Therapeutic Benefit of Treatment of Stroke with Simvastatin and Human Umbilical Cord Blood Cells: Neurogenesis, Synaptic Plasticity, and Axon Growth

The therapeutic efficacy of cell-based therapy after stroke can be enhanced by making the host brain tissue more receptive to the administered cells, which thereby facilitates brain plasticity. We hypothesized that simvastatin increases human umbilical cord blood cell (HUCBC) migration into the isch...

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Main Authors: Xu Cui, Michael Chopp, Amjad Shehadah, Alex Zacharek, Nicole Kuzmin-Nichols, Cyndy Davis Sanberg, Junhao Dai, Chunling Zhang, Yuji Ueno, Cynthia Roberts, Jieli Chen
Format: Article
Language:English
Published: SAGE Publishing 2012-05-01
Series:Cell Transplantation
Online Access:https://doi.org/10.3727/096368911X627417
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author Xu Cui
Michael Chopp
Amjad Shehadah
Alex Zacharek
Nicole Kuzmin-Nichols
Cyndy Davis Sanberg
Junhao Dai
Chunling Zhang
Yuji Ueno
Cynthia Roberts
Jieli Chen
author_facet Xu Cui
Michael Chopp
Amjad Shehadah
Alex Zacharek
Nicole Kuzmin-Nichols
Cyndy Davis Sanberg
Junhao Dai
Chunling Zhang
Yuji Ueno
Cynthia Roberts
Jieli Chen
author_sort Xu Cui
collection DOAJ
description The therapeutic efficacy of cell-based therapy after stroke can be enhanced by making the host brain tissue more receptive to the administered cells, which thereby facilitates brain plasticity. We hypothesized that simvastatin increases human umbilical cord blood cell (HUCBC) migration into the ischemic brain and promotes brain plasticity and neurological functional outcome after stroke. Rats were subjected to 2-h middle cerebral artery occlusion (MCAo) and administered subtherapeutic doses of simvastatin (0.5 mg/kg, gavaged daily for 7 days), HUCBCs (1 × 10 6 , one time injection via tail vein), or combination simvastatin with HUCBCs starting at 24 h after stroke. Combination treatment of stroke showed an interactive effect in improvement of neurological outcome compared with simvastatin or HUCBC monotherapy groups. In addition, combination treatment significantly increased brain-derived neurotrophic factor/TrkB expression and the number of engrafted HUCBCs in the ischemic brain compared with HUCBC monotherapy. The number of engrafted HUCBCs was significantly correlated with functional outcome (modified neurological severity score). Combination treatment significantly increased neurogenesis and synaptic plasticity in the ischemic brain, and promoted neuroblast migration in cultured subventricular zone explants. Using primary cultured neurons (PCNs), we found that combination treatment enhanced neurite outgrowth compared with nontreatment control, simvastatin or HUCBC supernatant monotherapy. Inhibition of TrkB significantly attenuated combination treatment-induced neurite outgrowth. Our data indicate that combination simvastatin and HUCBC treatment of stroke increases BDNF/TrkB expression, enhances HUCBC migration into the ischemic brain, amplifies endogenous neurogenesis, synaptic plasticity and axonal growth, and thereby improves functional outcome after stroke.
