Preview

Acta Biomedica Scientifica

Advanced search

M2-LIKE MACROPHAGES ARE POTENTIAL CANDIDATES FOR BRAIN STROKE OUTCOMES' TREATMENT

Abstract

The safety and effectiveness of in vitro generated M2-like macrophages for treatment of patients with ischemic and hemorrhagic brain stroke in reparative and residual periods has been evaluated. A single endolumbar administration of autologous M2-like macrophages in the mean dose of 17,9 х 106 cells was conducted in 13 patients with ischemic (n = 10) and hemorrhagic (n = 3) brain stroke. At 6 months after cells administration all the patients had clinical Improvement. NIHS score decreased from 8,6 ± 1,06 to 4,4 ± 0.55 (p = 0,0008), several patients showed the decrease of sensitiveness impairments, improvement of cognitive functions and enhanced quality of life. Thus, we demonstrated an ability of generation M2-like macrophages from patients with brain stroke. Endolumbar administration of these cells was safe andi didn't cause severe adverse effects and complications andi — in preliminary data — improvedi motional and cognitive functions.

About the Authors

S. A. Morozov
Research Institute of Clinical Immunology SD RAMS
Russian Federation


G. V. Tomash
Research Institute of Clinical Immunology SD RAMS
Russian Federation


E. Ya. Shevela
Research Institute of Clinical Immunology SD RAMS
Russian Federation


L. V. Sakhno
Research Institute of Clinical Immunology SD RAMS
Russian Federation


A. V. Smyk
Research Institute of Clinical Immunology SD RAMS
Russian Federation


N. M. Starostina
Research Institute of Clinical Immunology SD RAMS
Russian Federation


A. A. Ostanin
Research Institute of Clinical Immunology SD RAMS
Russian Federation


E. R. Chernykh
Research Institute of Clinical Immunology SD RAMS
Russian Federation


References

1. Asher R.A., Morgenstern D.A., Moon L.D., Fawcett J.W. Chondroitin sulphate proteoglycans: inhibitory components of the glial scar // Prog Brain Res. - 2001. - Vol. 132. - P. 611-619.

2. Chernykh E.R., Kafanova M.Yu., Shevela E.Ya., Adonina E.I. et al. Autologous M2-like macrophage applications in children with cerebral palsy // Cell Ther. Transplant. - 2011. - Vol. 3. - P. 12-14.

3. Chernykh E.R., Shevela E.Y., Sakhno L.V., Tikhonova M.A. et al. The generation and properties of human M2-like macrophages: potential candidates for CNS repair? // Cellular Therapy and Transplantation. - 2010. - Vol. 2. - P. 20-23.

4. Domeniconi M., Cao Z., Spencer T., Sivasankaran R. et al. Myelin-associated glycoprotein interacts with the Nogo66 receptor to inhibit neurite outgrowth // Neuron. - 2002. - Vol. 35. - P. 283-290.

5. Fitch M.T., Silver J. Activated macrophages and the blood-brain barrier: inflammation after CNS injuryleads to increases in putative inhibitory molecules // Exp Neurol. - 1997. - Vol. 148. - P. 587-603.

6. Freire-de-Lima C.G., Xiao Y.Q., Gardai S.J., Bratton D.L. et al. Apoptotic cells, through transforming growth factor-ß, coordinately induce anti-inflammatory and suppress pro-inflammatory eicosanoid and NO synthesis in murine macrophages // J Biol Chem. - 2006. - Vol. 281. - P. 38376-38384.

7. Golpon H.A., Fadok V.A., Taraseviciene-Stewart L. Life after corpse engulfment: phagocytosis of apoptotic cells leads to VEGF secretion and cell growth // The FASEB Journal. - 2004. - Vol. 18. -P. 1716-1718.

8. Gordon S., Taylor P.R. Monocyte and macrophage heterogeneity // Nat. Rev. Immunol. - 2005. -Vol. 5. - P. 953-964.

9. Kigerl K.A., Gensel J.C., Ankeny D.P., Alexander J.K. et al. Identification of two distinct macrophage subsets with divergent effects causing either neurotoxicity or regeneration in the injured mouse spinal cord // J. Neurosci. - 2009. - Vol. 29. -P. 13435-13444.

10. Mantovani A., Sica A., Sozzani S., Allavena P. et al. The chemokine system in diverse forms of macrophage activation and polarization // Trends Immunol. - 2004. - Vol. 25. - P. 677-686.

11. McPhail L.T., Stirling D.P., Tetzlaff W., Kwiecien J.M. et al. The contribution of activated phagocytes and myelin degeneration to axonal retraction/dieback following spinal cord injury // Eur. J. Neurosci. - 2004. - Vol. 20. - P. 1984-1994.

12. Mosser D.M. The many faces of macrophage activation // J. Leukocyte Biol. - 2003. - Vol. 73. -P. 209-212.

13. Shechter R., London A., Varol C., Raposo C. et al. Infiltrating blood-derived macrophages are vital cells playing an anti-inflammatory role in recovery from spinal cord injury in mice // PLoS Medicine. -2009. - Vol. 6. - P. 1-16.

14. Ziv Y., Avidan H., Pluchino S., Martino G. et al. Synergy between immune cells and adult neural stem/progenitor cells promotes functional recovery from spinal cord injury // Proc. Natl. Acad. Sci. USA. -2006. - Vol. 103. - P. 13174-13179.


Review

For citations:


Morozov S.A., Tomash G.V., Shevela E.Ya., Sakhno L.V., Smyk A.V., Starostina N.M., Ostanin A.A., Chernykh E.R. M2-LIKE MACROPHAGES ARE POTENTIAL CANDIDATES FOR BRAIN STROKE OUTCOMES' TREATMENT. Acta Biomedica Scientifica. 2012;(3(2)):125-128. (In Russ.)

Views: 517


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2541-9420 (Print)
ISSN 2587-9596 (Online)