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Notch1 intracellular domain-transfected MSCs improve ischemic stroke recovery
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Preclinical studies and evaluations of mesenchymal stromal cells transiently transfected with the notch1 intracellular domain (such as SB623) demonstrate that they improve functional behavior deficits and reduce neural cell loss in animal models of ischemic stroke.

Evidence for · 1
2013 · cited by 0
Mesenchymal stromal cells (MSCs) transiently transfected with notch1 intracellular domain (NICD) are beneficial for neurological disorders as observed in several preclinical studies. Extracellular matrix (ECM) derived from NICD-transfected MSCs has been previously shown to support in vitro neural cell growth and survival better than that of un-transfected MSCs. To understand the underlying mechanism(s) by which NICD-transfected MSC-derived ECM supports neural cell growth and survival, we investigated the differences in NICD-transfected MSC- and MSC-derived ECM protein quantity and composition. 14 11 2013 8 11 e79283 e79283 16 11 2013 © 2013 Harvey et al This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. Abstract Mesenchymal stromal cells (MSCs) transiently transfected with notch1 intracellular domain ( NICD ) are beneficial for neurological disorders as observed in several preclinical studies. Extracellular matrix (ECM) derived from NICD -transfected MSCs has been previously shown to support in vitro neural cell growth and survival better than that of un-transfected MSCs. To understand the underlying mechanism(s) by which NICD -transfected MSC-derived ECM supports neural cell growth and survival, we investigated the differences in NICD -transfected MSC- and MSC-derived ECM protein quantity and composition. To compare the ECM derived from MSCs and NICD -transfected MSCs, the proteins were sequentially solubilized using sodium dodecyl sulfate (SDS) and urea, quantified, and compared across four human donors. We then analyzed ECM proteins using either in-gel digests or in-solution surfactant-assisted trypsin digests (SAISD) coupled with reverse phase nano-liquid chromatography and tandem mass spectrometry (nLC-MS/MS). Analyses using nLC-MS/MS identified key components of ECM from NICD -transfected MSCs and un-transfected MSCs and revealed significant differences in their respective compositions. This work provides a reproducible method for identifying and comparing in vitro cell-derived ECM proteins, which is crucial for exploring the mechanisms underlying cellular therapy. status released display-pdf yes is-olf no is-manuscript no is-preprint no is-journal-matter no is-scanned no is-retracted no Received 2013 Jun 26; Accepted 2013 Sep 27; Collection date 2013. Introduction SB623 is a cell therapy product comprised of human bone marrow-derived mesenchymal stromal cells (MSCs) transiently transfected with a notch1 intracellular domain ( NICD )-expressing-plasmid. SB623 is currently in FDA-approved Phase I/IIa clinical testing for ischemic stroke. SB623 has been shown to improve functional behavior deficits and reduce neural cell loss in stroked rats, however governing biological mechanisms remain to be elucidated [1] – [2] . After 3 days, unattached cells were removed; the MSC cultures were maintained in the growth medium for about 2 weeks and then subcultured with 0.25% trypsin/EDTA (Invitrogen). On the second passage, some of the cells were cryopreserved (MSC preparation), and the others plated for the preparation of SB623 cells. For this, MSCs were transfected with the pCI-neo expression plasmid encoding human Notch intracellular domain ( NICD ). The transfection was performed with Fugene 6 (Roche Diagnostics, Indianapolis, IN) according to the manufacturer’s protocol. On the next day, the medium was replaced with growth medium containing 100 µg/ml G418 (Invitrogen), and the selection continued for 7 days. All experiments described here were performed with MSCs and SB623 cells that were cryopreserved, then thawed, grown for 5–6 days to allow recovery, and plated for the experiments. ECM Preparation For the preparation of cell-produced ECM, either MSCs or SB623 cells were plated at 2.7×10 4 cells/cm 2 on 10-cm plates (Nunc, Denmark), in