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Published in: Journal of Translational Medicine 1/2008

Open Access 01-12-2008 | Research

Early transplantation of human immature dental pulp stem cells from baby teeth to golden retriever muscular dystrophy (GRMD) dogs: Local or systemic?

Authors: Irina Kerkis, Carlos E Ambrosio, Alexandre Kerkis, Daniele S Martins, Eder Zucconi, Simone AS Fonseca, Rosa M Cabral, Carlos MC Maranduba, Thais P Gaiad, Adriana C Morini, Natassia M Vieira, Marina P Brolio, Osvaldo A Sant'Anna, Maria A Miglino, Mayana Zatz

Published in: Journal of Translational Medicine | Issue 1/2008

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Abstract

Background

The golden retriever muscular dystrophy (GRMD) dogs represent the best available animal model for therapeutic trials aiming at the future treatment of human Duchenne muscular dystrophy (DMD). We have obtained a rare litter of six GRMD dogs (3 males and 3 females) born from an affected male and a carrier female which were submitted to a therapeutic trial with adult human stem cells to investigate their capacity to engraft into dogs muscles by local as compared to systemic injection without any immunosuppression.

Methods

Human Immature Dental Pulp Stem Cells (hIDPSC) were transplanted into 4 littermate dogs aged 28 to 40 days by either arterial or muscular injections. Two non-injected dogs were kept as controls. Clinical translation effects were analyzed since immune reactions by blood exams and physical scores capacity of each dog. Samples from biopsies were checked by immunohistochemistry (dystrophin markers) and FISH for human probes.

Results and Discussion

We analyzed the cells' ability in respect to migrate, engraftment, and myogenic potential, and the expression of human dystrophin in affected muscles. Additionally, the efficiency of single and consecutive early transplantation was compared. Chimeric muscle fibers were detected by immunofluorescence and fluorescent in situ hybridisation (FISH) using human antibodies and X and Y DNA probes. No signs of immune rejection were observed and these results suggested that hIDPSC cell transplantation may be done without immunosuppression. We showed that hIDPSC presented significant engraftment in GRMD dog muscles, although human dystrophin expression was modest and limited to several muscle fibers. Better clinical condition was also observed in the dog, which received monthly arterial injections and is still clinically stable at 25 months of age.

