CN1803193A - Use of stroma stem cell derived from bone marrow in preparing formulation for treating hypoxic ischemic cerebral palsy - Google Patents
Use of stroma stem cell derived from bone marrow in preparing formulation for treating hypoxic ischemic cerebral palsy Download PDFInfo
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Abstract
The invention relates to the mesenchyme stem cell of marrow source in preparing preparation for treating anoxemia brain paralysis, wherein the preparation is prepared from mesenchyme stem cells of marrow source and physiological saline solution, the effective dosage for neonate rat models with hypoxic encephalopathy is 500000 cells/time, and the effective dosage for neonate cerebral pasly patients is 1000000-5000000 cells/time.
Description
Technical field
The invention belongs to stem cell and field of tissue engineering technology, relate to the new purposes of interstital stem cell, the interstital stem cell that especially relates to derived from bone marrow is used to prepare the purposes of the preparation for the treatment of hypoxic ischemic cerebral palsy.
Background technology
Enclosing the ischemic hypoxia brain injury (HIE) of newborn baby due to suffocating is the main cause that causes neonate cerebral palsy (cerebral palsy).Over nearly 20 years, although obstetrics and the development of neonate health care are fast, but cerebral palsy is fallen ill still not have obviously in neonate and is reduced, find according to unit samplings such as Beijing Medical University investigation in 1998, among China 0-6 year child CP children 310,000 is arranged approximately, and the U.S. enclosed a prospective study of living collaboration items and found that the cerebral palsy of children sickness rate reaches 4 ‰ with 4.6 ten thousand speed increase every year.Infant mainly shows as the non-sexual centre dyskinesia that carries out, or with mental retardation etc.Present Therapeutic Method mainly contains: (1) is based on the combined rehabilitation medical treatment of athletic rehabilitation; (2) based on trophic nerve, relaxed muscle, the pharmacotherapy of invigorating blood circulation etc.; (3) selective posterior rhizotomy therapy; (4) based on the tcm therapy of massage, acupuncture etc.But because cerebral palsy is caused that by fixed brain lesions the cause of disease can not be removed or correct to above Therapeutic Method, curative effect is not certainly.Yet for patients with cerebral palsy especially serious patient, infant not only bears huge human body misery, also can be because of suffocating that cerebral palsy can not be taken care of oneself and be caused, and make cerebral anoxia and make its intelligence be the decline of carrying out property.Therefore, if can study the effective cerebral palsy Therapeutic Method that makes new advances, will bring happiness to countless families.
Past adopts the cellular replacement therapy patients with cerebral palsy not appear in the newspapers as yet in decades, but has obtained certain progress in other disease of treatment central nervous system.
Source of human stem cell mainly contains: 1, embryo neural stem cells: the research report is arranged, adopt 6-9W aborted fetus brain cell treatment Parkinson`s condition of disease obviously to improve partly patient's function, even can also synthesize dopamine in some patient's body.But, because all multifactor clinical practice of embryo neural stem cells of having limited to such as cell source, ethics at the transplantation treatment nervous system disease.2, the interstital stem cell of derived from bone marrow: the seventies, separation and Culture from bone marrow such as Friedenstein goes out a kind of interstital stem cell, the deep interstital stem cell of discovering not only can survive, move at cerebral tissue, and express multiple neurocyte specificity markers such as neuron, neurogliocyte, obviously improve rat model functions such as apoplexy.At present, interstital stem cell is mainly derived from adult's bone marrow, but adult bone myelocyte source is limited, pathogen contamination is inevitable.Still do not have and adopt the report of embryo's bone marrow as source of human stem cell.
Obviously, under existence conditions, the relevant technologies and the method for hypoxic ischemic cerebral palsy therapeutical effect all existed many disadvantages and deficiency.
Summary of the invention
The object of the present invention is to provide a kind of interstital stem cell of derived from bone marrow to be used to prepare the purposes of the preparation for the treatment of hypoxic ischemic cerebral palsy.
Described preparation is formulated by the interstital stem cell and the normal saline of derived from bone marrow, and the effective dose that is used for the neonate rat model of hypoxic ischemic encephalopathy is 5 * 10
5Cell/time.This effective dose obtains therapeutic effect by animal model experiment and is definite.
The interstital stem cell of described derived from bone marrow prepares by the following method: utilize asepsis to separate pregnant rats embryo in mid-term bone marrow nucleated cell, be seeded in the culture bottle of the low sugar DMEM culture medium that contains hyclone, when cell attachment is bred near fusion, digest, go down to posterity, method goes down to posterity repeatedly according to this, reach the purpose of purification and amplification interstital stem cell, collecting cell is frozen, recovery is standby.
