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Journal List > J Korean Soc Spine Surg > v.14(1) > 1035796

Kim, Sohn, Kim, Ha, Lee, Moon, Lee, Lim, and You: Human Umbilical Cord Blood Infusion in Paralyzed Rats: Histologic and Behavioral Alterations

Abstract

Study Design

Experimental animal study

Objectives

To examine the ability of human umbilical cord blood (hUCB) stem cells to target a zone of injury and to determine the efficacy of hUCB cells to ameliorate the behavioral deficits after a hUCB cell infusion in paralyzed rats.

Summary of Literature

Many groups have investigated the use of stem cells as potential treatments for a CNS injury. hUCB cells have recently been reported to alleviate the behavioral consequences of a stroke injury.

Materials and Methods

Thirty Sprague Dawley rats were divided into 6 groups (Gr) (Gr 1. SCI (spinal cord injury) + hUCB delivered at one day postinjury, Gr 2. SCI + hUCB delivered at 3 days postinjury, Gr 3. SCI + hUCB delivered at 5 days postinjury, Gr 4. laminectomy + hUCB, Gr 5. SCI only, Gr 6. Laminectomy only). SCI was produced by compressing the spinal cord to the level of the 8-9th thoracic spine for 1 minute with an aneurysm clip that was calibrated to a closing pressure of 50 gms. The hUCB cells (0.5 ml, 1.5×106) were administered intravenously to the rats. The rat was assessed behaviorally at one, two and three weeks using the BBB behavioral scale. Four weeks after the injury, the animals were sacrificed and the hUCB positive-response neural cells (mouse anti-human mitochondria monoclonal antibody=MAB 1273) at the injury level observed using optical and fluorescent microscopy.

Results

MAB 1273 positive cells were observed in groups 1, 2 and 3 but not in groups 4, 5 and 6. In particular, there were 870 cells distributed over an area of 1.2 mm2 in group 3. Group 3 showed the most significant recovery over time in the open field exam, and the most improvement in another tests of incline, leg extension, and toe spread compared with group 1 (p�0.01).

Conclusion

After infusing the hUCB stem cells to SCI rats, it was confirmed that hUCB cells migrate to an injured area and ameliorate the behavioral deficits. A hUCB infusion 5 days after the injury produced best results in terms of the number of cells and motor recovery.

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Figures and Tables%

jkss-14-8f1.tif
Fig. 1.
Identification of hUCB in compressed spinal cord immunohistochemical stained with mouse anti-human mitochondria monoclonal antibody (MAB1273). (A) hUCB were injected into the tail vein 1 day compression injury. We can observed immunopositive hUCB for the MAB1273 (arrows). (C) hUCB were injected into the tail vein 3 days compression injury. We could observed numerous immunopositive hUCB for the MAB1273 (arrows). (E) hUCB cells were injected into the tail vein 5 days compression injury. We can observed numerous immunopositive hUCB for the MAB1273 (arrows). (B, D, F) (right panel) were of the contralateral spinal cord, in which immuno-positiv hUCB were not found.
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jkss-14-8f2.tif
Fig. 2.
Identification of the hUCB in compressed spinal cord. hUCB, prelabeled with FITC-conjugated cholera toxin, were injected into the tail vein 1, 3, 5 days after compression injury. Fluorescent hUCB (MAB1273, arrows) are seen within the injured spinal cord at 5(A), 3(C), 1(E) days post-injection. Right panel (B, D, F) is of the contralateral spinal cord (intact spinal cord), in which fluorescent hUCB were not found.
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jkss-14-8f3.tif
Fig. 3.
The results of the BBB assessment for open field locomotor behavior.
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jkss-14-8f4.tif
Fig. 4.
The ability of rats to climb inclined wire mesh grid.
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jkss-14-8f5.tif
Fig. 5.
Test of toe spread.
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jkss-14-8f6.tif
Fig. 6.
Test of leg extension.
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Table 1.
행동평가
점수
철망경사 오르기
다리를 들어올리지 못하고 정 위치를 취하지 못할 때 0
다리를 들어올리려고 시도는 하나 정 위치를 취하지 못할 때 1
다리를 들어올리나 몸을 지탱하지 못할 때 2
다리를 들어올리고 정 위치를 하며 몸을 지탱할 때 3
다리를 들어올리고 정 위치를 하며 다리의 펴짐 운동과 함께 몸을 지탱할 때 4
뒷다리로 약간 기어오르지만 철망을 움켜 잡지 못할 때 5
뒷다리로 약간 기어오르며 철망을 움켜 잡을 때 6
천천히 기어오르지만 철망을 움켜 잡지 못할 때 7
철망을 움켜 잡으며 기어 오를 때 8
정상적으로 철망을 기어 오를 때 9
뒷다리 펴는 운동
뒷다리를 펴지 못할 때 0
뒷다리를 약간 펴지만 벌리지를 못할 때(abduction) 1
뒷다리를 펴지만 벌리지 못할 때 2
뒷다리를 벌림과 함께 펼 때 3
발가락 운동
발가락을 펴지 못할 때 0
발가락을 부분적으로 안쪽 가 쪽으로 펼 때 1
발가락을 정상적으로 펼 때 2
TOOLS
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