Conclusion

Our data suggested that systemic multiple deliveries seemed more effective than local injections. These findings open important avenues for further researches.
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Literature
1.
go back to reference Fadic R, Mezzano V, Alvarez K, Cabrera D, Holmgren J, Brandan E: Increase in decorin and biglycan in Duchenne Muscular Dystrophy: role of fibroblasts as cell source of these proteoglycans in the disease. J Cell Mol Med. 2006, 10: 758-69. 10.1111/j.1582-4934.2006.tb00435.x.PubMedCentralCrossRefPubMed Fadic R, Mezzano V, Alvarez K, Cabrera D, Holmgren J, Brandan E: Increase in decorin and biglycan in Duchenne Muscular Dystrophy: role of fibroblasts as cell source of these proteoglycans in the disease. J Cell Mol Med. 2006, 10: 758-69. 10.1111/j.1582-4934.2006.tb00435.x.PubMedCentralCrossRefPubMed
3.
go back to reference Zammi P, Beauchamp J: The skeletal muscle stem cells or son of stem cells?. Differentiation. 2001, 68: 193-204. 10.1046/j.1432-0436.2001.680407.x.CrossRef Zammi P, Beauchamp J: The skeletal muscle stem cells or son of stem cells?. Differentiation. 2001, 68: 193-204. 10.1046/j.1432-0436.2001.680407.x.CrossRef
4.
go back to reference Gussoni E, Soneoka Y, Strickland CD, Buzney EA, Khan MK, Flint AF, Kunkel LM, Mulligan RC: Dystrophin expression in the mdx mouse restored by stem cell transplantation. Nature. 1999, 401: 390-94.PubMed Gussoni E, Soneoka Y, Strickland CD, Buzney EA, Khan MK, Flint AF, Kunkel LM, Mulligan RC: Dystrophin expression in the mdx mouse restored by stem cell transplantation. Nature. 1999, 401: 390-94.PubMed
5.
go back to reference Stedman HH, Sweeney HL, Shrager JB, Maguire HC, Panettieri RA, Petrof B, Narusawa M, Leferovich JM, Sladky JT, Kelly AM: The mdx mouse diaphragm reproduces the degenerative changes of Duchenne muscular dystrophy. Nature. 1991, 352: 536-39. 10.1038/352536a0.CrossRefPubMed Stedman HH, Sweeney HL, Shrager JB, Maguire HC, Panettieri RA, Petrof B, Narusawa M, Leferovich JM, Sladky JT, Kelly AM: The mdx mouse diaphragm reproduces the degenerative changes of Duchenne muscular dystrophy. Nature. 1991, 352: 536-39. 10.1038/352536a0.CrossRefPubMed
6.
go back to reference Bach AD, Beier JP, Stern-Staeter J, Horch RE: Skeletal muscle tissue engineering. J Cell Mol Med. 2004, 8: 413-22. 10.1111/j.1582-4934.2004.tb00466.x.CrossRefPubMed Bach AD, Beier JP, Stern-Staeter J, Horch RE: Skeletal muscle tissue engineering. J Cell Mol Med. 2004, 8: 413-22. 10.1111/j.1582-4934.2004.tb00466.x.CrossRefPubMed
7.
go back to reference Camirand G, Rousseau J, Ducharme MÈ, Rothstein DM, Tremblay JP: Novel Duchenne muscular dystrophy treatment through myoblast transplantation tolerance with anti-CD45RB, anti-CD154 and mixed chimerism. Am J Transplant. 2004, 4: 1255-265. 10.1111/j.1600-6143.2004.00501.x.CrossRefPubMed Camirand G, Rousseau J, Ducharme MÈ, Rothstein DM, Tremblay JP: Novel Duchenne muscular dystrophy treatment through myoblast transplantation tolerance with anti-CD45RB, anti-CD154 and mixed chimerism. Am J Transplant. 2004, 4: 1255-265. 10.1111/j.1600-6143.2004.00501.x.CrossRefPubMed
8.
go back to reference Sharp NJ, Kornegay JN, Van Camp SD, Herbstreith MH, Secore SL, Kettle S, Hung WY, Constantinou CD, Dykstra MJ, Roses AD: An error in dystrophin mRNA processing causes golden retriever muscular dystrophy, an animal homologue of Duchenne muscular dystrophy. Genomics. 1992, 13: 115-21. 10.1016/0888-7543(92)90210-J.CrossRefPubMed Sharp NJ, Kornegay JN, Van Camp SD, Herbstreith MH, Secore SL, Kettle S, Hung WY, Constantinou CD, Dykstra MJ, Roses AD: An error in dystrophin mRNA processing causes golden retriever muscular dystrophy, an animal homologue of Duchenne muscular dystrophy. Genomics. 1992, 13: 115-21. 10.1016/0888-7543(92)90210-J.CrossRefPubMed
