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VEGF (vascular endothelial growth factor) promotes vascularization and remodeling of bone substitutes. The aim of this study was to examine the effect of distinct resorbable ceramic carriers on bone forming capacities of VEGF transfected bone marrow stromal cells (BMSC). A critical size defect of the radius in rabbits was filled either by a low surface scaffold called beta-TCP (tricalciumphsphate) or the high surface scaffold CDHA (calcium deficient hydroxy-apatite) loaded with autologous BMSC, which were either transfected with a control plasmid or a plasmid coding for phVEGF165. They were compared to unloaded scaffolds. Thus, six treatment groups (n = 6 in each group) were followed by X-ray over 16 weeks. After probe retrieval, the volume of new bone was measured by micro-CT scans and vascularization was assessed in histology. While only minor bone formation was found in both carriers when implanted alone, BMSC led to increased osteogenesis in both carriers. VEGF promoted vascularization of the scaffolds significantly in contrast to BMSC alone. Bone formation was increased in the beta-TCP group, whereas it was inhibited in the CDHA group that showed faster scaffold degradation. The results indicate that the interaction of VEGF transfected BMSC with resorbable ceramic carrier influences the ability to promote bone healing.
Pulmonary failure is the main cause of morbidity and mortality in the human chromosomal instability syndrome Ataxia-telangiectasia (A-T). Major phenotypes include recurrent respiratory tract infections and bronchiectasis, aspiration, respiratory muscle abnormalities, interstitial lung disease, and pulmonary fibrosis. At present, no effective pulmonary therapy for A-T exists. Cell therapy using adipose-derived mesenchymal stromal/stem cells (ASCs) might be a promising approach for tissue regeneration. The aim of the present project was to investigate whether ASCs migrate into the injured lung parenchyma of Atm-deficient mice as an indication of incipient tissue damage during A-T. Therefore, ASCs isolated from luciferase transgenic mice (mASCs) were intravenously transplanted into Atm-deficient and wild-type mice. Retention kinetics of the cells were monitored using in vivo bioluminescence imaging (BLI) and completed by subsequent verification using quantitative real-time polymerase chain reaction (qRT-PCR). The in vivo imaging and the qPCR results demonstrated migration accompanied by a significantly longer retention time of transplanted mASCs in the lung parenchyma of Atm-deficient mice compared to wild type mice. In conclusion, our study suggests incipient damage in the lung parenchyma of Atm-deficient mice. In addition, our data further demonstrate that a combination of luciferase-based PCR together with BLI is a pivotal tool for tracking mASCs after transplantation in models of inflammatory lung diseases such as A-T.
Introduction: Prognosis of survivors from cardiac arrest is generally poor. Acute kidney injury (AKI) is a common finding in these patients. In general, AKI is well characterized as a marker of adverse outcome. In-hospital cardiac arrest (IHCA) represents a special subset of cardiac arrest scenarios with differential predisposing factors and courses after the event, compared to out-of-hospital resuscitations. Data about AKI in survivors after in-hospital cardiac arrest are scarce. Methods: In this study, we retrospectively analyzed patients after IHCA for incidence and risk factors of AKI and its prognostic impact on mortality. For inclusion in the analysis, patients had to survive at least 48 h after IHCA. Results: A total of 238 IHCA events with successful resuscitation and survival beyond 48 h after the initial event were recorded. Of those, 89.9% were patients of internal medicine, and 10.1% of patients from surgery, neurology or other departments. In 120/238 patients (50.4%), AKI was diagnosed. In 28 patients (23.3%), transient or permanent renal replacement therapy had to be initiated. Male gender, preexisting chronic kidney disease and a non-shockable first ECG rhythm during resuscitation were significantly associated with a higher incidence of AKI in IHCA-survivors. In-hospital mortality in survivors from IHCA without AKI was 29.7%, and 60.8% in patients after IHCA who developed AKI (p < 0.01 between groups). By multivariate analysis, AKI after IHCA persisted as an independent predictor of in-hospital mortality (HR 3.7 (95% CI 2.14–6.33, p ≤ 0.01)). Conclusion: In this cohort of survivors from IHCA, AKI is a frequent finding, with adverse impact on outcome. Therefore, therapeutic strategies to prevent AKI in post-IHCA patients are warranted.
