Project Details
Abstract
Cerebrovascular disease is ranked the third leading cause of death in Taiwan and is the
most common cause of disability in the world. Until now the only documented effective
treatment for acute ischemic stroke is intravenous injection of recombinant tissue
plasminogen activator (rt-PA). Although intravenous administration of rt-PA is reported
effective, the narrow therapeutic time window and its limited treatment in less than 10%
stroke patients restrict its application. At present, there is no other effective treatment to
improve clinical outcome after acute stroke.
The cardinal features of stem cells are multipotency and self-renewal. They can be
derived from many human tissues and can differentiate into various types of mature cells,
including neuron, cardiomyocyte under appropriate condition. Transplantation of stem cell
has been reported to improve neurological deficits in ischemic animal model. However, there
is challenge to trace the donor cells and determine the effectiveness of stem cell in the target
region. Magnetic resonance (MR) imaging can offer a effective image window, good temporal
and spatial resolution and fine signal intensity contrast, and can be used as a good tracing tool
to monitor stem cells in vivo. The application of nanotechnology in life sciences offers the
potential to study biological systems and to solve medical problems that affect patients.
Significant progress has been achieved over the past decades leading to, for example, the
approval of nanoformulations for delivering drugs to tumors and other diseased sites.
In the present study, we wish to create a stem cell tracking and targeting system by
conjugating umbilical cord-derived mesenchymal stem cell, bone marrow mesenchymal stem
cell and induced pluripotent stem cell with magnetic nanoparticles to produce different stem
cell/ magnetic nanoparticle composite and compare their effectiveness against ischemic injury.
Extracorporeal magnetic field will be manipulated to target these composites to the ischemic
site, and magnetic nanoparticle will be used as a contrast agent for MR imaging to study its
body distribution and biocompatibility. We will also produce thermo-responsive stem cell/
magnetic nanoparticle composite and conjugate with neurotrophic factor, statin or other
anti-thrombotic medications. The release of neurotrophic factor, statin or other drugs from the
thermo-responsive composite can be controlled using a high radio frequency induced heating
machine at the ischemic lesion to reinforce the effect of stem cell.
To evaluate the feasibility of the present study, we will use serial MR imaging to trace the
stem cell/ magnetic nanoparticle composites for its local distribution and analyze the MR
parameters of cerebral blood flow (CBF), apparent diffusion coefficient (ADC),
susceptibility-weighted imaging (SWI) and T2-weighted imaging in ischemic lesion. We will
also use immunohistochemistry to detect the pathological change of brain cells, to insure the
targeting effect of the composites and to study the possible protective mechanism of these
composites against ischemic injury.
The present study will investigate the effect of target treatment of stem cell/ magnetic
nanoparticle against ischemic injury in animal model and evaluate the future applicability in
human stroke.
Project IDs
Project ID:PC10107-0055
External Project ID:NSC101-2314-B182A-100
External Project ID:NSC101-2314-B182A-100
Status | Finished |
---|---|
Effective start/end date | 01/08/12 → 31/07/13 |
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