9.
go back to reference Valentine BA, Winand NJ, Pradhan D, Moise NS, de Lahunta A, Kornegay JN, Cooper BJ: Canine X-linked muscular dystrophy as an animal model of Duchenne muscular dystrophy: a review. Am J Med Genet. 1992, 42: 352-56. 10.1002/ajmg.1320420320.CrossRefPubMed Valentine BA, Winand NJ, Pradhan D, Moise NS, de Lahunta A, Kornegay JN, Cooper BJ: Canine X-linked muscular dystrophy as an animal model of Duchenne muscular dystrophy: a review. Am J Med Genet. 1992, 42: 352-56. 10.1002/ajmg.1320420320.CrossRefPubMed
10.
go back to reference Dell'Agnola C, Wang Z, Storb R, Tapscott SJ, Kuhr CS, Hauschka SD, Lee RS, Sale GE, Zellmer E, Gisburne S, Bogan J, Kornegay JN, Cooper BJ, Gooley TA, Little MT: Hematopoietic stem cell transplantation does not restore dystrophin expression in Duchenne muscular dystrophy dogs. Blood. 2004, 104: 4311-318. 10.1182/blood-2004-06-2247.CrossRefPubMed Dell'Agnola C, Wang Z, Storb R, Tapscott SJ, Kuhr CS, Hauschka SD, Lee RS, Sale GE, Zellmer E, Gisburne S, Bogan J, Kornegay JN, Cooper BJ, Gooley TA, Little MT: Hematopoietic stem cell transplantation does not restore dystrophin expression in Duchenne muscular dystrophy dogs. Blood. 2004, 104: 4311-318. 10.1182/blood-2004-06-2247.CrossRefPubMed
11.
go back to reference Sampaolesi M, Blot S, D'Antona G, Granger N, Tonlorenzi R, Innocenzi A, Mognol P, Thibaud JL, Galvez BG, Barthelemy I, Perani L, Mantero S, Guttinger M, Pansarasa O, Rinaldi C, Cusella De Angelis MG, Torrente Y, Bordignon C, Bottinelli R, Cossu G: Mesoangioblast stem cells ameliorate muscle function in dystrophic dogs. Nature. 2006, 444: 574-79. 10.1038/nature05282.CrossRefPubMed Sampaolesi M, Blot S, D'Antona G, Granger N, Tonlorenzi R, Innocenzi A, Mognol P, Thibaud JL, Galvez BG, Barthelemy I, Perani L, Mantero S, Guttinger M, Pansarasa O, Rinaldi C, Cusella De Angelis MG, Torrente Y, Bordignon C, Bottinelli R, Cossu G: Mesoangioblast stem cells ameliorate muscle function in dystrophic dogs. Nature. 2006, 444: 574-79. 10.1038/nature05282.CrossRefPubMed
12.
go back to reference Grounds MD, Davies KE: The allure of stem cell therapy for muscular dystrophy. Neuromuscul Disord. 2007, 17: 206-8. 10.1016/j.nmd.2007.01.007.CrossRefPubMed Grounds MD, Davies KE: The allure of stem cell therapy for muscular dystrophy. Neuromuscul Disord. 2007, 17: 206-8. 10.1016/j.nmd.2007.01.007.CrossRefPubMed
13.
go back to reference Kerkis I, Kerkis A, Dozortsev D, Stukart-Parsons GC, Gomes Massironi SM, Pereira LV, Caplan AI, Cerruti HF: Isolation and characterization of a population of immature dental pulp stem cells expressing OCT-4 and other embryonic stem cells markers. Cells Tissues Organs. 2000, 184: 105-16. 10.1159/000099617.CrossRef Kerkis I, Kerkis A, Dozortsev D, Stukart-Parsons GC, Gomes Massironi SM, Pereira LV, Caplan AI, Cerruti HF: Isolation and characterization of a population of immature dental pulp stem cells expressing OCT-4 and other embryonic stem cells markers. Cells Tissues Organs. 2000, 184: 105-16. 10.1159/000099617.CrossRef
14.
go back to reference de Mendonça Costa A, Bueno DF, Martins MT, Kerkis I, Kerkis A, Fanganiello RD, Cerruti H, Alonso N, Passos-Bueno MR: Reconstruction of large cranial defects in nonimmunosuppressed experimental design with human dental pulp stem cells. J Craniofacial Surg. 2008, 19: 204-10. de Mendonça Costa A, Bueno DF, Martins MT, Kerkis I, Kerkis A, Fanganiello RD, Cerruti H, Alonso N, Passos-Bueno MR: Reconstruction of large cranial defects in nonimmunosuppressed experimental design with human dental pulp stem cells. J Craniofacial Surg. 2008, 19: 204-10.