growth medium. After 5 days, the growth medium was changed to serum-free medium, and the cells were cultured for an additional 2 days. The ECM Optimizing an in vitro method for decellularization of SB623 cell- and MSC-derived ECM involved many considerations. Methods using Triton and NH 4 OH dissolve cell/nuclear membranes yielding an intact ECM but allow for intracellular impurities. Cation chelating agents have been reported by other groups to remove monolayers of MSC [27] , but from our observations SB623 and MSCs do not fully detach under the same conditions. For this reason the use of Triton and NH 4 OH were used for decellularization, despite that this treatment results in many Triton-soluble intracellular/nuclear proteins that contaminate the ECM (see Table S1 ). Of the 22 proteins of interest, five have been reported to promote neuroregeneration: TNC, HSPG2, thrombospondin-1 (TSP1), FN1, and growth and differentiation factor-15 (GDF-15). Rigato et al. (2002) [34] have shown TNC to promote neurite outgrowth modulated through its fibronectin type III BD domains. TNC has been also been implicated in hippocampal-based learning and synaptic plasticity [35] . Yu et al. (2011) [36] showed TNC involvement in locomotor recovery after spinal cord injury. HSPG2 has been described by Lee et al. (2010) [37] to be pro-angiogenic and neuroprotective after ischemic stroke in rats. Future comparison across multiple donors will reveal whether these trends are typical of SB623. Fibrillin-1, LTBP-1, FN1, and transglutaminase 2 (TGM2) were significantly up-regulated, and fibulin-1 was down-regulated in SB623-derived ECM compared to MSC-derived ECM. These five proteins have been shown to play an interesting and important role in latent TGFβ localization in the ECM. TGFβ has been shown to be neuroprotective in the central nervous system and is induced after ischemic stroke [46] – [48] . Schwann cells promote synaptogenesis via TGF-β1 in the neuromuscular junction [49] .
Evidence against · 1
2018 · cited by 27
Background and Purpose: It is still not clear whether Notch1 signaling inhibition can promote functional outcomes after stroke, given that it plays time-dependent roles in the sequential process of endogenous neurogenesis. The purpose of this study was to identify the appropriate time frame for Notch1 signaling inhibition according to the temporal evolution of Notch1 signaling activation and the responses of neural stem cells (NSCs), in order to target it for therapeutic intervention and stimulate neurorestorative strategies after stroke. Methods: Sprague-Dawley (SD) rats were subjected to 90-min of middle cerebral artery occlusion (MCAO). Rats were sacrificed before, and at day 1, day 2, day 3, day 4, and day 7 after ischemia for immunohistochemical analysis of the Notch intracellular domain (NICD), Nestin and doublecortin (Dcx). Next, MCAO rats were treated with the γ-secretase inhibitor N-[N-(3,5-di uorophenacetyl)-1-alanyl]-S-phenylglycine t-butylester (DAPT) or with saline at day 4 after ischemia, and subsequently evaluated with behavioral test analysis and magnetic resonance imaging (MRI). The rat brains were then harvested for immunohistochemical analysis of Dcx, NeuN and myelin basic protein (MBP) at 2, 3, 4, and 8 weeks. Results: Notch1 signaling was maximally activated at day 3 after ischemia in parallel with the temporal evolution of NSCs. Inhibiting Notch1 signaling at day 4 after reperfusion with DAPT further promoted recovery of MRI parameters of the corticospinal tract (CST) and the functional outcomes, concomitantly with an increase in neuroblasts, their migration to the ischemic boundary, and potential differentiation to mature neurons, as well as the amelioration of axonal bundle integrity. Conclusion: Inhibition of Notch1 signaling at the subacute stage of stroke could maximally promote endogenous neurogenesis and axonal reorganization. The purpose of this study was to identify the appropriate time frame for Notch1 signaling inhibition according to the temporal evolution of Notch1 signaling activation and the responses of neural stem cells (NSCs), in order to target it for therapeutic intervention and stimulate neurorestorative strategies after stroke. Methods: Sprague-Dawley (SD) rats were subjected to 90-min