The preparation of the interstital stem cell preparation of described derived from bone marrow is used for the neonate rat is carried out locating injection in the brain, and dosage is 5.0 * 10
5Cell/time, in back 24 hours of the making of hypoxic ischemic encephalopathy model, transplant.
Described preparation is formulated by the interstital stem cell and the normal saline of derived from bone marrow, and the effective dose that is used for neonate cerebral palsy patient patient is 1.0~5.0 * 10
6Cell/time.This effective dose obtains therapeutic effect and human body general knowledge of using medicines by animal model experiment and is definite.
The interstital stem cell of described derived from bone marrow prepares by the following method: utilize asepsis to separate embryo's bone marrow nucleated cell from people's embryonic abortion material, be seeded in the culture bottle of the low sugar DMEM culture medium that contains hyclone, when cell attachment is bred near fusion, digest, go down to posterity, method goes down to posterity repeatedly according to this, reach the purpose of purification and amplification interstital stem cell, collecting cell is frozen, recovery is standby.
The preparation of the interstital stem cell preparation of described derived from bone marrow is used for neonate cerebral palsy patient is carried out locating injection in the brain, and dosage is 1.0~5.0 * 10
6/ time, after taking place, transplants in 24-48 hour hypoxic ischemic encephalopathy.
The present invention utilizes the interstital stem cell of embryo's derived from bone marrow to transplant to the scarce property CP children of anoxia by brain location infusion methods, promote its cerebral tissue neurocyte reparation, improve its balance coordination, motor function, improve study, memory ability, reach the purpose that improves infant quality of life, alleviates family and burden on society, the new way of opening up cell therapy for the clinical treatment cerebral palsy.
The preparation of the interstital stem cell preparation of described derived from bone marrow is used for the treatment of the effect assessment of hypoxic ischemic cerebral palsy:
1, survival ability: comprise
A) 1 all inner model survival of rats rates;
B) January inner model rat body weight growth pattern;
2, transplant back the 42nd day study, memory function;
3, the 10th week was dissected the cerebral tissue pathological characters;
4, SABC and the survival in cerebral tissue of indirect immunofluorescence analysis foreign cell, migration, neurocyte specific antigen are expressed.
The invention has the advantages that:
(1) mesenchymal stem cell transplantation with embryo's derived from bone marrow arrives in the newborn hypoxic ischemic rat model brain, can obviously improve the rat model survival ability; Improve its motion, study, memory ability; Nurse one's health the reparation of impaired cerebral tissue microenvironment, promotion nervous cell regenerating and/or function.
(2) open up the new way of cell therapy for the clinical treatment hypoxic ischemic encephalopathy.The present invention utilizes that the mescenchymal stem cell cell of embryo's derived from bone marrow is original, proliferation potential is big, preparation is easy, still has multidirectional differentiation potential behind continuous culture and the cryopreservation resuscitation, and cell homogeneity height has normal caryogram and telomerase activation.
(3) the present invention utilizes the interior location of the interstital stem cell brain injection for curing rat hypoxic ischemic cerebral palsy model of derived from bone marrow to prove, the interstital stem cell of derived from bone marrow can block and reverse the development of hypoxic ischemic cerebral palsy, the new way of opening up cell therapy for the clinical treatment hypoxic ischemic cerebral palsy.
Description of drawings
Fig. 1 is the check pathological section result (H﹠amp of SD rat cerebral tissue; E dyeing, * 200) figure.Wherein, A figure shows that normal control group spindle cell distributes; B figure shows neuronal degeneration necrosis (↑) in the HIE model; C figure shows cerebellum purkinje cell karyopycnosis (↑) in the HIE model; D figure shows that HIE/hFBMMSCs transplantation group cortical layer neurocyte extensively increases.
Fig. 2 is hFBMMSCs transplantation group cerebral tissue immunohistochemical staining testing result (DAB, * 100) figure, and A figure shows the anti-people NSE positive (↑); B figure shows the anti-people GFAP positive (↑).
Fig. 3 is HIE/hFBMMSCs indirect immunofluorescence testing result (* 100) figure.Wherein, 1A and 1B show: same the same position of section, and the green fluorescence person is the anti-people RNP positive among the A; Salmon pink fluorescence person is the anti-GFAP positive among the B; 2A and 2B show: same the same position of section, and the green fluorescence person is the anti-people RNP positive among the A; Salmon pink fluorescence person is the anti-NSE positive among the B.