15.
go back to reference Pierdomenico L, Bonsi L, Calvitti M, Rondelli D, Arpinati M, Chirumbolo G, Becchetti E, Marchionni C, Alviano F, Fossati V, Staffolani N, Franchina M, Grossi A, Bagnara GP: Multipotent mesenchymal stem cells with immunosuppressive activity can be easily isolated from dental pulp. Transplantation. 2005, 80: 836-42. 10.1097/01.tp.0000173794.72151.88.CrossRefPubMed Pierdomenico L, Bonsi L, Calvitti M, Rondelli D, Arpinati M, Chirumbolo G, Becchetti E, Marchionni C, Alviano F, Fossati V, Staffolani N, Franchina M, Grossi A, Bagnara GP: Multipotent mesenchymal stem cells with immunosuppressive activity can be easily isolated from dental pulp. Transplantation. 2005, 80: 836-42. 10.1097/01.tp.0000173794.72151.88.CrossRefPubMed
16.
go back to reference Di Nicola M, Carlo-Stella C, Magni M, Milanesi M, Longoni PD, Matteucci P, Grisanti S, Gianni AM: Human bone marrow stromal cells supress T-Lymphocyte proliferation induced by cellular or nonspecific mitogenic stimuli. Blood. 2002, 99: 3838-843. 10.1182/blood.V99.10.3838.CrossRefPubMed Di Nicola M, Carlo-Stella C, Magni M, Milanesi M, Longoni PD, Matteucci P, Grisanti S, Gianni AM: Human bone marrow stromal cells supress T-Lymphocyte proliferation induced by cellular or nonspecific mitogenic stimuli. Blood. 2002, 99: 3838-843. 10.1182/blood.V99.10.3838.CrossRefPubMed
17.
go back to reference Gandia C, Armiñan A, García-Verdugo JM, Lledó E, Ruiz A, Miñana MD, Sanchez-Torrijos J, Payá R, Mirabet V, Carbonell-Uberos F, Llop M, Montero JA, Sepúlveda P: Human dental pulp stem cells improve left ventricular function, induce angiogenesis and reduce infarct size in rats with acute myocardial infarction. Stem Cells. 2008, 26: 638-45. 10.1634/stemcells.2007-0484.CrossRefPubMed Gandia C, Armiñan A, García-Verdugo JM, Lledó E, Ruiz A, Miñana MD, Sanchez-Torrijos J, Payá R, Mirabet V, Carbonell-Uberos F, Llop M, Montero JA, Sepúlveda P: Human dental pulp stem cells improve left ventricular function, induce angiogenesis and reduce infarct size in rats with acute myocardial infarction. Stem Cells. 2008, 26: 638-45. 10.1634/stemcells.2007-0484.CrossRefPubMed
18.
go back to reference Honeyman K, Carville KS, Howell JM, Fletcher S, Wilton SD: Development of a snapback method of single-strand conformation polymorphism analysis for genotyping Golden Retrievers for the X-linked muscular dystrophy allele. Am J Vet Res. 1999, 60: 734-37.PubMed Honeyman K, Carville KS, Howell JM, Fletcher S, Wilton SD: Development of a snapback method of single-strand conformation polymorphism analysis for genotyping Golden Retrievers for the X-linked muscular dystrophy allele. Am J Vet Res. 1999, 60: 734-37.PubMed
19.
go back to reference Vainzof M, Passos-Bueno MR, Zatz M: Immunological methods for the analysis of protein expression in neurmuscular diseases. 2003, Potter, NT: Methods in Molecular Medicine-Neurogenetics: Methods and Protocols. Humana Press Inc., Totowa, NJ, 355-78. Vainzof M, Passos-Bueno MR, Zatz M: Immunological methods for the analysis of protein expression in neurmuscular diseases. 2003, Potter, NT: Methods in Molecular Medicine-Neurogenetics: Methods and Protocols. Humana Press Inc., Totowa, NJ, 355-78.
20.
