Nejvíce citovaný článek - PubMed ID 12177209
Restoration of damaged central nervous system structures, functional recovery, and prevention of neuronal loss during neurodegenerative diseases are major objectives in cerebellar research. The highly organized anatomical structure of the cerebellum with numerous inputs/outputs, the complexity of cerebellar functions, and the large spectrum of cerebellar ataxias render therapies of cerebellar disorders highly challenging. There are currently several therapeutic approaches including motor rehabilitation, neuroprotective drugs, non-invasive cerebellar stimulation, molecularly based therapy targeting pathogenesis of the disease, and neurotransplantation. We discuss the goals and possible beneficial mechanisms of transplantation therapy for cerebellar damage and its limitations and factors determining outcome.
- Klíčová slova
- Ataxias, Cerebellar reserve, Cerebellum, Neurotransplantation, Stem cells,
- MeSH
- buněčná a tkáňová terapie metody MeSH
- nemoci mozečku terapie MeSH
- zvířata MeSH
- Check Tag
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
For many degenerative cerebellar diseases, currently, no effective treatment that would substantially restore cerebellar functions is available. Neurotransplantation could be a promising therapy for such cases. Nevertheless, there are still severe limitations for routine clinical use. The aim of the work was to assess volume and morphology and functional impact on motor skills of an embryonic cerebellar graft injected in the form of cell suspension in Lurcher mutant and wild-type mice of the B6CBA and C3H strains after a 6-month survival period. The grafts survived in the majority of the mice. In both B6CBA and C3H Lurcher mice, most of the grafts were strictly delimited with no tendency to invade the host cerebellum, while in wild-type mice, graft-derived Purkinje cells colonized the host's cerebellum. In C3H Lurcher mice, but not in B6CBA Lurchers, the grafts had smaller volume than in their wild-type counterparts. C3H wild-type mice had significantly larger grafts than B6CBA wild-type mice. No positive effect of the transplantation on performance in the rotarod test was observed. The findings suggest that the niche of the Lurcher mutant cerebellum has a negative impact on integration of grafted cells. This factor seems to be limiting for specific functional effects of the transplantation therapy in this mouse model of cerebellar degeneration.
- Klíčová slova
- Cerebellar degeneration, Cerebellum, Lurcher mouse, Purkinje cell, Transplantation,
- MeSH
- druhová specificita MeSH
- longitudinální studie MeSH
- metoda rotující tyčky MeSH
- modely nemocí na zvířatech MeSH
- motorické dovednosti MeSH
- mozeček embryologie patologie transplantace MeSH
- myši - mutanty neurologické MeSH
- myši inbrední C3H MeSH
- myši inbrední CBA MeSH
- myši transgenní MeSH
- nemoci mozečku patologie patofyziologie terapie MeSH
- neurodegenerativní nemoci patologie patofyziologie terapie MeSH
- přežívání štěpu * fyziologie MeSH
- transplantace mozkové tkáně * MeSH
- zelené fluorescenční proteiny genetika metabolismus MeSH
- zvířata MeSH
- Check Tag
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- Názvy látek
- enhanced green fluorescent protein MeSH Prohlížeč
- zelené fluorescenční proteiny MeSH
Hereditary cerebellar degenerations are a heterogeneous group of diseases often having a detrimental impact on patients' quality of life. Unfortunately, no sufficiently effective causal therapy is available for human patients at present. There are several therapies that have been shown to affect the pathogenetic process and thereby to delay the progress of the disease in mouse models of cerebellar ataxias. The second experimental therapeutic approach for hereditary cerebellar ataxias is neurotransplantation. Grafted cells might provide an effect via delivery of a scarce neurotransmitter, substitution of lost cells if functionally integrated and rescue or trophic support of degenerating cells. The results of cerebellar transplantation research over the past 30 years are reviewed here and potential benefits and limitations of neurotransplantation therapy are discussed.
- Klíčová slova
- Cerebellum, Hereditary cerebellar degeneration, Neurotransplantation,
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH