PMID- 24172866 OWN - NLM STAT- MEDLINE DCOM- 20141103 LR - 20220331 IS - 1525-0024 (Electronic) IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 22 IP - 3 DP - 2014 Mar TI - Therapeutic potential of genetically modified mesenchymal stem cells after neonatal hypoxic-ischemic brain damage. PG - 645-654 LID - S1525-0016(16)31188-1 [pii] LID - 10.1038/mt.2013.260 [doi] AB - Mesenchymal stem cells (MSCs) have been shown to improve outcomes after neonatal hypoxic-ischemic (HI) brain injury possibly by secretion of growth factors stimulating repair processes. We investigated whether MSCs, modified to secrete specific growth factors, can further enhance recovery. Using an in vitro assay, we show that MSC-secreting brain derived neurotrophic factor (BDNF), epidermal growth factor-like 7 (EGFL7), persephin (PSP), or sonic hedgehog (SHH) regulate proliferation and differentiation of neural stem cells. Moreover, mice that received an intranasal application of 100,000 MSC-BDNF showed significantly improved outcomes as demonstrated by improved motor function and decreased lesion volume compared with mice treated with empty vector (EV) MSCs. Treatment with MSC-EGFL7 improved motor function but had no effect on lesion size. Treatment with MSC-PSP or MSC-SHH neither improved outcome nor reduced lesion size in comparison with MSC-EV-treated mice. Moreover, mice treated with MSC-SHH showed even decreased functional outcomes when compared with those treated with MSC-EV. Treatment with MSC-BDNF induced cell proliferation in the ischemic hemisphere lasting at least 18 days after MSC administration, whereas treatment with MSC-EV did not. These data suggest that gene-modified cell therapy might be a useful approach to consider for treatment of neonatal HI brain damage. However, care must be taken when selecting the agent to overexpress. FAU - van Velthoven, Cindy Tj AU - van Velthoven CT AD - Laboratory of Neuroimmunology and Developmental Origins of Disease, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Braccioli, Luca AU - Braccioli L AD - Laboratory of Neuroimmunology and Developmental Origins of Disease, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Willemen, Hanneke Ldm AU - Willemen HL AD - Laboratory of Neuroimmunology and Developmental Origins of Disease, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Kavelaars, Annemieke AU - Kavelaars A AD - Department of Symptom Research, University of Texas, MD Anderson Cancer Center, Houston, Texas, USA. FAU - Heijnen, Cobi J AU - Heijnen CJ AD - Laboratory of Neuroimmunology and Developmental Origins of Disease, University Medical Center Utrecht, Utrecht, The Netherlands; Department of Symptom Research, University of Texas, MD Anderson Cancer Center, Houston, Texas, USA. Electronic address: CJHeijnen@mdanderson.org. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131031 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Calcium-Binding Proteins) RN - 0 (EGF Family of Proteins) RN - 0 (Egfl7 protein, mouse) RN - 0 (Hedgehog Proteins) RN - 0 (Nerve Tissue Proteins) RN - 0 (Proteins) RN - 0 (Shh protein, mouse) RN - 0 (persephin) SB - IM MH - Adenoviridae/*genetics MH - Administration, Intranasal MH - Animals MH - Animals, Newborn MH - Brain-Derived Neurotrophic Factor/genetics/metabolism MH - Calcium-Binding Proteins MH - Cell Differentiation MH - Cell Proliferation MH - EGF Family of Proteins MH - Genetic Vectors/*administration & dosage/therapeutic use MH - Hedgehog Proteins/genetics/metabolism MH - Hypoxia-Ischemia, Brain/pathology/*therapy MH - Mesenchymal Stem Cells/*metabolism MH - Mice MH - Mice, Inbred C57BL MH - Nerve Tissue Proteins/genetics/metabolism MH - Neural Stem Cells/*metabolism MH - Oligodendroglia/metabolism MH - Proteins/genetics/metabolism MH - Transduction, Genetic MH - Treatment Outcome PMC - PMC3944339 EDAT- 2013/11/01 06:00 MHDA- 2014/11/05 06:00 PMCR- 2015/03/01 CRDT- 2013/11/01 06:00 PHST- 2013/06/12 00:00 [received] PHST- 2013/10/10 00:00 [accepted] PHST- 2013/11/01 06:00 [entrez] PHST- 2013/11/01 06:00 [pubmed] PHST- 2014/11/05 06:00 [medline] PHST- 2015/03/01 00:00 [pmc-release] AID - S1525-0016(16)31188-1 [pii] AID - 10.1038/mt.2013.260 [doi] PST - ppublish SO - Mol Ther. 2014 Mar;22(3):645-654. doi: 10.1038/mt.2013.260. Epub 2013 Oct 31.