2011
DOI: 10.2217/rme.11.22
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Achieving Stable Human Stem Cell Engraftment and Survival in the CNS: Is the Future of Regenerative Medicine Immunodeficient?

Abstract: There is potential for a variety of stem cell populations to mediate repair in the diseased or injured CNS; in some cases, this theoretical possibility has already transitioned to clinical safety testing. However, careful consideration of preclinical animal models is essential to provide an appropriate assessment of stem cell safety and efficacy, as well as the basic biological mechanisms of stem cell action. This article examines the lessons learned from early tissue, organ and hematopoietic grafting, the ear… Show more

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Cited by 81 publications
(92 citation statements)
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“…Considering their clinical application, the precise mechanisms of action of many stem-cell populations still remain to be elucidated at the preclinical level. Theoretically, possible mechanisms of therapeutic effects of stem-cell transplantation in CNS diseases/injuries include: (a) cell replacement for lost cells after CNS damage (e.g., forming new oligodendrocytes and/or neurons) and (b) trophic support to increase survival of host neural cells and host-mediated regeneration, repair, and/or plasticity [3,41]. While the latter mechanisms include short-term neurotrophic/neuroprotective effects, the graft-derived cells should differentiate into the appropriate cells and survive over the long-term to achieve functional recovery through the cell replacement.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Considering their clinical application, the precise mechanisms of action of many stem-cell populations still remain to be elucidated at the preclinical level. Theoretically, possible mechanisms of therapeutic effects of stem-cell transplantation in CNS diseases/injuries include: (a) cell replacement for lost cells after CNS damage (e.g., forming new oligodendrocytes and/or neurons) and (b) trophic support to increase survival of host neural cells and host-mediated regeneration, repair, and/or plasticity [3,41]. While the latter mechanisms include short-term neurotrophic/neuroprotective effects, the graft-derived cells should differentiate into the appropriate cells and survive over the long-term to achieve functional recovery through the cell replacement.…”
Section: Discussionmentioning
confidence: 99%
“…3). Thus, rather than using conventional pharmacologic immunosuppression, to minimize immunological barriers for long-term engraftment after SCI, we adopted NOD/SCID mice as hosts, which could be used as recipients even in the xenograft of human cells into SCI mice models [3,41]. While NOD/SCID mice have neutrophils, macrophages, and microglia resulting in innate immune responses, we observed similar survival rate of shi-NS/PCs and wt-NS/PCs for all through 6 weeks and identical differentiation characteristics in the injured spinal cord.…”
Section: Discussionmentioning
confidence: 99%
“…In vivo studies were conducted in NOD-scid mice to enable survival of donor human cells, as described previously (33,34,67,68) and under Materials and Methods. Importantly, although NOD-scid mice exhibit deficits in adaptive immunity, they demonstrate innate immune responses and histopathological characteristics comparable to other mouse strains following SCI (22,23).…”
Section: Blockade Of C1q and C3a In Pmn-cm Reduces Astroglial Differementioning
confidence: 93%
“…9, 10) data, in which donor human cells were xenografted into the mouse spinal cord. NOD-scid mice are T cell and B cell deficient, making this model optimal and widely used for xenotransplantation studies in which the survival of donor human cells is a critical variable (22). Importantly, although NOD-scid mice exhibit deficits in adaptive immunity, they demonstrate innate immune responses and histopathological characteristics comparable to other mouse strains following SCI (23).…”
Section: Generation Of Pmn or Mf-cmmentioning
confidence: 99%
“…The migration of engrafted cells toward damaged tissue is a critical step in stem cell therapy, and further work is required to elucidate the chemokine signaling networks that regulate this process (16,31,95). The risk of immunorejection also weighs heavily on any transplantation study (9). These issues impact the assessment of stem cell safety and efficacy in efforts to translate animal studies to the clinic (9).…”
Section: Stem Cell Therapy To Ameliorate Radiation-induced Cognitive mentioning
confidence: 99%