Previous studies indicated the beneficial effects of
glial cell line-derived neurotrophic factor (
GDNF) and transplanted neural stem cells (NSCs) on
stroke. Here, we explored whether
transplantation of neural stem cells (NSCs) modified by
GDNF gene provides a better
therapeutic effect than native NSCs after
stroke. Primary rat NSCs were transfected with
GDNF plasmid (
GDNF/NSCs, labeled by
green fluorescent protein from AdEasy-1, GFP). Adult rats were subjected to two-hour
middle cerebral artery occlusion and reperfusion, followed by infusion of NSCs (labeled with5-bromo-2'-
deoxyuridine before infusion,
BrdU),
GDNF/NSCs and saline at 3 days after reperfusion (NSCs group,
GDNF/NSCs group, control group), respectively. All rats were sacrificed at 1, 2, 3, 5, and 7 weeks after reperfusion. Modified Neurological Severity Scores (mNSS) test and H and E staining were respectively performed to evaluate neurological function and lesion volume. Immunohistochemistry was used to identify implanted cells and observe the expressions of
Synaptophysin (Syp) and postsynaptic density-95 (PSD-95) and
caspase-3. TdT-mediated dUTP-
biotin nick-end labeling (TUNEL) was employed to observe apoptotic cells. Western blotting was used to detect
brain-derived neurotrophic factor (
BDNF) and NT-3
protein expression. Significant recovery of mNSS was found in
GDNF/NSCs rats at 2 and 3 weeks after reperfusion compared with NSCs rats. Lesion volume in the NSCs and
GDNF/NSCs groups was reduced significantly compared with control group. The number of NSCs in the
GDNF/NSCs group was significantly increased in comparison with NSCs group. Moreover, Syp-immunoreactive product at 2 and 3 weeks after reperfusion and PSD-95 immunoreactive product in the
GDNF/NSCs group were significantly increased compared with NSCs group. In contrast,
caspase-3 positive cells and TUNEL-positive cells in the
GDNF/NSCs group were significantly decreased compared with NSCs group. Significant increase of
BDNF protein in the
GDNF/NSCs and NSCs groups was observed compared to the control group at different time points of reperfusion, and
GDNF/NSCs grafting significantly increased
BDNF protein expression compared to NSCs grafting. In addition, significant increase of NT-3
protein in
GDNF/NSCs and NSCs groups was detected only at 1 week of reperfusion compared to control group. The results demonstrate that grafting NSCs modified by
GDNF gene provides better neuroprotection for
stroke than NSCs grafting alone.