Abstract Objective To compare the repair effects of different doses of human umbilical cord mesenchymal stem cells (hUC-MSCs) on white matter injury (WMI) in neonatal rats. Methods Two-day-old Sprague-Dawley neonatal rats were randomly divided into five groups: sham operation group, WMI group, and hUC-MSCs groups (low dose, medium dose, and high dose), with 24 rats in each group. Twenty-four hours after successful establishment of the neonatal rat white matter injury model, the WMI group was injected with sterile PBS via the lateral ventricle, while the hUC-MSCs groups received injections of hUC-MSCs at different doses. At 14 and 21 days post-modeling, hematoxylin and eosin staining was used to observe pathological changes in the tissues around the lateral ventricles. Real-time quantitative polymerase chain reaction was used to detect the quantitative expression of myelin basic protein (MBP) and glial fibrillary acidic protein (GFAP) mRNA in the brain tissue. Immunohistochemistry was employed to observe the expression levels of GFAP and neuron-specific nuclear protein (NeuN) in the tissues around the lateral ventricles. TUNEL staining was used to observe cell apoptosis in the tissues around the lateral ventricles. At 21 days post-modeling, the Morris water maze test was used to observe the spatial learning and memory capabilities of the neonatal rats. Results At 14 and 21 days post-modeling, numerous cells with nuclear shrinkage and rupture, as well as disordered arrangement of nerve fibers, were observed in the tissues around the lateral ventricles of the WMI group and the low dose group. Compared with the WMI group, the medium and high dose groups showed alleviated pathological changes; the arrangement of nerve fibers in the medium dose group was relatively more orderly compared with the high dose group. Compared with the WMI group, there was no significant difference in the expression levels of MBP and GFAP mRNA in the low dose group (P>0.05), while the expression levels of MBP mRNA increased and GFAP mRNA decreased in the medium and high dose groups. The expression level of MBP mRNA in the medium dose group was higher than that in the high dose group, and the expression level of GFAP mRNA in the medium dose group was lower than that in the high dose group (P<0.05). Compared with the WMI group, there was no significant difference in the protein expression of GFAP and NeuN in the low dose group (P>0.05), while the expression of NeuN protein increased and GFAP protein decreased in the medium and high dose groups. The expression of NeuN protein in the medium dose group was higher than that in the high dose group, and the expression of GFAP protein in the medium dose group was lower than that in the high dose group (P<0.05). Compared with the WMI group, there was no significant difference in the number of apoptotic cells in the low dose group (P>0.05), while the number of apoptotic cells in the medium and high dose groups was less than that in the WMI group, and the number of apoptotic cells in the medium dose group was less than that in the high dose group (P<0.05). Compared with the WMI group, there was no significant difference in the escape latency time in the low dose group (P>0.05); starting from the third day of the latency period, the escape latency time in the medium dose group was less than that in the WMI group (P<0.05). The medium and high dose groups crossed the platform more times than the WMI group (P<0.05). Conclusions Low dose hUC-MSCs may yield unsatisfactory repair effects on WMI in neonatal rats, while medium and high doses of hUC-MSCs have significant repair effects, with the medium dose demonstrating superior efficacy.
ZHANG Jun,LI Ming-Xia,WANG Chao et al. Repair effect of different doses of human umbilical cord mesenchymal stem cells on white matter injury in neonatal rats[J]. CJCP, 2024, 26(4): 394-402.
ZHANG Jun,LI Ming-Xia,WANG Chao et al. Repair effect of different doses of human umbilical cord mesenchymal stem cells on white matter injury in neonatal rats[J]. CJCP, 2024, 26(4): 394-402.
Romantsik O, Bruschettini M, Ley D. Intraventricular hemorrhage and white matter injury in preclinical and clinical studies[J]. Neoreviews, 2019, 20(11): e636-e652. PMID: 31676738. DOI: 10.1542/neo.20-11-e636.
