neuronal survival in vitro

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    Human bone marrow-derived

    mesenchymal stem cells secretebrain-derived neurotrophic

    factor which promotesneuronal survival in vitro

    ByPatel Devang V.

    M.S.Pharm (Pharmaceutics)

    NIPER-Ahmedabad

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    STEM CELLS

    Nonspecialized cells that have the capacity to selfrenew and to differentiate into specialized cells

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    Stem cell type Description Examples

    UnipotentStem cells can form only one type of

    specialized cell type

    Muscle stem

    cells

    MultipotentStem cells can form multiple types of

    cells and tissue types

    Fetal tissue,

    Adult stem

    cells

    Pluripotent

    Stem cells can form any adult cell type.However, they alone cannot develop into

    adult animal because they lack the

    potential to contribute to extraembryonic

    tissue(such as the Placenta).

    Blastocyst

    (4 to 5 days

    old embryo)

    Totipotent

    Stem cells can differentiate into

    embryonic and extraembryonic cell

    types (eg. Placenta). Such cells can

    construct a complete, viable organism

    Cells from

    early (1-3

    days)

    embryo

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    Embryonic Stem Cells can be obtained fromblastocysts and aborted fetuses.

    Adult Stem Cells (Non-embryonic stem cells)

    have been found in the blood, bone marrow,liver, kidney, cornea, dental pulp, brain, skin,

    muscle, salivary gland etc.

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    MESENCHYMAL STEM CELLS(MSCs)

    Morphologically, mesenchymal stem cells (MSCs)have long and thin cell bodies with a largenucleus.

    Mesenchymal stem cells are a distinct entity to the

    mesenchyme (embryonic connective tissue whichis derived from the mesoderm).

    MSCs are adult stem cells found in the bonemarrow, cord blood, peripheral blood, fallopian

    tube, fetal liver and lung. MSCs have capacity to form multiple types of

    tissue including adipocytes (fat cells),chondrocytes (cartilage cells), osteoblasts (bone

    cells), tendons, muscle, skin, neurons.

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    APPLICATIONS OF STEM CELLS

    Stem cell therapy has the potential to treat manyhuman diseases like:

    Brain damage

    Leukemia Spinal cord injury

    Heart damage

    Muscle damage Parkinson's disease

    Baldness

    Missing teeth

    Diabetes

    Blindness and visionimpairment

    Amyotrophic lateralsclerosis

    Multiple sclerosis

    Wound healing

    Infertility

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    STEM CELLS IN NEUROLOGICAL

    DISEASESIn recent years,there has beenconsiderable

    interest in thepotential of stemcells as therapeuticagents in

    neurologicaldiseases includingstroke and spinalcord injury.

    (A)Human ESCs

    (A)Neuronsderived fromHuman ESCs

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    In neurological diseases it has been postulated thatstem cell therapies may replace lost cells bydifferentiating into functional neural tissue; modulate

    the immune system to prevent further

    neurodegeneration and effect repair; or provide asource of trophic support for the diseased nervous

    system.

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    Human bone marrow-derived

    mesenchymal stem cells secrete brain-derived neurotrophic factor whichpromotes neuronal survival in vitro

    Published In

    Stem Cell Research, 2009, 3, 6370By

    Alastair Wilkins et al.,

    Department of Neurology ,

    University of Bristol,

    UK

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    AIM OF EXPERIMENT

    To define mechanisms of neuronal celldeath under conditions of trophic

    deprivation and exposure to nitric oxide To determine potential mechanism by

    which human bone marrow-derived

    mesenchymal stem cells (MSCs) mayprotect neurons from trophic deprivation or

    NO-mediated damage

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    MATERIALS USED Neuronal cultures prepared from cortices of E16 rat embryos

    Bone marrow: Taken by the time of total hip replacementsurgery by orthopedic surgeons at the Avon Orthopedic

    Centre, Bristol, UK

    Dulbecco's modified Eagles medium (DMEM) supplemented

    with 2% B27

    MIN (DMEM supplemented with chemically defined mediumwith no serum)

    CM (Mesenchymal stem cell-conditioned medium)

    Neuronal marker bisbenzamide

    DETANONOate (NO donor)

    LY290042 (PI3kinase/Akt inhibitor)

    Neutralising antibodies to BDNF

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    EXPERIMENT AND RESULT[A] Determination of the influence of MSC-

    conditioned medium on signaling changesoccurring during trophic factor withdrawal

    Cortical neurons (1.4103 cells/mm2) were

    maintained in B27-supplemented Dulbecco'smodified Eagles medium (DMEM).

    This was taken as Control throughoutexperiment and other values expressed as a

    percentage of this control.

    For determination of neuronal survival, cultureswere fixed and stained by the nuclear marker

    bisbenzamide.

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    MIN: Chemically defined medium with no serum

    CM: MSC-conditioned medium

    CM/LY: MSC-conditioned medium plus LY290042

    FIG : MSC-conditionedmedium increases

    survival of neuronsexposed to trophicdeprivation

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    FIG : MSC-conditionedmedium increasessurvival of neurons

    exposed to trophicdeprivation

    Neurons exposed to MIC (Chemically defined medium with no

    serum) showed decreased survival compared to control.

    Neurons exposed to CM (MSC-conditioned medium showedincreased survival compared to those exposed to MIC (Chemically

    defined medium with no serum).

    The PI3 Kinase / Akt inhibitor LY290042 inhibits the survival effect ofMSC-conditioned medium.

