4.6 Article

Human Schwann cells exhibit long-term cell survival, are not tumorigenic and promote repair when transplanted into the contused spinal cord

期刊

GLIA
卷 65, 期 8, 页码 1278-1301

出版社

WILEY
DOI: 10.1002/glia.23161

关键词

axon growth; gliosis; inflammation; myelination; safety; spinal cord injury; toxicity; xenotransplant

资金

  1. Christine E. Lynn Human Clinical Trials Initiative
  2. John M. and Jocelyn H.K. Watkins Distinguished Chair in Cell Therapies
  3. Christine E. Lynn Distinguished Professor of Neuroscience
  4. CDMRP
  5. Department of Defense [W81XWH-10-1-0793]
  6. Bryon Riesch Paralysis Foundation
  7. Gordon Family Foundation
  8. Miami Project to Cure Paralysis
  9. Buoniconti Fund

向作者/读者索取更多资源

The transplantation of rodent Schwann cells (SCs) provides anatomical and functional restitution in a variety of spinal cord injury (SCI) models, supporting the recent translation of SCs to phase 1 clinical trials for human SCI. Whereas human (Hu) SCs have been examined experimentally in a complete SCI transection paradigm, to date the reported behavior of SCs when transplanted after a clinically relevant contusive SCI has been restricted to the use of rodent SCs. Here, in a xeno-transplant, contusive SCI paradigm, the survival, biodistribution, proliferation and tumorgenicity as well as host responses to HuSCs, cultured according to a protocol analogous to that developed for clinical application, were investigated. HuSCs persisted within the contused nude rat spinal cord through 6 months after transplantation (longest time examined), exhibited low cell proliferation, displayed no evidence of tumorigenicity and showed a restricted biodistribution to the lesion. Neuropathological examination of the CNS revealed no adverse effects of HuSCs. Animals exhibiting higher numbers of surviving HuSCs within the lesion showed greater volumes of preserved white matter and host rat SC and astrocyte ingress as well as axon ingrowth and myelination. These results demonstrate the safety of HuSCs when employed in a clinically relevant experimental SCI paradigm. Further, signs of a potentially positive influence of HuSC transplants on host tissue pathology were observed. These findings show that HuSCs exhibit a favorable toxicity profile for up to 6 months after transplantation into the contused rat spinal cord, an important outcome for FDA consideration of their use in human clinical trials.

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