Combination Therapy of Mesenchymal Stem Cell Transplantation and Astrocyte Ablation Improve Remyelination in a Cuprizone-Induced Demyelination Mouse Model

Mol Neurobiol. 2022 Dec;59(12):7278-7292. doi: 10.1007/s12035-022-03036-6. Epub 2022 Sep 29.

Abstract

Astrocytes display an active, dual, and controversial role in multiple sclerosis (MS), a chronic inflammatory demyelination disorder. However, mesenchymal stem cells (MSCs) can affect myelination in demyelinating disorders. This study aimed to investigate the effect of single and combination therapies of astrocyte ablation and MSC transplantation on remyelination in the cuprizone (CPZ) model of MS. C57BL/6 mice were fed 0.2% CPZ diet for 12 weeks. Astrocytes were ablated twice by L-a-aminoadipate (L-AAA) at the beginning of weeks 13 and 14 whereas MSCs were injected in the corpus callosum at the beginning of week 13. Motor coordination and balance were assessed through rotarod test whereas myelin content was evaluated by Luxol-fast blue (LFB) staining and transmission electron microscopy (TEM). Glial cells were assessed by immunofluorescence staining while mRNA expression was evaluated by quantitative real-time PCR. Combination treatment of ablation of astrocytes and MSC transplantation (CPZ + MSC + L-AAA) significantly decreased motor coordination deficits better than single treatments (CPZ + MSCs or CPZ + L-AAA), in comparison to CPZ mice. In addition, L-AAA and MSCs treatment significantly enhanced remyelination compared to CPZ group. Moreover, combination therapy caused a significant decrease in the number of GFAP+ and Iba-1+ cells, whereas oligodendrocytes were significantly increased in comparison to CPZ mice. Finally, MSC administration resulted in a significant upregulation of BDNF and NGF mRNA expression levels. Our data indicate that transient ablation of astrocytes along with MSCs treatment improve remyelination through enhancing oligodendrocytes and attenuating gliosis in a chronic demyelinating mouse model of MS.

Keywords: Astrocyte ablation; Cuprizone (CPZ); L-a-aminoadipate (L-AAA); Mesenchymal stem cells (MSCs); Multiple sclerosis (MS); Remyelination.

MeSH terms

  • Animals
  • Astrocytes / metabolism
  • Cuprizone / toxicity
  • Demyelinating Diseases* / chemically induced
  • Demyelinating Diseases* / metabolism
  • Demyelinating Diseases* / therapy
  • Disease Models, Animal
  • Mesenchymal Stem Cell Transplantation*
  • Mice
  • Mice, Inbred C57BL
  • Multiple Sclerosis* / metabolism
  • Multiple Sclerosis* / therapy
  • Myelin Sheath / metabolism
  • RNA, Messenger / metabolism
  • Remyelination*

Substances

  • Cuprizone
  • RNA, Messenger