title: Embryonic stem cell transplantation after experimental traumatic brain injury dramatically improves neurological outcome, but may cause tumors.
abstract: Transplantation of embryonic stem (ES) cells may provide cures for the damaged nervous system. Pre-differentiated ES or neuronal precursor cells have been investigated in various animal models of neurodegenerative diseases including traumatic brain injury (TBI). To our knowledge, no study has yet examined the effects of undifferentiated, murine ES cells on functional recovery and tumorigenity following implantation into injured rat brains. We evaluated the effect of transplantation of undifferentiated, murine embryonic cells on the recovery of motor function following lateral fluid percussion brain injury in Sprague-Dawley rats. At 3 days post-injury, animals received stereotactic injections of either embryonic stem cell suspension or injections of phosphate buffered saline without cells (control) into the injured cortex. Neurological motor function assessments were performed before injury, 72 h, 1, 3, and 6 weeks after transplantation using a Rotatrod and a Composite Neuroscore test. During this time period brain injured animals receiving ES cell transplantation showed a significant improvement in the Rotarod Test and in the Composite Neuroscore Test as compared to phosphate buffered saline (PBS)-treated animals. At 1 week post-transplantation, ES cells were detectable in 100% of transplanted animals. At 7 weeks following transplantation, EScells were detectable in only one animal. Two of 10 xenotransplanted animals revealed tumor formation over the observation period. These findings provide evidence for therapeutic potency of embryonic stem cell transplantation after TBI in rat, but also raise serious safety concerns about the use of such cells in human.
authors.affiliation: Department of Trauma and Orthopedic Surgery, University of Witten/Herdecke, Cologne Merheim Medical Center, Ostmerheimerstrasse 200, 51109 Cologne, Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Riess
authors.forename: Marek
authors.initials: M
authors.lastname: Molcanyi
authors.forename: Kristine
authors.initials: K
authors.lastname: Bentz
authors.forename: Mark
authors.initials: M
authors.lastname: Maegele
authors.forename: Christian
authors.initials: C
authors.lastname: Simanski
authors.forename: Christoph
authors.initials: C
authors.lastname: Carlitscheck
authors.forename: Annette
authors.initials: A
authors.lastname: Schneider
authors.forename: Jürgen
authors.initials: J
authors.lastname: Hescheler
authors.forename: Bertil
authors.initials: B
authors.lastname: Bouillon
authors.forename: Ute
authors.initials: U
authors.lastname: Schäfer
authors.forename: Edmund
authors.initials: E
authors.lastname: Neugebauer
mesh_terms: D000818:Animals; D001835:Body Weight / Q000502:physiology; D001921:Brain / Q000473:pathology; D001930:Brain Injuries / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D001932:Brain Neoplasms / Q000209:etiology* / Q000473:pathology; D002460:Cell Line; D053595:Embryonic Stem Cells / Q000637:transplantation*; D049452:Green Fluorescent Proteins / Q000378:metabolism; D006801:Humans; D007150:Immunohistochemistry; D008264:Macrophages / Q000473:pathology; D008297:Male; D051379:Mice; D004856:Postural Balance / Q000502:physiology; D011597:Psychomotor Performance / Q000502:physiology; D051381:Rats; D017207:Rats, Sprague-Dawley; D033581:Stem Cell Transplantation / Q000009:adverse effects; D014724:Vestibular Function Tests
chemical_list: D049452:Green Fluorescent Proteins