The specific embodiment
Embodiment one: the preparation of the interstital stem cell of derived from bone marrow (MSC):
Utilize asepsis to separate second trimester embryo bone marrow nucleated cell, be seeded in the culture bottle of the low sugar DMEM culture medium that contains 8% hyclone, look growing state and change liquid every other day 1 time, cell attachment propagation is near merging when cell becomes 90% to merge attitude, digest, go down to posterity, method goes down to posterity repeatedly according to this, reaches the purpose of purification and amplification interstital stem cell, and collecting cell is frozen, recovery is standby.
Described low sugar DMEM increases the CAT NO.SH30002.01 product that foster base is selected HYCLONE company for use, the perhaps like product of GIBCO company.
Embodiment two: the preparation of the interstital stem cell of derived from bone marrow (MSC):
Utilize asepsis to separate second trimester embryo bone marrow nucleated cell, be seeded in the culture bottle of the low sugar DMEM culture medium that contains 10% hyclone, look growing state and changed liquid in 3 days 1 time, cell attachment propagation is near merging when cell becomes 80% to merge attitude, digest, go down to posterity, method goes down to posterity repeatedly according to this, reaches the purpose of purification and amplification interstital stem cell, and collecting cell is frozen, recovery is standby.
Described low sugar DMEM culture medium is selected the CAT NO.SH30002.01 product of HYCLONE company, the perhaps like product of GIBCO company for use.
Embodiment three: the preparation of the interstital stem cell of derived from bone marrow (MSC):
Utilize asepsis to separate second trimester embryo bone marrow nucleated cell, be seeded in the culture bottle of the low sugar DMEM culture medium that contains 15% hyclone, look growing state and changed liquid in 4 days 1 time, cell attachment propagation becomes 70% to merge attitude near merging to cell, digest, go down to posterity, method goes down to posterity repeatedly according to this, reaches the purpose of purification and amplification interstital stem cell, and collecting cell is frozen, recovery is standby.
Described low sugar DMEM culture medium is selected the CAT NO.SH30002.01 product of HYCLONE company, the perhaps like product of GIBCO company for use.
Embodiment four: the modeling of hypoxic ischemic cerebral palsy neonate rat:
1 day age newborn F344 rat (body weight 5.85 ± 0.39g), dorsal position is fixed after the ether inhalation anesthesia, neck medisection skin, free left carotid, sew up the incision after No. 5 toe-in is pricked, insert behind the 2h in 37 ℃ of constant-temperature enclosed containers, import the mist of 8%O2,92%N2 with the speed of 1L/min and keep 3h, take out to be placed on and accept female Mus nursing in the former feeding environment.
Embodiment five: the interstital stem cell infusion experiment of embryo's derived from bone marrow:
1, treatment opportunity: after the modelling in 24 hours.
2, dosage: 5.0 * 105/g.
3, approach: brain locating injection.
4, test control group: adopt design in groups, brood rat is divided into 4 groups of model/stem cell transplantation group, model/normal saline group, model/treatment, normal controls.
Effect assessment:
1, survival ability
Survival of rats situation in (1) 1 week: the stem cell transplantation group, more there are not significant difference in survival rate and normal control group; Be higher than normal saline group and not treatment group.See table 1 for details
(2) neonate rat body weight gain situation in January: transplant the back and rose in the 5th day, increased by the transplantation group rat body weight and accelerate, do not have significant difference with the normal control group on the 30th day, overweight normal saline group and not treatment group.See table 2 for details
2, changing function: behind the cell transplantation the 42nd day, adopt Morris water maze laboratory test transplantation group rat learning and memory ability, possess the study close, memory ability with normal rats, be better than normal saline injection and not treatment group.See table 3 for details
3, anatomical results: 10W carries out the cerebral tissue structural analysis to experimental rat.Stem cell transplantation group cerebral tissue atrophy occurs and the edema ratio is starkly lower than normal saline injection group and not treatment group, does not have significant difference with the normal control group.
