http://ptjournal.apta.org/content/early/2016/05/11/ptj.20150504.abstract
Abstract
Background
Intravenous infusion of mesenchymal stem cells (MSCs) derived from
adult bone marrow improves behavioral function in rat stroke models.
Rehabilitation therapy through physical exercise (Ex) also provides
therapeutic efficacy for cerebral ischemia.
Objective
The purpose of this study was to investigate whether synergic effects
of daily rehabilitation and intravenous infusion of MSCs has therapeutic
effects after stroke in rats.
Design This was an experimental study.
Methods
A permanent middle cerebral artery occlusion (MCAO) was induced by
intraluminal vascular occlusion with a microfilament. Four experimental
groups were studied: Group 1 (Vehicle only: Vehicle), Group 2 (Vehicle +
exercise: Vehicle + Ex), Group 3 (MSCs only: MSCs) and Group 4 (MSCs +
Ex: Combined). Rat MSCs were intravenously infused at 6 hours after MCAO
and the rats received daily rehabilitation with treadmill running
exercise for 20 min. Lesion size was assessed at 1, 14, 35 days using MR
imaging. Functional outcome was assessed using the limb placement test.
Results
Both combined therapy and MSC infusion reduced lesion volume, induced
synaptogenesis and elicited functional improvement compared with the
groups without MSC infusion, but the effect was greater in the combined
group.
Limitations A limitation of this study is that the results were limited to an animal model and cannot be generalized to humans.
Conclusions
These data indicate that the combined therapy of daily rehabilitation
and intravenous infusion of MSCs improved functional outcome in a rat
MCAO model.
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