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spelling doaj.art-9aa38d61d63c4f7ea5291afceefbdca72022-12-21T19:55:41ZengSAGE PublishingCell Transplantation0963-68971555-38922012-05-012110.3727/096368911X627417Therapeutic Benefit of Treatment of Stroke with Simvastatin and Human Umbilical Cord Blood Cells: Neurogenesis, Synaptic Plasticity, and Axon GrowthXu Cui0Michael Chopp1Amjad Shehadah2Alex Zacharek3Nicole Kuzmin-Nichols4Cyndy Davis Sanberg5Junhao Dai6Chunling Zhang7Yuji Ueno8Cynthia Roberts9Jieli Chen10Department of Neurology, Henry Ford Hospital, Detroit, MI, USADepartment of Physics, Oakland University, Rochester, MI, USADepartment of Neurology, Henry Ford Hospital, Detroit, MI, USADepartment of Neurology, Henry Ford Hospital, Detroit, MI, USASaneron CCEL Therapeutics, Inc., Tampa, FL, USASaneron CCEL Therapeutics, Inc., Tampa, FL, USADepartment of Neurology, Henry Ford Hospital, Detroit, MI, USADepartment of Neurology, Henry Ford Hospital, Detroit, MI, USADepartment of Neurology, Henry Ford Hospital, Detroit, MI, USADepartment of Neurology, Henry Ford Hospital, Detroit, MI, USADepartment of Neurology, Henry Ford Hospital, Detroit, MI, USAThe therapeutic efficacy of cell-based therapy after stroke can be enhanced by making the host brain tissue more receptive to the administered cells, which thereby facilitates brain plasticity. We hypothesized that simvastatin increases human umbilical cord blood cell (HUCBC) migration into the ischemic brain and promotes brain plasticity and neurological functional outcome after stroke. Rats were subjected to 2-h middle cerebral artery occlusion (MCAo) and administered subtherapeutic doses of simvastatin (0.5 mg/kg, gavaged daily for 7 days), HUCBCs (1 × 10 6 , one time injection via tail vein), or combination simvastatin with HUCBCs starting at 24 h after stroke. Combination treatment of stroke showed an interactive effect in improvement of neurological outcome compared with simvastatin or HUCBC monotherapy groups. In addition, combination treatment significantly increased brain-derived neurotrophic factor/TrkB expression and the number of engrafted HUCBCs in the ischemic brain compared with HUCBC monotherapy. The number of engrafted HUCBCs was significantly correlated with functional outcome (modified neurological severity score). Combination treatment significantly increased neurogenesis and synaptic plasticity in the ischemic brain, and promoted neuroblast migration in cultured subventricular zone explants. Using primary cultured neurons (PCNs), we found that combination treatment enhanced neurite outgrowth compared with nontreatment control, simvastatin or HUCBC supernatant monotherapy. Inhibition of TrkB significantly attenuated combination treatment-induced neurite outgrowth. Our data indicate that combination simvastatin and HUCBC treatment of stroke increases BDNF/TrkB expression, enhances HUCBC migration into the ischemic brain, amplifies endogenous neurogenesis, synaptic plasticity and axonal growth, and thereby improves functional outcome after stroke.https://doi.org/10.3727/096368911X627417
spellingShingle Xu Cui
Michael Chopp
Amjad Shehadah
Alex Zacharek
Nicole Kuzmin-Nichols
Cyndy Davis Sanberg
Junhao Dai
Chunling Zhang
Yuji Ueno
Cynthia Roberts
Jieli Chen
Therapeutic Benefit of Treatment of Stroke with Simvastatin and Human Umbilical Cord Blood Cells: Neurogenesis, Synaptic Plasticity, and Axon Growth
Cell Transplantation
title Therapeutic Benefit of Treatment of Stroke with Simvastatin and Human Umbilical Cord Blood Cells: Neurogenesis, Synaptic Plasticity, and Axon Growth
title_full Therapeutic Benefit of Treatment of Stroke with Simvastatin and Human Umbilical Cord Blood Cells: Neurogenesis, Synaptic Plasticity, and Axon Growth
title_fullStr Therapeutic Benefit of Treatment of Stroke with Simvastatin and Human Umbilical Cord Blood Cells: Neurogenesis, Synaptic Plasticity, and Axon Growth
title_full_unstemmed Therapeutic Benefit of Treatment of Stroke with Simvastatin and Human Umbilical Cord Blood Cells: Neurogenesis, Synaptic Plasticity, and Axon Growth
title_short Therapeutic Benefit of Treatment of Stroke with Simvastatin and Human Umbilical Cord Blood Cells: Neurogenesis, Synaptic Plasticity, and Axon Growth
title_sort therapeutic benefit of treatment of stroke with simvastatin and human umbilical cord blood cells neurogenesis synaptic plasticity and axon growth
url https://doi.org/10.3727/096368911X627417
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