4, cerebral tissue check pathological section result: H﹠amp; E dyeing, under the optical microscope, the visible brain nervous cell hypertrophy of stem cell transplantation group is especially at positions such as cerebral cortex layer, Hippocampus; Cerebral blood vessel wall partly, visible a large amount of cell migration around; The visible a large amount of cells in stem cell transplantation inserting needle position are agglomerating or be dispersed in distribution, are directivity and move towards periphery.And regional neurocytes such as not treatment group and the visible cerebellum of normal saline group, cortical layer, Hippocampus obviously reduce, and neuronal kernel pyknosis, necrosis, glial cell are engulfed and the glial cell reactive hyperplasia forms pathological changes phenomenons such as glial cell tuberosity.See Fig. 1 for details.Fig. 1 is the check pathological section result (H﹠amp of SD rat cerebral tissue; E dyeing, * 200) figure.Wherein, A figure shows that normal control group spindle cell distributes; B figure shows neuronal degeneration necrosis (↑) in the HIE model; C figure shows cerebellum purkinje cell karyopycnosis (↑) in the HIE model; D figure shows that HIE/hFBMMSCs transplantation group cortical layer neurocyte extensively increases.
5, immunohistochemical analysis result: adopt the immunohistochemistry technique analysis, have anti-people NSE, GFAP reacting cells in the transplantation group rat cerebral tissue, more obvious with zones such as cortical layer and Hippocampus; Other 3 groups of laboratory animals there is no NSE or GFAP positive cell.See Fig. 2 for details.Fig. 2 is hFBMMSCs transplantation group cerebral tissue immunohistochemical staining testing result (DAB, * 100) figure, and A figure shows the anti-people NSE positive (↑), and B figure shows the anti-people GFAP positive (↑).
6, indirect immunofluorescence testing result: location detection such as transplantation group both sides cerebral cortex layer, Hippocampus are to anti-people RNP/CD45, anti-people RNP/NSE or the two positive intact cells of anti-people RNP/GFAP, especially at the inserting needle position, a large amount of two positive cells are agglomerating or be dispersed in existence, migration and density descend in gradient towards periphery, and anti-people RNP, CD45, NSE, GFAP positive cell all do not appear in other 3 treated animal brain tissue slice.See Fig. 3 for details.Fig. 3 is HIE/hFBMMSCs indirect immunofluorescence testing result (* 100) figure.Wherein, 1A and 1B show: same the same position of section, and the green fluorescence person is the anti-people RNP positive among the A; Salmon pink fluorescence person is the anti-GFAP positive among the B; 2A and 2B show: same the same position of section, and the green fluorescence person is the anti-people RNP positive among the A; Salmon pink fluorescence person is the anti-NSE positive among the B.
Table 1 neonate rat survival rate in 1 week
Nest is other | Newborn rat sum (N) | HIE/hFBMMSC survival rate (%) | HIE/NS survival rate (%) | HIE/ does not treat survival rate (%) | Normal control survival rate (%) |
1 | 10 | 100.0%(3/3) | 66.7%(2/3) | 50.0%(1/2) | 100.0%(2/2) |
2 | 14 * | 75.0%(3/4) | 33.3%(1/3) | 66.7%(2/3) | 100.0%(3/3) |
3 | 13 ** | 66.7%(2/3) | 0.0%(0/2) | 50.0%(1/2) | 100.0%(3/3) |
4 | 8 * | 100.0%(2/2) | 50.0%(1/2) | 50.0%(0/1) | 100.0%(2/2) |
5 | 16# | 66.7%(2/3) | 33.3%(1/3) | 66.7%(2/3) | 33.3%(1/3) |
6 | 9## | 100.0%(2/2) | 0.0%(0/2) | 100.0%(1/1) | 100.0%(2/2) |
7 | 11## | 33.3%(1/3) | 50.0%(1/2) | 0.0%(0/2) | 50.0%(1/2) |
Sum (N) | 81 | 75.0%(15/20) | 35.3%(6/17) | 50.0%(7/14) | 82.4%(14/17) |
Body weight growth pattern in 4 groups of neonate rat 1M of table 2 (x ± SD)
Natural law (d) | Normal control (g) | HIE/ hFBMMSCs(g) | HIE/NS (g) | HIE/ does not treat (g) | |
5 | 8.89±0.82 | 5.48±0.91 | 4.28±0.39 | 4.82±0.61 | |
10 | 15.87±1.34 | 13.99±0.93 | 12.44±0.93 | 12.59±0.93 | |
15 | 22.80±1.84 | 20.96±1.85 | 17.93±1.68 | 17.98±1.38 | |
20 | 33.94±1.62 | 33.61±2.63 | 27.39±1.84 | 27.82±1.01 | |
25 | 52.54±1.67 | 51.80±3.12 | 45.79±1.53 | 46.79±1.14 | |
30 | 73.92±6.27 | 71.01±2.66 | 63.53±5.35 | 64.93±4.25 | |
Sum (N) | 30 | 9 | 10 | 4 | 4 |
4 groups of experimental rat Morris of table 3 water maze training and testing result (sec of X ± SD)
Time (d) | Normal control (n=4) | HIE/hFBMMSCs (n=4) | HIE/NS (n=4) | HIE/ does not treat (n=4) |
1 | 105.0±1.5 | 110.0±7.1 | 111.0±1.4 * | 118.0± 1.5# |
2 | 50.0±2.7 | 90.0±2.5 | 96.0±22.6 * | 100.0±2.5 |
3 | 30.0±9.8 | 47.5±12.5 | 71.7±24.7 | 80.0±15.3 |
4 | 13.0±3.2 | 14.0±4.3 | 33.0±20.9 | 29.0±11.0 |
5 | 7.0±2.1 | 7.5±2.1 | 23.7±14.9 | 24.0±9.0 |
*: the experimental result of 2 Mus; The experimental result of #:3 Mus
Claims (7)
1, the interstital stem cell of derived from bone marrow is used to prepare the purposes of the preparation for the treatment of hypoxic ischemic cerebral palsy.