Determining the cell fate and the distribution of mesenchymal stromal/stem cells (MSCs) after transplantation are essential parts of characterizing the mechanisms of action and biosafety profile of stem cell therapy. Many recent studies have shown that MSCs migrate into injured tissues, but are only detectable at extremely low frequencies. We investigated the cell fate of MSCs after transplantation in an acute kidney injury (AKI) mouse model using in vivo bioluminescence imaging (BLI) and subsequent verification of cell migration using quantitative real-time polymerase chain reaction (qRT-PCR). The AKI was induced by a single injection of cisplatin (8 or 12 mg/kg). One day later, adipose-derived mesenchymal stromal/stem cells isolated from luciferase transgenic mice (Luc+-mASCs, 5 × 105) were intravenously transplanted. Migration kinetics of the cells was monitored using BLI on day 1, 3, and 6, and finally via quantitative real-time PCR at the endpoint on day 6. Using BLI, infused Luc+-mASCs could only be detected in the lungs, but not in the kidneys. In contrast, PCR endpoint analysis revealed that Luc-specific mRNA could be detected in injured renal tissue; compared to the control group, the induction was 2.2-fold higher for the 8 mg/kg cisplatin group (p < 0.05), respectively 6.1-fold for the 12 mg/kg cisplatin group (p < 0.001). In conclusion, our study demonstrated that Luc-based real-time PCR rather than BLI is likely to be a better tool for cell tracking after transplantation in models such as cisplatin-induced AKI.
Synaptic plasticity is the basis for information storage, learning and memory and is achieved by modulation of the synaptic transmission. The amount of active AMPA (α-amino-3-hydroxy-5-methyl-4-isoxazol-propionic acid) receptors at the synapse determines the transmission properties, therefore the regulation of AMPA receptor trafficking affects the synaptic strength. The protein GRIP (glutamate receptor interacting protein) binds to AMPA receptors and is one of the important regulators of AMPA receptor stability at the synapse (Dong et al., 1997; Osten et al., 2000). Previous studies have shown that the ablation of ephrinB2 or ephrinB3 in the nervous system leads to severe defects in hippocampal LTP (long term potentiation) and LTD (long term depression) (Grunwald et al., 2004). We found that ephrinB2 ligands play an important role in the stabilization of AMPA receptors at the cellular membrane (Essmann et al., 2008). Treating cultured hippocampal neurons with AMPA resulted in a robust AMPA receptor internalization, which could be inhibited by simultaneous ephrinB2 activation with soluble EphB4-Fc fusion proteins. Conditional hippocampal ephrinB2 knock-out (KO) neurons showed enhanced constitutive internalization of AMPA receptors. Interaction and interference experiments revealed that ephrinB ligands and AMPA receptors are bridged by GRIP. This interaction is regulated by phosphorylation of a single serine residue in close proximity to the C-terminal PDZ protein target site in ephrinB ligands (Essmann et al., 2008). To investigate the in vivo relevance of this previously undescribed feature of ephrinB reverse signaling, we generated ephrinB2 S-9>A knock-in mice, where the serine at position -9 was replaced by an alanine to prevent phosphorylation. The mutated ephrinB2 of this mouse line was expressed and able to form clusters following stimulation with the preclustered receptor EphB4-Fc. Surface ephrinB2 cluster size and cluster number was slightly smaller in comparison to wild type (WT) mice. Analyzing AMPA receptor internalization, we oserved an increased basal GluR2 endocytosis in cultured hippocampal neurons of ephrinB2 S-9>A mice. Dendrite and spine morphology was similar in pyramidal CA1 neurons of brain slices from adult ephrinB2 S-9>A and WT mice, suggesting a redundancy between the different ephrinB familily members.
