Review Article

Biomaterial Applications in Cell-Based Therapy in Experimental Stroke

Figure 2

Different experimental steps for intracerebral graft of cell-biomaterial after stroke. Scale bar = 100 μm. (a) In vitro biocompatibility: after mixing human mesenchymal stem cells (MSC) within hyaluronic acid (HA) hydrogel (Hystem HP, Sigma: hyaluronan+polyethylene glycol diacrylate), MSC survived into the gel during several days in culture (A1) without cell death (A2, propidium iodide cell dead assay). Cell survival and spreading into the HA gel were assessed in one-week culture (A3) using confocal microscopy and confocal microscopy stacks and viable cell labelling (A4 and A5, Cell Tracker Green CMFDA, Life). (b) Intracerebral transplantation: one week after experimental ischemic stroke in rat, magnetic resonance imaging was used to determine the injection site into the stroke cavity near plastic areas surrounding the lesion (B1). Coordinates for stereotactic injection were defined using anatomic atlas (Watson-Paxinos) (B2). By histology, the stereotactic tract can be macroscopically observed (B3, crysostat section). (c) In vivo biocompatibility and effects: ex vivo brain immunohistology demonstrated cell survival into the graft site such as human MSC identification in stroke lesion (C1, human-specific monoclonal antibody to nuclear antigen, MAB1281, 1/1,000, Chemicon) without cell migration in contralateral hemisphere (C2). Additional experiments must be done to assess long-term cell differentiations and host integration, hydrogel biodegradation, local inflammatory response, and behavior recovery effects.
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