1. Cell Replacement Therapy Improves Pathological Hallmarks in a Mouse Model of Leukodystrophy Vanishing White Matter
- Author
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Vivi M. Heine, Nicole Breeuwsma, Sander Krabbenborg, Prisca S. Leferink, Gerbren Jacobs, Anne E. J. Hillen, Marjo S. van der Knaap, Stephanie Dooves, Saskia Bots, Pediatric surgery, Amsterdam Neuroscience - Cellular & Molecular Mechanisms, Amsterdam Reproduction & Development (AR&D), Functional Genomics, and Complex Trait Genetics
- Subjects
0301 basic medicine ,Male ,Pathology ,leukodystrophy ,medicine.medical_treatment ,cell replacement therapy ,Cell- and Tissue-Based Therapy ,Biochemistry ,Myelin ,Mice ,0302 clinical medicine ,Leukoencephalopathies ,lcsh:QH301-705.5 ,Myelin Sheath ,lcsh:R5-920 ,Stem Cells ,Cell Differentiation ,Stem-cell therapy ,White Matter ,glial cells ,medicine.anatomical_structure ,Female ,Stem cell ,lcsh:Medicine (General) ,Neuroglia ,medicine.medical_specialty ,oligodendrocytes ,Biology ,White matter ,03 medical and health sciences ,SDG 3 - Good Health and Well-being ,stem cells ,Report ,Genetics ,medicine ,Animals ,Humans ,Progenitor cell ,Pathological ,white matter disorder ,Leukodystrophy ,astrocytes ,Cell Biology ,medicine.disease ,Mice, Inbred C57BL ,Disease Models, Animal ,030104 developmental biology ,vanishing white matter ,lcsh:Biology (General) ,Developmental biology ,030217 neurology & neurosurgery ,Developmental Biology ,Stem Cell Transplantation - Abstract
Summary Stem cell therapy has great prospects for brain white matter disorders, including the genetically determined disorders called leukodystrophies. We focus on the devastating leukodystrophy vanishing white matter (VWM). Patients with VWM show severe disability and early death, and treatment options are lacking. Previous studies showed successful cell replacement therapy in rodent models for myelin defects. However, proof-of-concept studies of allogeneic cell replacement in models representative of human leukodystrophies are lacking. We tested cell replacement in a mouse model representative of VWM. We transplanted different murine glial progenitor cell populations and showed improved pathological hallmarks and motor function. Improved mice showed a higher percentage of transplanted cells that differentiated into GFAP+ astrocytes, suggesting best therapeutic prospects for replacement of astroglial lineage cells. This is a proof-of-concept study for cell transplantation in VWM and suggests that glial cell replacement therapy is a promising therapeutic strategy for leukodystrophy patients., Graphical Abstract, Highlights • Cell therapy improved pathology and motor skills in vanishing white matter mice • Astrocyte differentiation of donor cells was associated with recovery of VWM symptoms, Vanishing white matter (VWM) is a severe genetic white matter disorder for which no curative treatment is available. Heine and colleagues show that transplantation with glial progenitor cells can improve pathology and motor skills in VWM mice. Improvement was correlated with increased astrocyte differentiation of donor cells, showing that astrocyte targeting is essential for VWM therapy.
- Published
- 2019
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