Review Article

Stem Cell-Based Therapies for Ischemic Stroke

Table 2

Summary of MSC transplantation experiments in ischemic stroke models.

ModelCellRouteTimeBehavioral measuresOutcomeMechanism

rMCAO
[115]
hUCMSCICOne weekElevated body swing test,
locomotor activity
IFR
↑neuronal activity
Neural differentiation into neuron, glia, EC
↑Neurotrophic factors (SDF-1, GDNF, BDNF)
↑Angiogenesis

rMCAO
[116]
BMSCICA24 hRotarod test
adhesive-removal test
mNSS
IFRProduction of trophic factors

mMCAO
[110]
BDNF-modified hBMSCIC24 hLimb placement test,
treadmill test
IFRApoptosis;
Differentiation (NeuN, GFAP)

mMCAO
[117]
mBMSCIV1 dNANA↑tPA
PAI-1

mMCAO
[118]
mBMSCIV1 dmNSS
Foot-fault tests
IFR; lesion volume↑tPA level

rMCAO
[119]
Ad MSCIV0, 12 and 24 hCorner testinfarct area
IFR (sensorimotor)
↑Angiogenesis, neurogenesis, homing
Apoptosis, inflammation, and oxidation

rMCAO
[120]
hBMSCIV1 dmNSSIFR↑Growth factors; apoptosis
proliferated endogenous cells

rMCAO
[121]
hBMSCIV12 hMorris water maze,
treadmill test
IFR
lesion volume
Neuroprotective effect

rMCAO
[122]
Ang-1 modified hBMSCIV6 hTreadmill stress testIFR
gross lesion volume
↑Angiogenesis

rMCAO
[123]
pMSCIV6 hTreadmill stress testIFR
lesion volume
↑Induced angiogenesis

rMCAO
[124]
hBMSCIV6 h or 6, 24, 48 hTreadmill stress testIFR
lesion volume
↑Capillary vessels

rMCAO
[125]
Human BMSCIC3 dmNSS adhesive-removal somatosensory testIFR, infarct volume and↑glucose metabolism↑Angiogenesis
↑Endogenous neurogenesis Apoptosis

rMCAO
[126]
MSCIA1 dAdhesive-removal, mNSSIFR Differentiation into astrocytes and neurons

rMCAO
[127]
hUC-MSCIC14 dNeurobehavioral assessment
neurologic deficit score
IFR
infarct volume
Neuroprotective effects
↑Endoneurogenesis

ape ischemia model
[128]
hBMSCIC7 dmNSSIFR
ischemia area
↑IL-10, neurogenesis
Astroglial reactivity and apoptosis

rMCAO
[129]
rBMSC or hBMSCIV1 d or 7 dmNSSIFR ↑Activated CD11+ microglia, reactive GFAP+ astrocytes, and blood vessel formation
modified blood levels of specific cytokines/chemokines and growth factors/receptors

rMCAO
[130]
rBMSCICA2 hNAlesion sizeActivated microglia

rMCAO
[131]
rBMSCIVon the day of MCAO and three days laterMorris water mazeIFR
Reduction of the infarct volumes
↑Angiogenesis and subventricular zone cells proliferation

mTCCO
[132]
hBMSCICA1 dOpen-field behavior testIFRNeuronal death and
modulation of inflammatory and immune responses

rMCAO
[133]
Gene-transferred MSCsIC2 h or 24 hmNSSIFR
infarction areas
Neuroprotective effect

rMCAO
[134]
hBMSCIV1 dmNSSIFR↑IGF-1, IGF-1R

rMCAO
[135]
BMSCIV24 hmNSS
foot-fault tests
IFR
no difference in ischemic volume
↑trophic factor

rMCAO
[136]
hypoxic preconditioned or normal BMSCIV24 hRotarod testIFRMicroglia activity
↑Differentiation into neuronal and vascular endothelial cells

rMCAO
[137]
B10 line of hMSCIV24 hmNSS scoreIFR
infarct volume
Providing IGF-1
inducing VEGF, EGF, and bFGF in host brain

rMCAO
[138]
Valproate/
lithium-primed MSC
IV24 hRotarod test, mNSS
body asymmetry test
IFR
infarct volume
↑angiogenesis
↑CXCR 4, MMP-9

rMCAO
[139]
pMSCIV8 h
8 h and 24 h
Beam walk test
mNSS
IFR
lesion volume
Immunomodulation
soluble factor secretion
↑Astroglial reactivity

rMCAO
[140]
BM-MSC Ad-MSCIV30 minRogers and rotarod testsIFR
no reduction in infarct volume
↑VEGF, SYP, Olig2, NF; decreased GFAP

h: human; p: human placenta; Ad: adipose-derived; m: mouse; r: rat; ICA: intracarotid arterial; IC: intracerebral; IV: intravenous; IA: intra-arterial; mNSS: modified neurological severity score; IFR: improved functional recovery; NA: not assessed.