸生理盐水）注射到SD大鼠右侧纹状体制备早期PD模型,注射2周后,通过旋转行为学检测造模是否成功;造模成功的早期PD大鼠,和相应的对照组腹腔注射蝎源活性肽（2.20 mg/kg·d）处理1周。3周后,用免疫组织化学法检测大鼠脑源性营养因子及神经肽Y的免疫反应活性。结果：在6-OHDA给药侧,PD动物与假手术对照组相比较,BDNF免疫反应活性明显增强,NPY免疫反应活性明显减少,蝎源活性肽处理可以逆转这些异常改变。结论：改变PD早期中脑内NPY与BDNF的免疫反应活性是蝎源活性肽对早期PD大鼠中脑多巴胺能神经元的保护作用机制之一。     

永生化胶质细胞介导TH基因的长效基因治疗

胶质细胞是脑部疾病基因治疗中的理想载体细胞 ,但细胞来源有限 ,体外培养时间短等因素限制了原代胶质细胞在基因治疗中的应用。以SV4 0大T抗原转化原代大鼠原代胶质细胞得到的永生化胶质细胞 (RGLT)可解决这些问题。在成瘤性检测中 ,RGLT细胞在裸鼠皮下 (观察 4周 )和大鼠纹状体内 (观察 18个月 )均不能成瘤。将大鼠酪氨酸羟化酶 (TH)基因转入RGLT细胞得到RGLT TH细胞后 ,TH免疫组化和HPLC检测表明RGLT TH细胞可表达TH并在体外合成多巴胺。将RGLT TH细胞移值入 6 羟基多巴胺损毁的帕金森病 (PD)大鼠模型的纹状体后 ,可大幅提高纹状体内多巴胺含量并显著缓解PD症状 ,疗效稳定维持超过 18个月。这些结果表明永生化胶质细胞可以安全有效地用于神经退行性疾病的长效基因治疗。     

Selenite benefits embryonic stem cells therapy in Parkinson's disease

Embryonic stem cells (ESC) transplantation is a potential therapeutic approach for Parkinson's disease (PD). However, one of the main challenges to this therapy is the post-transplantation survival of dopaminergic (DA) neurons. In this study, mouse ESC were differentiated into DA neurons by a modified serum free protocol. These ESC-derived neurons were then transplanted into striatum of 6-OHDA lesioned rat. The viability of grafted DA neurons was decreased, accompanied by activated microglia and high levels of proinflammatory factors, such as TNF-α and iNOS, in the graft niche. This suggested that the local neuroinflammation might be involved in the reduced cells viability. Selenite, the source of essential micronutrient selenium, could inhibit NF-κB p65 nuclear translocation and subsequently reduce iNOS, COX-2 and TNF-α expression in LPS-treated BV2 cells in a dose dependant manner. Before the transplantation of ESC-derived DA neurons, 6-OHDA lesioned rats were intraperitoneally injected with selenite. The expression levels of TNF-α and iNOS were decreased by 30% and 50%, respectively, in selenite treated group. The survival of implanted DA neurons and the rotational behavior of transplanted rats were also remarkably improved by selenite treatment. To sum up, selenite might benefit ESCs transplantation therapy in PD through anti-inflammation effects.     

High-frequency electro-acupuncture stimulation modulates intracerebral γ-aminobutyric acid content in rat model of Parkinson's disease

The purpose of the present study is to observe the effect of electro-acupuncture (EA) stimulation on intracerebral neurotransmitters in a rat model of Parkinson's disease (PD), and explore the possible mechanism. We used 6-hydroxydopamine (6-OHDA) injection in medial forebrain bundle (MFB) in the right brain of Sprague Dawley (SD) rat to establish the parkinsonian rat model, and randomly divided the PD rats into model and 100 Hz EA stimulation groups (n =10 in each group). EA stimulation group received 4 courses of EA stimulation on Baihui (GV-20) and Dazhui (GV-14) acupuncture points. Moreover, ten rats were randomly selected as sham operation group, only receiving normal saline (NS) injection in MFB. Then apomorphine (APO)-induced rotational behavior in different groups was recorded, and the contents of γ-aminobutyric acid (GABA) in the brain were analyzed with high pressure/performance liquid chromatography-electrochemical detection (HPLC-ECD). The results showed that model group exhibited abnormal rotational behavior with APO treatment, suggesting the successful establishment of PD model. Compared with sham operation group, model group showed increased GABA contents in cortex and striatum, as well as decreased GABA content in ventral midbrain, on the lesioned side. EA stimulation could effectively ameliorate the abnormal rotational behavior of PD rat. Compared with the model group, EA stimulation decreased the ratio of GABA content on the lesioned side to that on unlesioned side in the cortex, while increased the ratios in the striatum and cerebellum. However, there was no difference of the ratio in the ventral midbrain among three groups. These results suggest high-frequency EA stimulation significantly improves the abnormal behavior of PD rats, which may exert through enhancing the inhibitory effect of cerebellum-basal ganglia-cortical loop on motor center.     

