X-Message-Number: 15658
From: "Mark Plus" <>
Subject: "Cell Transplants Offer Hope Of Brain Repair Following Stroke"
Date: Fri, 16 Feb 2001 09:13:17 -0800

From:

http://www.sciencedaily.com/releases/2001/02/010216081637.htm

Source:   American Heart Association (http://www.americanheart.org/)


Date:   Posted 2/16/2001

Cell Transplants Offer Hope Of Brain Repair Following Stroke

FORT LAUDERDALE, Fla., Feb. 15   Rat stem cells developed into neurons and 
other mature brain tissue when transplanted into normal and stroke-damaged 
adult rats, according to new research reported today at the American Stroke 
Association's 26th International Stroke Conference. The American Stroke 
Association is a division of the American Heart Association.
The stem cells grew in the damaged area and formed connections with 
neighboring cells, indicating the possibility of someday manipulating brains 
and spinal cords into repairing trauma from stroke or other diseases, says 
senior author Daniel M. Rosenbaum, M.D., professor of neurology, 
neuroscience and ophthalmology at Albert Einstein College of Medicine and 
director of the stroke center at Montefiore Medical Center, New York.

"We were not sure the transplanted cells would even survive," he says. "But 
they did in both normal and stroke-damaged brains. In just seven days some 
cells had begun differentiating into the basic, yet immature types of cells 
that form the fundamental structure of the brain."

Blood vessels were also seen growing to nourish the transplanted cells. At 
21 to 45 days after the transplants most stem cells had developed into 
mature neurons and other mature brain cells.

"The ultimate goal is to take an adult's own cells, expand them in tissue 
culture in the laboratory and transplant them back into the individual's 
brain in a way that would lead to functional recovery," says Rosenbaum.

Stem cells   which are found primarily in bone marrow in adults or in 
embryonic tissue   lay down the blueprint for development of all the body's 
organs including the brain. They have the potential and the flexibility to 
grow and differentiate into the many kinds of cells needed by the human 
body. Until about 10 years ago, many people believed that the ability to 
regenerate neurons, or nerve cells, of the brain and spinal cord disappeared 
soon after birth. However, Rosenbaum's research team has shown that such 
repair processes can occur in mature brain cells at a very slow rate. In the 
current study researchers sought to determine whether stem cells would grow 
and mature into functioning neurons when transplanted into damaged rat 
brains.

Researchers harvested embryonic cortical cells (which come from the cerebral 
cortex   the outer layer of the brain) for the transplants. The cerebral 
cortex is the mantle of gray substance covering each half of the brain. It's 
the area responsible for higher mental functions such as thought, reasoning, 
memory and voluntary movement and is also the area most often damaged by 
strokes.

"Our goal was to replace the dead area of the cortex with neural stem cells 
that would mature into neurons and other brain cell types," says Gaurav 
Gupta, M.D., the lead author of the study.

In their experiments, the researchers injected the cortical stem cells into 
the brains of normal adult rats and adult rats damaged by stroke. The cells 
were marked with a chemical that glows when viewed under a fluorescent 
microscope, allowing researchers to record their fate for 90 days. Because 
the growth of cells is often influenced by the surroundings, researchers 
grew the cells in different "cellular environments." In both healthy and 
stroke-damaged brains, donor cells were transplanted into three areas: the 
cerebral cortex, the subventricular zone - an inner layer of the brain - and 
the eye cavity.

Within a week, donor cells grew in all three areas in both healthy and 
damaged brains. Three to six weeks later, most donor cells had become mature 
neurons, which made connections with other brain cells.

Important differences were found in the rate of growth among the six 
environments. For example, cortical cells transplanted into healthy rats 
grew better when transplanted into the cortical area rather than the 
subventriclular zone, suggesting a preference for cells to grow better in 
their native environment. However, when the cortical cells were transplanted 
into stroke-damaged rats, the cells grew more profusely in the 
subventricular zone (the area that was not as severely damaged) than in the 
damaged cortex. "Because tissue in the stroke damaged cortex, is replaced by 
scar tissue and fluid-filled cavities there is relatively poor structural 
and nutritional support. The transplanted cells do not grow as well as they 
do in the more fertile subventricular regions which have supportive factors 
that help the cells grow," says Gupta.

"We've demonstrated that transplanted stem cells can survive, multiply and 
differentiate," Rosenbaum explains. "The other significant finding is that 
differences in the cell growth depend on the local factors in the areas of 
the brain in which they're implanted. A greater understanding of what these 
local factors are may enable us to better manipulate the stem cells to grow 
new brain tissue." For his work in this area, Gupta has been selected to 
receive the American Stroke Association Mordecai Y.T. Globus Young 
Investigator of the Year Award during the conference.

Co-authors include Solen Gokhan, M.D.; Manjeet Singh, M.D.; Bella I. Cohen, 
M.D.; Pearl S. Rosenbaum, M.D.; Leonore C. Ocava, M.D., John A. Kessler, 
M.D.; and Mark F. Mehler, M.D.






--------------------------------------------------------------------------------

Note: This story has been adapted from a news release issued by American 
Heart Association for journalists and other members of the public. If you 
wish to quote from any part of this story, please credit American Heart 
Association as the original source. You may also wish to include the 
following link in any citation:

http://www.sciencedaily.com/releases/2001/02/010216081637.htm

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