PMID- 34419172 OWN - NLM STAT- MEDLINE DCOM- 20210825 LR - 20210826 IS - 1757-6512 (Electronic) IS - 1757-6512 (Linking) VI - 12 IP - 1 DP - 2021 Aug 21 TI - Engineered basic fibroblast growth factor-overexpressing human umbilical cord-derived mesenchymal stem cells improve the proliferation and neuronal differentiation of endogenous neural stem cells and functional recovery of spinal cord injury by activating the PI3K-Akt-GSK-3beta signaling pathway. PG - 468 LID - 10.1186/s13287-021-02537-w [doi] LID - 468 AB - OBJECTIVES: To investigate the safety for clinic use and therapeutic effects of basic fibroblast growth factor (bFGF)-overexpressing human umbilical cord-derived mesenchymal stem cells (HUCMSCs) in mice with completely transected spinal cord injury (SCI). METHODS: Stable bFGF-overexpressing HUCMSCs clones were established by electrotransfection and then subjected to systematic safety evaluations. Then, bFGF-overexpressing and control HUCMSCs were used to treat mice with completely transected SCI by tail intravenous injection. Therapeutic outcomes were then investigated, including functional recovery of locomotion, histological structures, nerve regeneration, and recovery mechanisms. RESULTS: Stable bFGF-overexpressing HUCMSCs met the standards and safety of MSCs for clinic use. In the mouse SCI model, stable bFGF-overexpressing HUCMSCs markedly improved therapeutic outcomes such as reducing glial scar formation, improving nerve regeneration and proliferation of endogenous neural stem cells (NSCs), and increasing locomotion functional recovery of posterior limbs compared with the control HUCMSCs group. Furthermore, bFGF-overexpressing HUCMSCs promoted the proliferation and neuronal differentiation of NSCs in vitro through the PI3K-Akt-GSK-3beta pathway. CONCLUSION: bFGF-overexpressing HUCMSCs meet the requirements of clinical MSCs and improve evident therapeutic outcomes of mouse SCI treatment, which firmly supports the safety and efficacy of gene-modified MSCs for clinical application. CI - (c) 2021. The Author(s). FAU - Huang, Feifei AU - Huang F AD - Clinical Stem Cell Center, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210000, China. FAU - Gao, Tianyun AU - Gao T AD - Clinical Stem Cell Center, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210000, China. FAU - Wang, Wenqing AU - Wang W AD - Clinical Stem Cell Center, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210000, China. FAU - Wang, Liudi AU - Wang L AD - Clinical Stem Cell Center, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210000, China. FAU - Xie, Yuanyuan AU - Xie Y AD - Clinical Stem Cell Center, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210000, China. FAU - Tai, Chenxun AU - Tai C AD - Clinical Stem Cell Center, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210000, China. FAU - Liu, Shuo AU - Liu S AD - Clinical Stem Cell Center, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210000, China. FAU - Cui, Yi AU - Cui Y AD - Reproductive and Genetic Center of National Research Institute for Family Planning, Beijing, 100081, China. yicui22@126.com. FAU - Wang, Bin AU - Wang B AUID- ORCID: 0000-0003-3981-8849 AD - Clinical Stem Cell Center, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210000, China. wangbin022800@126.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210821 PL - England TA - Stem Cell Res Ther JT - Stem cell research & therapy JID - 101527581 RN - 103107-01-3 (Fibroblast Growth Factor 2) RN - EC 2.7.11.1 (Glycogen Synthase Kinase 3 beta) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM MH - Animals MH - Cell Differentiation MH - Cell Proliferation MH - Fibroblast Growth Factor 2/genetics MH - Glycogen Synthase Kinase 3 beta/genetics MH - Humans MH - *Mesenchymal Stem Cells MH - Mice MH - *Neural Stem Cells MH - Phosphatidylinositol 3-Kinases/genetics MH - Proto-Oncogene Proteins c-akt/genetics MH - Signal Transduction MH - *Spinal Cord Injuries/genetics/therapy MH - Umbilical Cord PMC - PMC8379754 OTO - NOTNLM OT - Basic fibroblast growth factor OT - Gene modification OT - Mesenchymal stem cells OT - Spinal cord injury COIS- The authors declare that they have no competing interests. EDAT- 2021/08/23 06:00 MHDA- 2021/08/26 06:00 PMCR- 2021/08/21 CRDT- 2021/08/22 20:33 PHST- 2021/06/08 00:00 [received] PHST- 2021/08/03 00:00 [accepted] PHST- 2021/08/22 20:33 [entrez] PHST- 2021/08/23 06:00 [pubmed] PHST- 2021/08/26 06:00 [medline] PHST- 2021/08/21 00:00 [pmc-release] AID - 10.1186/s13287-021-02537-w [pii] AID - 2537 [pii] AID - 10.1186/s13287-021-02537-w [doi] PST - epublish SO - Stem Cell Res Ther. 2021 Aug 21;12(1):468. doi: 10.1186/s13287-021-02537-w.