Survival and engraftment of dopaminergic neurons manufactured by a Good Manufacturing Practice-compatible process

Background aimsWe have previously reported a Good Manufacturing Practice (GMP)-compatible process for generating authentic dopaminergic neurons in defined media from human pluripotent stem cells and determined the time point at which dopaminergic precursors/neurons (day 14 after neuronal stem cell [NSC] stage) can be frozen, shipped and thawed without compromising their viability and ability to mature in vitro. One important issue we wished to address is whether dopaminergic precursors/neurons manufactured by our GMP-compatible process can be cryopreserved and engrafted in animal Parkinson disease (PD) models.MethodsIn this study, we evaluated the efficacy of freshly prepared and cryopreserved dopaminergic neurons in the 6-hydroxydopamine-lesioned rat PD model.ResultsWe showed functional recovery up to 6 months post-transplantation in rats transplanted with our cells, whether freshly prepared or cryopreserved. In contrast, no motor improvement was observed in two control groups receiving either medium or cells at a slightly earlier stage (day 10 after NSC stage). Histologic analysis at the end point of the study (6 months post-transplantation) showed robust long-term survival of donor-derived tyrosine hydroxylase (TH)⁺ dopaminergic neurons in rats transplanted with day 14 dopaminergic neurons. Moreover, TH⁺ fibers emanated from the graft core into the surrounding host striatum. Consistent with the behavioral analysis, no or few TH⁺ neurons were detected in animals receiving day 10 cells, although human cells were present in the graft. Importantly, no tumors were detected in any grafted rats, but long-term tumorigenic studies will need to determine the safety of our products.ConclusionsDopaminergic neurons manufactured by a GMP-compatible process from human ESC survived and engrafted efficiently in the 6-OHDA PD rat model.     

外源性TH基因在帕金森氏病鼠脑内的表达——行为和TH免疫组化的研究

用成年大鼠７５只,给右侧黑质区注射６－羟基多巴胺（６－ＯＨＤＡ）,损毁黑质多巴胺能神经元,制备偏侧帕金森氏病（ＰＤ）鼠模型。四周后,注射阿朴吗啡（ＡＰＯ）诱发大鼠向左侧旋转。旋转数为每分钟７次以上的３５只ＰＤ鼠作实验用。其中实验组１５只,对照组２０只。向实验组ＰＤ鼠右侧纹状体多点植入含大鼠酪氨酸羟化酶ｃＤＮＡ（ＴＨｃＤＮＡ）的真核表达载体ｐＳＶＫ３－ＴＨ和脂质体Ｌｉｐｏｆｅｃｔｉｎ混合的基因转染复     

Partial recovery of dopaminergic pathway after graft of adult mesenchymal stem cells in a rat model of Parkinson's disease

Cellular therapy with adult stem cells appears as an opportunity for treatment of Parkinson's disease. To validate this approach, we studied the effects of transplantation of rat adult bone-marrow mesenchymal stem cells in a rat model of Parkinson's disease. Animals were unilaterally lesioned in the striatum with 6-hydroxydopamine. Two weeks later, group I did not undergo grafting, group II underwent sham grafting, group III was intra-striatal grafted with cells cultured in an enriched medium and group IV was intra-striatal grafted with cells cultured in a standard medium. Rotational amphetamine-induced behavior was measured weekly until animals were killed 6 weeks later. One week after graft, the number of rotations/min was stably decreased by 50% in groups III and IV as compared with groups I and II. At 8 weeks post-lesion, the density of dopaminergic markers in the nerve terminals and cell bodies, i.e. immunoreactive tyrosine hydroxylase, membrane dopamine transporter and vesicular monoamine transporter-2 was significantly higher in group III as compared with group I. Moreover, using microdialysis studies, we observed that while the rate of pharmacologically induced release of dopamine was significantly reduced in lesioned versus intact striatum in no grafted rats, it was similar in both sides in animals transplanted with mesemchymal stem cells. These data demonstrate that graft of adult mesemchymal stem cells reduces behavioral effects induced by 6-hydroxydopamine lesion and partially restores the dopaminergic markers and vesicular striatal pool of dopamine. This cellular approach might be a restorative therapy in Parkinson's disease.     

帕金森病裸DNA法基因治疗的实验研究

采用体内裸DNA基因治疗帕金森病(PD)取得显著疗效.将酪氨酸羟比酶(TH)基冈表达质粒与Lipofectin形成的复合物立体定位注射于PD模型鼠纹状体,显著改善了PD鼠的不对付旋转行为.免疫组化证实神经细胞表达了外源TH.