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Successful treatment of metachromatic leukodystrophy using bone marrow transplantation of HoxB4 overexpressing cells.

Abstract
To evaluate the contribution of bone marrow (BM) cells to treat neurological disorders, we examined the effectiveness of BM cells expressing the homeobox B4 (HoxB4) gene to cure mice with metachromatic leukodystrophy (MLD) through transplantation. Increased number of donor cells was observed in brains of the MLD mice transplanted with HoxB4-transduced BM cells (B4MLD) in contrast to those transplanted with control green fluorescent protein (GFP)-transduced BM cells (MIGMLD). Immunohistochemical staining showed that most of the GFP(+) cells were Iba1(+) microglia. In addition, O4(+) oligodendrocytes were identified only in the B4MLD brains but not in the MIGMLD brain. Alcian blue staining showed that accumulation of sulfatide was dramatically reduced in brain tissue from B4MLD mice, and there was a corresponding improvement in the animals' ability to walk a balance beam 8 months after transplantation. Thus transplantation of BM cells overexpressing HoxB4 appears to effectively prevent the progression of MLD in this mouse model. These findings support the idea that hematopoietic stem cells (HSCs) transduced with a HoxB4 expression vector could be the useful carriers of therapeutic proteins into the brain for regeneration of oligodendrocytes to treat such demyelinating disorders as MLD, Krabbe disease, and multiple sclerosis.
AuthorsNoriko Miyake, Koichi Miyake, Stefan Karlsson, Takashi Shimada
JournalMolecular therapy : the journal of the American Society of Gene Therapy (Mol Ther) Vol. 18 Issue 7 Pg. 1373-8 (Jul 2010) ISSN: 1525-0024 [Electronic] United States
PMID20424597 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Homeodomain Proteins
Topics
  • Animals
  • Bone Marrow Cells (cytology, metabolism)
  • Bone Marrow Transplantation
  • Flow Cytometry
  • Homeodomain Proteins (genetics, metabolism)
  • Humans
  • Immunohistochemistry
  • Leukodystrophy, Metachromatic (therapy)
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Reverse Transcriptase Polymerase Chain Reaction

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