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    [B] Determination of the influence of MSC-conditionedmedium on signaling changes occurring during NOexposure

    FIG: MSC-conditioned mediumincreases survival of neuronsexposed to nitric oxide

    MIN: Chemically definedmedium with no serum

    NO: DETANONOate

    NO/CM: DETANONOate plusMSC-conditioned medium

    NO/CM/LY: DETANONOate

    plus MSC-conditioned medium

    plus LY290042

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    Neurons exposed to the DETANONOate (nitric oxide

    donor) showed decreased survival compared tocontrol, a process which was attenuated by MSC-

    conditioned medium.

    The PI3 Kinase / Akt inhibitor LY290042 inhibits thesurvival effect of MSC-conditioned medium.

    FIG: MSC-conditioned mediumincreases survival of neuronsexposed to nitric oxide

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    [C] Determination of the influence of MSC-conditionedmedium on neuronal survival via PI3kinase/Akt-dependent pathways

    FIG: MSC-conditionedmedium activates Akt inneurons exposed to

    trophic deprivation

    MIN: Chemically defined

    medium with no serum

    CM: MSC-conditioned

    medium

    CM/LY: MSC-conditionedmedium plus LY290042

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    Exposure of neurons to CM (MSC-

    conditioned medium) increased activation ofAkt compared to those exposed to MIN

    (Chemically defined medium with no serum).

    Furthermore, addition of the PI3kinase/Aktinhibitor LY290042 inhibited CM (MSC

    conditioned medium)-induced survival of

    cortical neurons exposed to trophic factor

    withdrawal.

    FIG: MSC-conditionedmedium activates Akt inneurons exposed to

    trophic deprivation

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    FIG: MSC-conditioned medium activates Akt in neuronsexposed to DETANONOate

    B27: Neurons exposed to 2% B27

    MIN: Chemically defined medium with no serum

    NO: DETANONOate

    NO/CM: DETANONOate plus MSC-conditioned medium

    NO/CM/LY: DETANONOate plus MSC-conditioned

    medium plus LY290042

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    FIG: MSC-conditioned medium activates Akt in neuronsexposed to DETANONOate

    Akt activation was seen in neurons exposed toCM (MSC-conditioned medium) in the presence

    of DETANONOate, compared to neurons

    exposed to DETANONOate alone. Furthermore, addition of the PI3kinase/Akt

    inhibitor LY290042 inhibited CM (MSC

    conditioned medium)-induced survival of cortical

    neurons exposed to NO exposure.

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    FIG: MSC-conditioned medium reduces p38 activation in

    neurons exposed to DETANONOate

    MIN: Chemically defined medium with no serum

    NO: DETANONOate

    NO/CM: DETANONOate plus MSC-conditionedmedium

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    Furthermore exposure of neurons to MIN(Chemically defined medium with no serum) alone

    did not lead to activation of p38 MAPkinase, whichoccurred on exposure to DETANONOate.

    CM (MSC-conditioned medium) attenuatedDETANONOate-induced p38 activation within

    cortical neurons.

    FIG: MSC-conditioned medium reduces p38 activation in

    neurons exposed to DETANONOate

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    [D] Determination whether BDNF is important inmediating the MSC effects on neuronal survival

    FIG: Human MSCs

    produce BDNF

    MIN: Chemically defined medium

    with no serum

    MSC16: Different MSCpopulations (Derived from different

    patients)

    NeuronNO: Neurons exposed to

    DETANONOate

    BDNF ELISA demonstratedsignificant amounts of BDNF

    secreted from MSCs.

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    FIG: Neutralisingantibodies to BDNFattenuate MSC-conditioned mediumsurvival effects underconditions of trophicdeprivation

    CM/aBDNF: MSCconditioned medium

    plus neutralising

    antibodies to BDNF

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    FIG: Neutralising antibodiesto BDNF attenuate MSC

    conditioned mediumsurvival effects underconditions ofDETANONOate exposure

    NO/CM: DETANONOateplus MSC-conditioned

    medium

    NO/CM/aBDNF:DETANONOate plus MSC-

    conditioned medium plus

    neutralizing antibodies to

    BDNF

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    CONCLUSION

    Human bone marrow derivedmesenchymal stem cells secrete factorswhich protect rodent neurons from trophic

    deprivation and nitric oxide-induced death.

    Therefore human MSC transplantation hasbeen shown to improve the outcome in a

    variety of neurological diseases including

    stroke and spinal cord injury.

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    REFERENCES

    Alastair Wilkins, Kevin Kemp et al., Human bonemarrow-derived mesenchymal stem cells secrete

    brain-derived neurotrophic factor which promotes

    neuronal survival in vitro, Stem Cell Research, 2009,

    3, 6370. Hokari M., Kuroda S., Shichinohe H. et al., Bone

    marrow stromal cells protect and repair damaged

    neurons through multiple mechanisms,

    Neuroscience, 2008, 1024-1035.

    Rice C.M., Scolding N.J., Autologous bone marrowstem cells-properties and advantages, Neurological

    Science, 2008, 265, 59-62.

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    Parr A.M. Tator C.H., Bone marrow-derivedmesenchymal stromal cells for the repair of central

    nervous system injury, Bone Marrow

    Transplantation,2008, 40, 609619.

    Rosser A.E., Zietlow R., Dunnett S.B., Stem cell

    transplantation for neurodegenerative diseases,Curr. Opin. Neurol., 2007, 20, 688-692.

    http://www.nature.com/bmt/journal/v45/n8

    http://www.ncbi.nlm.nih.gov/pubmed/20028455#

    http://www.journal-inflammation.com/content/2/1/8

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