Apart from regulating AMPA receptor stability at the synapse, GRIP1 also has an important role in the secretory pathway to deliver cargo proteins along microtubules to dendrites and synapses (Setou et al., 2002). Proteins involved in synaptic transmission and plasticity, as well as lipids required for the outgrowth and remodeling of dendrites and axons have to be transported. We showed in our laboratory with a directed proteomic analysis using the tandem affinity purification-mass spectrometry methodology (Angrand et al., 2006) and with immunoprecipitation assays with brain lysates that the small regulatory protein 14-3-3 interacts with GRIP1. Further immunoprecipitation assays with lysates from HeLa cells transfected with various parts and sequence mutants of GRIP1 revealed that threonine 956 in the linker region L2 between PDZ6 and PDZ7 of GRIP1 is necessary for the interaction with 14-3-3. GRIP1 has been postulated to influence dendritic arborization and maintenance in hippocampal neurons in culture due to defective kinesin-dependent transport along microtubules (Hoogenraad et al 2005). In order to address the role of the association of GRIP1 and 14-3-3 in dendritogenesis, we transfected rat hippocampal neurons with GRIP1-WT and GRIP1 mutants and performed Sholl analysis to evaluate dendritic arborization defects. We could observe striking increased formation and growth of dendrites in developing neurons as well as in mature neurons overexpressing GRIP1-WT. However, overexpression of GRIP1-T956A, where the threonine 956 was replaced by an alanine to prevent phosphorylation, did not show enhanced dendritogenesis, indicating a role for threonine 956 phosphorylation in dendrite branching. To investigate the importance of the interaction between GRIP1 and 14-3-3 in vivo, we generated transgenic mouse lines with a GRIP1-T956A transgene or a GRIP1-WT transgene as control. These mice were crossed with heterozygous GRIP1 mice and by further breedings we obtained some surviver mice carrying either the wild type or the mutated GRIP1 transgene in the usually embryonic lethal GRIP1-KO background (Bladt et al., 2002; Takamiya et al., 2004). In embryonic day (E) 14.5 cultured hippocampal GRIP1-KO neurons we could observe reduced dendritic growth. We also showed reduced GluR2 staining on the dendritic surface in cultured hippocampal neurons from GRIP1-KO and GRIP1-KO neurons containing the GRIP1-T956A transgene. GRIP1-KO neurons containing the GRIP1-WT transgene showed a similar surface GluR2 signal intensity as WT neurons. Reduced surface GluR2 staining in GRIP1-KO neurons and GRIP1-KO neurons with the GRIP1-T956A transgene might be a consequence of defective kinesin-dependent transport of GluR2 to dendrites, indicating an important role of threonine 956 phosphorylation of GRIP1 for GluR2 trafficking.
Preclinical studies point to a pivotal role of the orexin 1 (OX1) receptor in arousal and fear learning and therefore suggest the HCRTR1 gene as a prime candidate in panic disorder (PD) with/without agoraphobia (AG), PD/AG treatment response, and PD/AG-related intermediate phenotypes. Here, a multilevel approach was applied to test the non-synonymous HCRTR1 C/T Ile408Val gene variant (rs2271933) for association with PD/AG in two independent case-control samples (total n = 613 cases, 1839 healthy subjects), as an outcome predictor of a six-weeks exposure-based cognitive behavioral therapy (CBT) in PD/AG patients (n = 189), as well as with respect to agoraphobic cognitions (ACQ) (n = 483 patients, n = 2382 healthy subjects), fMRI alerting network activation in healthy subjects (n = 94), and a behavioral avoidance task in PD/AG pre- and post-CBT (n = 271). The HCRTR1 rs2271933 T allele was associated with PD/AG in both samples independently, and in their meta-analysis (p = 4.2 × 10−7), particularly in the female subsample (p = 9.8 × 10−9). T allele carriers displayed a significantly poorer CBT outcome (e.g., Hamilton anxiety rating scale: p = 7.5 × 10−4). The T allele count was linked to higher ACQ sores in PD/AG and healthy subjects, decreased inferior frontal gyrus and increased locus coeruleus activation in the alerting network. Finally, the T allele count was associated with increased pre-CBT exposure avoidance and autonomic arousal as well as decreased post-CBT improvement. In sum, the present results provide converging evidence for an involvement of HCRTR1 gene variation in the etiology of PD/AG and PD/AG-related traits as well as treatment response to CBT, supporting future therapeutic approaches targeting the orexin-related arousal system.