go back to reference Thanh LT, Neguyen TM, Helliwell TR, Morris GE: Characterization of revertant muscle fibers in Duchenne Muscular Dystrophy using exon-specific monoclonal antibodies against dystrophin. Am J Hum Genet. 1995, 56: 725-31.PubMedCentralPubMed Thanh LT, Neguyen TM, Helliwell TR, Morris GE: Characterization of revertant muscle fibers in Duchenne Muscular Dystrophy using exon-specific monoclonal antibodies against dystrophin. Am J Hum Genet. 1995, 56: 725-31.PubMedCentralPubMed
21.
go back to reference Thibaud JL, Monnet A, Bertoldi D, Barthélély I, Blot S, Carlier PG: Characterization of dystrophic muscle in golden retriever muscular dystrophy dogs by nuclear magnetic resonance imaging. Neuromuscul Disord. 2007, 17: 569-75. 10.1016/j.nmd.2007.03.004.CrossRef Thibaud JL, Monnet A, Bertoldi D, Barthélély I, Blot S, Carlier PG: Characterization of dystrophic muscle in golden retriever muscular dystrophy dogs by nuclear magnetic resonance imaging. Neuromuscul Disord. 2007, 17: 569-75. 10.1016/j.nmd.2007.03.004.CrossRef
22.
go back to reference Zhang W, Walboomers XF, Shi S, Fan M, Jansen JA: Multilineage differentiation potential of stem cells derived from dental pulp after cryopreservation. Tissue Eng. 2006, 12: 2813-823. 10.1089/ten.2006.12.2813.CrossRefPubMed Zhang W, Walboomers XF, Shi S, Fan M, Jansen JA: Multilineage differentiation potential of stem cells derived from dental pulp after cryopreservation. Tissue Eng. 2006, 12: 2813-823. 10.1089/ten.2006.12.2813.CrossRefPubMed
23.
go back to reference DiDio LJA: Tratado de anatomia aplicada. Póllus Editorial, São Paulo. 1998, 103-109. DiDio LJA: Tratado de anatomia aplicada. Póllus Editorial, São Paulo. 1998, 103-109.
24.
go back to reference Zatz M, Rapaport D, Vainzof M, Rocha JML, Passos-Bueno MR, Rabbi-Bortolini E, Pavanello RCM, Peres CA: Serum creatine-kinase (CK) and pyruvate-kinase (PK) activity as a function of clinical evolution in Duchenne (DMD) and Becker (BMD) muscular dystrophies. J Neurol Sci. 1991, 102: 190-196. 10.1016/0022-510X(91)90068-I.CrossRefPubMed Zatz M, Rapaport D, Vainzof M, Rocha JML, Passos-Bueno MR, Rabbi-Bortolini E, Pavanello RCM, Peres CA: Serum creatine-kinase (CK) and pyruvate-kinase (PK) activity as a function of clinical evolution in Duchenne (DMD) and Becker (BMD) muscular dystrophies. J Neurol Sci. 1991, 102: 190-196. 10.1016/0022-510X(91)90068-I.CrossRefPubMed
25.
go back to reference Tse WT, Pendleton JD, Beyer WM, Egalka MC, Guinan EC: Suppression of allogeneic T-cell proliferation by human marrow stromal cells: implications in transplantation. Transplantation. 2003, 75: 389-97. 10.1097/01.TP.0000045055.63901.A9.CrossRefPubMed Tse WT, Pendleton JD, Beyer WM, Egalka MC, Guinan EC: Suppression of allogeneic T-cell proliferation by human marrow stromal cells: implications in transplantation. Transplantation. 2003, 75: 389-97. 10.1097/01.TP.0000045055.63901.A9.CrossRefPubMed
26.
go back to reference Maccario R, Podestà M, Moretta A, Cometa A, Comoli P, Montagna D, Daudt L, Ibatici A, Piaggio G, Pozzi S, Frassoni F, Locatelli F: Interaction of human mesenchymal stem cells with cells involved in alloantigen-specific immune response favors the differentiation of CD4+ T-cell subsets expressing a regulatory/suppressive phenotype. Haematologic. 2005, 90: 516-25. Maccario R, Podestà M, Moretta A, Cometa A, Comoli P, Montagna D, Daudt L, Ibatici A, Piaggio G, Pozzi S, Frassoni F, Locatelli F: Interaction of human mesenchymal stem cells with cells involved in alloantigen-specific immune response favors the differentiation of CD4+ T-cell subsets expressing a regulatory/suppressive phenotype. Haematologic. 2005, 90: 516-25.