Zhou X, Gu J, Gu Y, et al. Human umbilical cord-derived mesenchymal stem cells improve learning and memory function in hypoxic-ischemic brain-damaged rats via an IL-8-mediated secretion mechanism rather than differentiation pattern induction[J]. Cell Physiol Biochem, 2015, 35(6): 2383-2401. PMID: 25896602. DOI: 10.1159/000374040.
van Velthoven CT, Kavelaars A, van Bel F, et al. Repeated mesenchymal stem cell treatment after neonatal hypoxia-ischemia has distinct effects on formation and maturation of new neurons and oligodendrocytes leading to restoration of damage, corticospinal motor tract activity, and sensorimotor function[J]. J Neurosci, 2010, 30(28): 9603-9611. PMID: 20631189. PMCID: PMC6632441. DOI: 10.1523/JNEUROSCI.1835-10.2010.
van Velthoven CT, Kavelaars A, van Bel F, et al. Mesenchymal stem cell treatment after neonatal hypoxic-ischemic brain injury improves behavioral outcome and induces neuronal and oligodendrocyte regeneration[J]. Brain Behav Immun, 2010, 24(3): 387-393. PMID: 19883750. DOI: 10.1016/j.bbi.2009.10.017.
Roberson R, Woodard JE, Toso L, et al. Postnatal inflammatory rat model for cerebral palsy: too different from humans[J]. Am J Obstet Gynecol, 2006, 195(4): 1038-1044. PMID: 17000237. DOI: 10.1016/j.ajog.2006.06.046.
Yin X, Zhao J, Jiang H, et al. Impact of xenon on CLIC4 and Bcl-2 expression in lipopolysaccharide and hypoxia-ischemia-induced periventricular white matter damage[J]. Neonatology, 2018, 113(4): 339-346. PMID: 29518790. DOI: 10.1159/000487220.
Xie P, Deng M, Sun QG, et al. Therapeutic effect of transplantation of human bone marrow?derived mesenchymal stem cells on neuron regeneration in a rat model of middle cerebral artery occlusion[J]. Mol Med Rep, 2019, 20(4): 3065-3074. PMID: 31432152. PMCID: PMC6755237. DOI: 10.3892/mmr.2019.10536.
De Simone U, Spinillo A, Caloni F, et al. Neuron-like cells generated from human umbilical cord lining-derived mesenchymal stem cells as a new in vitro model for neuronal toxicity screening: using magnetite nanoparticles as an example[J]. Int J Mol Sci, 2019, 21(1): 271. PMID: 31906090. PMCID: PMC6982086. DOI: 10.3390/ijms21010271.
Jiao Y, Sun YT, Chen NF, et al. Human umbilical cord-derived mesenchymal stem cells promote repair of neonatal brain injury caused by hypoxia/ischemia in rats[J]. Neural Regen Res, 2022, 17(11): 2518-2525. PMID: 35535905. PMCID: PMC9120712. DOI: 10.4103/1673-5374.339002.
Otani N, Nawashiro H, Fukui S, et al. Enhanced hippocampal neurodegeneration after traumatic or kainate excitotoxicity in GFAP-null mice[J]. J Clin Neurosci, 2006, 13(9): 934-938. PMID: 17085299. DOI: 10.1016/j.jocn.2005.10.018.
Guo Z, Zhang L, Wu Z, et al. In vivo direct reprogramming of reactive glial cells into functional neurons after brain injury and in an Alzheimer's disease model[J]. Cell Stem Cell, 2014, 14(2): 188-202. PMID: 24360883. PMCID: PMC3967760. DOI: 10.1016/j.stem.2013.12.001.
Kaminska A, Radoszkiewicz K, Rybkowska P, et al. Interaction of neural stem cells (NSCs) and mesenchymal stem cells (MSCs) as a promising approach in brain study and nerve regeneration[J]. Cells, 2022, 11(9): 1464. PMID: 35563770. PMCID: PMC9105617. DOI: 10.3390/cells11091464.