2, purposes according to claim 1 is characterized in that, described preparation is formulated by the interstital stem cell and the normal saline of derived from bone marrow, and the effective dose that is used for the neonate rat model of hypoxic ischemic encephalopathy is 5 * 10
5Cell/time.
3, purposes according to claim 2, it is characterized in that, the interstital stem cell of described derived from bone marrow prepares by the following method: utilize asepsis to separate pregnant rats embryo in mid-term bone marrow nucleated cell, be seeded in the culture bottle of the low sugar DMEM culture medium that contains hyclone, when cell attachment is bred near fusion, digest, go down to posterity, method goes down to posterity repeatedly according to this, reach the purpose of purification and amplification interstital stem cell, collecting cell is frozen, recovery is standby.
4, purposes according to claim 2 is characterized in that: the preparation of the interstital stem cell preparation of described derived from bone marrow, be used for the neonate rat is carried out locating injection in the brain, and dosage is 5 * 10
5/ time, in back 24 hours of the making of hypoxic ischemic encephalopathy model, transplant.
5, purposes according to claim 1 is characterized in that, described preparation is formulated by the interstital stem cell and the normal saline of derived from bone marrow, and the effective dose that is used for neonate cerebral palsy patient is 1.0~5.0 * 10
6Cell/time.
6, purposes according to claim 5, it is characterized in that, the interstital stem cell of described derived from bone marrow prepares by the following method: utilize asepsis to separate embryo's bone marrow nucleated cell from people's embryonic abortion material, be seeded in the culture bottle of the low sugar DMEM culture medium that contains hyclone, when cell attachment is bred near fusion, digest, go down to posterity, method goes down to posterity repeatedly according to this, reach the purpose of purification and amplification interstital stem cell, collecting cell is frozen, recovery is standby.
7, purposes according to claim 5 is characterized in that: the preparation of the interstital stem cell preparation of described derived from bone marrow, be used for neonate cerebral palsy patient is carried out locating injection in the brain, and dosage is 1.0~5.0 * 10
6/ time, after taking place, transplants in 24-48 hour hypoxic ischemic encephalopathy.
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN110461344A (en) * | 2017-01-16 | 2019-11-15 | 美迪因诺医疗创新科技有限公司 | For treating the composition of newborn HIE |
CN112236152A (en) * | 2018-04-04 | 2021-01-15 | 杜克大学 | Method for treating cerebral palsy and hypoxic-ischemic encephalopathy using human umbilical cord tissue-derived mesenchymal stromal cells |
CN114886921A (en) * | 2022-05-13 | 2022-08-12 | 深圳中检联新药检测有限责任公司 | Novel stem cell preparation and application thereof in treating cerebral hemorrhage |
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2005
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110461344A (en) * | 2017-01-16 | 2019-11-15 | 美迪因诺医疗创新科技有限公司 | For treating the composition of newborn HIE |
CN110461344B (en) * | 2017-01-16 | 2024-01-09 | 美迪因诺医疗创新科技有限公司 | Composition for treating neonatal HIE |
CN112236152A (en) * | 2018-04-04 | 2021-01-15 | 杜克大学 | Method for treating cerebral palsy and hypoxic-ischemic encephalopathy using human umbilical cord tissue-derived mesenchymal stromal cells |
CN114886921A (en) * | 2022-05-13 | 2022-08-12 | 深圳中检联新药检测有限责任公司 | Novel stem cell preparation and application thereof in treating cerebral hemorrhage |
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