Recently, both basic and clinical studies demonstrated that bone marrow stromal cell (BMSC)
transplantation therapy can promote functional recovery of patients with CNS disorders. A non-invasive method for cell tracking using MRI and superparamagnetic
iron oxide (
SPIO)-based labeling agents has been applied to elucidate the behavior of transplanted cells. However, the long-term safety of
SPIO-labeled BMSCs still remains unclear. The aim of this study was to investigate the short-, middle- and long-term safety of the
SPIO-labeled allogeneic BMSC
transplantation. For this purpose, BMSCs were isolated from transgenic rats expressing
green fluorescent protein (GFP) and were labeled with
SPIO. The Na/K
ATPase pump inhibitor
ouabain or vehicle was stereotactically injected into the right striatum of wild-type rats to induce a lacunar lesion (n = 22). Seven days after the insult, either BMSCs or
SPIO solution were stereotactically injected into the left striatum. A 7.0-Tesla MRI was performed to serially monitor the behavior of BMSCs in the host brain. The animals were sacrificed after 7 days (n = 7), 6 weeks (n = 6) or 10 months (n = 9) after the
transplantation. MRI demonstrated that BMSCs migrated to the damage area through the corpus callosum. Histological analysis showed that activated microglia were present around the bolus of donor cells 7 days after the allogeneic cell
transplantation, although an immunosuppressive
drug was administered. The
SPIO-labeled BMSCs resided and started to proliferate around the route of the
cell transplantation. Within 6 weeks, large numbers of
SPIO-labeled BMSCs reached the
lacunar infarction area from the
transplantation region through the corpus callosum. Some
SPIO nanoparticles were phagocytized by microglia. After 10 months, the number of
SPIO-positive cells was lower compared with the 7-day and 6-week groups. There was no
tumorigenesis or severe injury observed in any of the animals. These findings suggest that BMSCs are safe after
cell transplantation for the treatment of
stroke.