of middle cerebral artery occlusion (MCAO). Rats were sacrificed before, and at day 1, day 2, day 3, day 4, and day 7 after ischemia for immunohistochemical analysis of the Notch intracellular domain (NICD), Nestin and doublecortin (Dcx). Inhibiting Notch1 signaling at day 4 after reperfusion with DAPT further promoted recovery of MRI parameters of the corticospinal tract (CST) and the functional outcomes, concomitantly with an increase in neuroblasts, their migration to the ischemic boundary, and potential differentiation to mature neurons, as well as the amelioration of axonal bundle integrity. Conclusion: Inhibition of Notch1 signaling at the subacute stage of stroke could maximally promote endogenous neurogenesis and axonal reorganization. et al., 2009 ), others support the idea that Notch1 signaling negatively regulates neurogenesis ( Li et al., 2012 ). Notably, preventing Notch1 cleavage into the Notch intracellular domain (NICD) with the γ-secretase inhibitor N-[N-(3,5-diuorophenacetyl)-1-alanyl]-S-phenylglycine t-butylester (DAPT), subsequently improves functional outcomes following stroke ( Li et al., 2012 ). The intensity of NICD was significantly elevated 2 and 3 days after reperfusion (versus sham-operated group and 1 day, P < 0.001), and reversely decreased 4 days (versus 2 and 3 days, P < 0.01) and 7 days later (versus 2 and 3 days, P < 0.001) later ( Figure 2D ). Next, to assess whether Notch1 signaling was activated in neural progenitors and neuroblasts after MCAO, we double stained the harvested tissue for markers of Notch intracellular domain (NICD), NSCs (Nestin) and neuroblasts (Dcx). Stroke-Generated Neurons in Ischemic Boundary To confirm whether the improved structural changes in the MR images were attributed to the favored neurogenesis by suppression of Notch1 signaling, we used the marker of Dcx and NeuN (a marker of mature neurons) on the ischemic boundary in both vehicle- and DAPT-treated groups at the early and late periods of the chronic stage of stroke respectively. Dcx (+) cells were found distributed from the SVZ laterally toward the damaged region and presented long lasting processes in all subjects, as seen in the corresponding representative image ( Figure 7A ). Thus, based on the results of our current study, we hypothesized that a proper therapeutic time point may be 4 days following stroke in this rat model. In our previous study, we demonstrated that Notch1 signaling could be blocked by DAPT at day 4 after stroke ( Hao et al., 2017 ). Based on this work, we used the same method in this study, to evaluate microstructural changes of rat brains in vivo at chronic stages of stroke by monitoring a set of MRI parameters in the CST both proximal and distal to the ischemic lesion. The relative recovery of these diffusion parameters mirrored previously reported motor functional abilities of ischemic rats after DAPT treatment ( Puig et al., 2010 ; Reijmer et al., 2013 ; Feng et al., 2015 ; Bigourdan et al., 2016 ), which are now corroborated with our study, which showed that motor function improved after DAPT treatment when compared to vehicle controls in a rat model of stroke. Using histological examination, we found that neuroblasts were distributed laterally from the SVZ to the ischemic lesion. Adult neurogenesis following stroke is a sequential and multistep process ranging from neural precursor proliferation, migration toward the ischemic site, and differentiation into the proper neural phenotype ( Bonfanti and Peretto, 2007 ; Oya et al., 2009 ; Christie and Turnley, 2012 ). In this process, the Notch1 signaling pathway mediates expansion of the neural progenitor pool and neural differentiation, which is comparable to
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rails:sufficiency:supported:single_source:for=1+0p:against=0+1p:partial_opposition=1 | v55:sufficiency

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  1. Proteomic Analysis of the Extracellular Matrix Produced by Mesenchymal Stromal Cells: Implications for Cell Therapy Mechanismpeer-reviewedno side taken
  2. Inhibition of Notch1 Signaling at the Subacute Stage of Stroke Promotes Endogenous Neurogenesis and Motor Recovery After Strokepeer-reviewedno side taken
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