PMID- 28492549 OWN - NLM STAT- MEDLINE DCOM- 20180216 LR - 20181202 IS - 2041-4889 (Electronic) VI - 8 IP - 5 DP - 2017 May 11 TI - Enhanced neuroprotective efficacy of bone marrow mesenchymal stem cells co-overexpressing BDNF and VEGF in a rat model of cardiac arrest-induced global cerebral ischemia. PG - e2774 LID - 10.1038/cddis.2017.184 [doi] AB - Cardiac arrest-induced global cerebral ischemia injury (CA-GCII) usually leads to a poor neurological outcome without an effective treatment. Bone marrow-derived mesenchymal stem cells (BMMSCs) may provide a potential cell-based therapy against neurologic disorders through induction of brain-derived neurotrophic factor (BDNF) and vascular endothelial growth factor (VEGF). To optimize the neuroprotective efficacy of BMMSCs further, in this study we have derived BMMSCs, which co-overexpress both BDNF and VEGF, and tested them for the treatment of CA-GCII in a rat model. Lentiviruses that express rat BDNF exon IV or VEGF-A were created using the bicistronic shuttle vectors of pLVX-IRES-ZsGreen1 and pLVX-IRES-tdTomato, respectively. BMMSCs that were co-transduced with the engineered lentiviruses with co-overexpression of both BDNF and VEGF along with corresponding fluorescent protein reporters were injected via jugular vein of rats that just recovered from a cardiac arrest. Animals were then scored for neurofunctional deficits and examined for brain pathology and gene expression relevant to the engraftment seven days after the treatments. We demonstrate that anchorage of lentiviral vector-transduced BMMSCs, which co-overexpressed both BDNF and VEGF in the hippocampus and temporal cortex along with significantly ameliorated brain pathology and improved neurofunctional performance in CA-GCII rats after transplantation. These findings provide a proof of concept for the further validation of engineered BMMSCs for the treatment of CA-GCII patients in clinical practice in the future. FAU - Zhou, Lili AU - Zhou L AD - Department of Emergency Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China. AD - Department of Emergency Medicine, Institute of Cardiopulmonary Cerebral Resuscitation, Sun Yat-sen University, Guangzhou 510120, China. FAU - Lin, Qingming AU - Lin Q AD - Department of Emergency Medicine, Fujian Provincial Hospital, Fujian Medical University, Fuzhou 350001, China. FAU - Wang, Peng AU - Wang P AD - Department of Emergency Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China. AD - Department of Emergency Medicine, Institute of Cardiopulmonary Cerebral Resuscitation, Sun Yat-sen University, Guangzhou 510120, China. FAU - Yao, Lan AU - Yao L AD - Department of Emergency Medicine, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai 519000, China. FAU - Leong, Kahong AU - Leong K AD - Department of Emergency Medicine, Hospital Conde S. Januario, Macau, China. FAU - Tan, Zhiqun AU - Tan Z AD - Institute for Memory Impairments and Neurological Disorders, University of California Irvine, Irvine, CA 92697, USA. AD - Institute of Precision Medicine, Jining Medical University, Jining 272067, China. FAU - Huang, Zitong AU - Huang Z AD - Department of Emergency Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China. AD - Department of Emergency Medicine, Institute of Cardiopulmonary Cerebral Resuscitation, Sun Yat-sen University, Guangzhou 510120, China. LA - eng PT - Journal Article DEP - 20170511 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (vascular endothelial growth factor A, rat) SB - IM MH - Animals MH - Bone Marrow Cells/*metabolism/pathology MH - Brain Ischemia/genetics/metabolism/pathology/*therapy MH - Brain-Derived Neurotrophic Factor/*biosynthesis/genetics MH - Disease Models, Animal MH - *Gene Expression Regulation MH - Heart Arrest/genetics/metabolism/pathology/*therapy MH - Lentivirus MH - Male MH - *Mesenchymal Stem Cell Transplantation MH - Mesenchymal Stem Cells/*metabolism/pathology MH - Rats MH - Rats, Sprague-Dawley MH - Transduction, Genetic MH - Vascular Endothelial Growth Factor A/*biosynthesis/genetics PMC - PMC5520708 COIS- The authors declare no conflict of interest. EDAT- 2017/05/12 06:00 MHDA- 2018/02/17 06:00 PMCR- 2017/05/01 CRDT- 2017/05/12 06:00 PHST- 2016/11/22 00:00 [received] PHST- 2017/03/23 00:00 [revised] PHST- 2017/03/27 00:00 [accepted] PHST- 2017/05/12 06:00 [entrez] PHST- 2017/05/12 06:00 [pubmed] PHST- 2018/02/17 06:00 [medline] PHST- 2017/05/01 00:00 [pmc-release] AID - cddis2017184 [pii] AID - 10.1038/cddis.2017.184 [doi] PST - epublish SO - Cell Death Dis. 2017 May 11;8(5):e2774. doi: 10.1038/cddis.2017.184.