27.
go back to reference Prevosto C, Zancolli M, Canevali P, Zocchi MR, Poggi A: Generation of CD4+ or CD8+ regulatory T cells upon mesenchymal stem cell-lymphocyte interaction. Haematologica. 2007, 92: 881-88. 10.3324/haematol.11240.CrossRefPubMed Prevosto C, Zancolli M, Canevali P, Zocchi MR, Poggi A: Generation of CD4+ or CD8+ regulatory T cells upon mesenchymal stem cell-lymphocyte interaction. Haematologica. 2007, 92: 881-88. 10.3324/haematol.11240.CrossRefPubMed
28.
go back to reference Radley HG, De Luca A, Lynch GS, Grounds MD: Duchenne muscular dystrophy: focus on pharmaceutical and nutritional interventions. Int J Biochem Cell Biol. 2007, 39: 469-77. 10.1016/j.biocel.2006.09.009.CrossRefPubMed Radley HG, De Luca A, Lynch GS, Grounds MD: Duchenne muscular dystrophy: focus on pharmaceutical and nutritional interventions. Int J Biochem Cell Biol. 2007, 39: 469-77. 10.1016/j.biocel.2006.09.009.CrossRefPubMed
29.
go back to reference Dominici M, Le Blanc K, Mueller I, Slaper-Cortenbach I, Marini F, Krause D, Deans R, Keating A, Prockop Dj, Horwitz E: Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement. Cytotherapy. 2006, 8: 315-7. 10.1080/14653240600855905.CrossRefPubMed Dominici M, Le Blanc K, Mueller I, Slaper-Cortenbach I, Marini F, Krause D, Deans R, Keating A, Prockop Dj, Horwitz E: Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement. Cytotherapy. 2006, 8: 315-7. 10.1080/14653240600855905.CrossRefPubMed
30.
go back to reference Nguyen F, Cherel Y, Guigand L, Goubault-Leroux I, Wyers M: Muscle lesions associated with dystrophin deficiency in neonatal golden retriever puppies. Comp Pathol. 2002, 126: 100-08. 10.1053/jcpa.2001.0526.CrossRef Nguyen F, Cherel Y, Guigand L, Goubault-Leroux I, Wyers M: Muscle lesions associated with dystrophin deficiency in neonatal golden retriever puppies. Comp Pathol. 2002, 126: 100-08. 10.1053/jcpa.2001.0526.CrossRef
31.
go back to reference Ambrosio C, Zucconi E, Martins D, Vanucchi C, Perez M, Vieira N, Valadares M, Jazedje T, Miglino M, Zatz M: Extreme clinical variability in GRMD: From neonatal death to asymptomatic carriers. [abstract]. Neuromuscular Disorders. 2007, 17: 776-10.1016/j.nmd.2007.06.056. doi:10.1016/j.nmd.2007.06.056CrossRef Ambrosio C, Zucconi E, Martins D, Vanucchi C, Perez M, Vieira N, Valadares M, Jazedje T, Miglino M, Zatz M: Extreme clinical variability in GRMD: From neonatal death to asymptomatic carriers. [abstract]. Neuromuscular Disorders. 2007, 17: 776-10.1016/j.nmd.2007.06.056. doi:10.1016/j.nmd.2007.06.056CrossRef
32.
go back to reference Tögel F, Westenfelder C: Adult Bone Marrow-Derived Stem Cells for Organ Regeneration and Repair. Developmental Dynamics. 2007, 236: 3321-3331. 10.1002/dvdy.21258.CrossRefPubMed Tögel F, Westenfelder C: Adult Bone Marrow-Derived Stem Cells for Organ Regeneration and Repair. Developmental Dynamics. 2007, 236: 3321-3331. 10.1002/dvdy.21258.CrossRefPubMed
Metadata
Title
Early transplantation of human immature dental pulp stem cells from baby teeth to golden retriever muscular dystrophy (GRMD) dogs: Local or systemic?
Authors
Irina Kerkis
Carlos E Ambrosio
Alexandre Kerkis
Daniele S Martins
Eder Zucconi
Simone AS Fonseca
Rosa M Cabral
Carlos MC Maranduba
Thais P Gaiad
Adriana C Morini
Natassia M Vieira
Marina P Brolio
Osvaldo A Sant'Anna
Maria A Miglino
Mayana Zatz
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Journal of Translational Medicine / Issue 1/2008
Electronic ISSN: 1479-5876
DOI
https://doi.org/10.1186/1479-5876-6-35

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