In this new study, the researchers used a rat model of ALS to test for possible nerve cell- restoring properties of stem cells. The rats were exposed to Sindbis virus, which infects the central nervous system and destroys the motor neurons in the spinal cord. Rats that survive are left with paralyzed muscles in their hindquarters and weakened back limbs. Scientists assess the degree of impairment by measuring the rats' movement, quantifying electrical activity in the nerves serving the back limbs, and visually judging the extent of nerve damage through a microscope.
The researchers wanted to see whether stem cells could restore nerves and improve mobility in rats. Because scientists have had difficulty sustaining stem cell lines derived from rat embryos, the investigators conducted their experiments with embryonic germ cells that John Gearhart and colleagues isolated from human fetal tissue in 1998. These cells can produce unchanged copies of themselves when maintained in culture, and they form into clumps called embryoid bodies. Under certain conditions, research has shown that the cells in the embryoid bodies begin to look and function like neurons when subjected to specific laboratory conditions. The researchers had an idea that these embryoid body cells in their nonspecialized state might become specialized as replacement neurons if placed into the area of the damaged spinal cord. So they carefully prepared cells from the embryoid bodies and injected them into the fluid surrounding the spinal cord of the paralyzed rats that had their motor neurons destroyed by the Sindbis virus.
To test this idea, the researchers selected from laboratory culture dishes barely differentiated embryonic germs cells that displayed the molecular markers of neural stem cells, including the proteins nestin and neuron specific enolase. They grew these cells in large quantities and injected them into the fluid surrounding the spinal cords of partially paralyzed, Sindbis-virus-treated rats.
The response was impressive. Three months after the injections, many of the treated rats were able to move their hind limbs and walk, albeit clumsilywhile the rats that did not receive cell injections remained paralyzed. Moreover, at autopsy the researchers found that cells derived from human embryonic germ cells had migrated throughout the spinal fluid and continued to develop, displaying both the shape and molecular markers characteristic of mature motor neurons. The researchers are quick to caution that their results are preliminary, and that they do not know for certain whether the treatment helped the paralyzed rats because new neurons took the place of the old, or because trophic factors from the injected cells facilitated the recovery of the rats' remaining nerve cells and helped the rats improve in their ability to use their hind limbs.
Nor do they know how well this strategy will translate into a therapy for human neurodegenerative diseases like ALS. And they emphasize that there are many hurdles to cross before the use of stem cells to repair damaged motor neurons in patients can be considered. Nevertheless, researchers are excited about these results, which, if confirmed, would represent a major step toward using specialized stem cells from embryonic and fetal tissue sources to restore nervous system function.
http://stemcells.nih.gov/info/scireport/chapter8.asp
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