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Brain & Heart                                       Human DPSCs attenuated amyotrophic lateral sclerosis in mice



            1. Introduction                                    teeth, a bone chisel was used to segment the tooth tissue.
                                                               The pulp tissue was extracted and rinsed repeatedly,
            Amyotrophic lateral sclerosis (ALS) is a progressive,   after which it was cut with curved scissors  into small
            debilitating disorder  that  is  characterized by  the   pieces of approximately 0.5 mm . Subsequently, 0.3%
                                                                                           3
            deterioration of motor neurons that results in muscle   collagenase type Ⅰ (MP Biomedicals LLC, CA, USA) and
            weakness and atrophy, bulbar palsy, and pyramidal tract   0.4% dispase II (Sigma, SLZ, USA) were added to digest
            signs.  The incidence of ALS is between 0.6 and 3.8/100,000   for 1 h at 37°C. Digestion was terminated with Dulbecco’s
                1,2
            person-years and increases with age.  This devastating   phosphate-buffered saline (PBS), and  the  cells  were
                                           3,4
            neurodegenerative disease has a poor prognosis, with 50%   inoculated into a six-well cell culture plate and cultured
            of patients passing away within 30  months of symptom   in a cell incubator at 37°C and 5% CO . Then, the cells
            onset and only 20% surviving for 5 – 10  years.  Hence,                             2
                                                   5
            the primary aim of current treatment was to extend life   were washed and resuspended with 0.9% sterile saline
            expectancy in patients with ALS.                   solution for counting. Two batches of cells were used in the
                                                               experiment, and cells were identified by flow cytometry.
              The pathophysiology of ALS is the result of complex   The hDPSCs were positive for the surface antigens
            interactions between genetic and molecular pathways.    CD73/CD90/CD44/CD166/CD105/CD146  and negative
                                                          6
            Mutations in the copper-zinc superoxide dismutase 1   for  CD11b/CD19/CD34/CD45/HLA-DR   (Figure  S1).
                                                                                                19
            (SOD1) gene may be a major factor, because they cause   Next, 1 × 10   cells were resuspended in 200  µl of 0.9%
                                                                          6
            conformational instability and misfolding of the SOD1   sterile physiological saline and injected into SOD1-G93A
            peptide, leading to the formation of intracellular aggregates   mice through the tail vein. The SOD1-G93A vehicle group
            and disruption of axonal transport systems and cellular   and wild-type (WT) mice group were administered 200 µL
            functions.  At present, no definitive cure exists for ALS.   of 0.9% sterile physiological saline. The hDPSCs or 0.9%
                    7
            Riluzole and edaravone are the only approved medications   sterile physiological saline were infused once through the
                                     8,9
            with limited  beneficial effects.  Nonetheless, there has   tail vein at disease onset.
            been increasing research in recent years on the use of
            stem cells for treating neurodegenerative diseases. 10-12  This   2.2. Mice
            therapy works by replacing cells and secreting neurotrophic   High-copy  SOD1-G93A  72  transgenic  mice
            factors, which help regenerate neurons and glial cells. 10,11    (B6.Cg-Tg[SOD1∗G93A]1Gur/J) were obtained from
            Mesenchymal stem cells (MSCs) originate from the   the Jackson Laboratory (Strain#: 004435). PCR genotype
            mesoderm during early development  and can differentiate   identification was performed on mice according to the
                                         13
            into neurons under certain stimulation conditions. MSCs   genotype identification scheme provided by the Jackson
            may be a promising potential therapy for ALS treatment.    Laboratory. Mice containing transgenic bands (molecular
                                                         14
            Human dental pulp stem cells (hDPSCs) are a type of MSCs   size, 236 bp) were identified as SOD1-G93A mice and those
            found in dental pulp tissue and possess strong self-renewal   without magnetic bands were WT controls.  Hemizygous
                                                                                                  20
            and multidirectional differentiation potential. Compared   carriers (males) were bred with C57BL/6J inbred mice. The
            with other MSCs, hDPSCs are easier to obtain, have   SOD1-G93A transgenic mice were obtained by genotyping.
            higher proliferation rates,  and can also differentiate into   All mice were housed in a specific pathogen-free environment
                                15
            a variety of somatic cells in an appropriate environment. 16,17    with a 12 – 12-h dark–light cycle and had free access to food
            Furthermore, hDPSCs have a lower potential to transform   and water. The animals were randomly assigned to individual
            into tumors.  Therefore, this study was conducted to   groups. The endpoint in this study was based on the criteria
                      18
            investigate the efficacy of hDPSCs treatment based on
            clinical and pathological changes in an ALS mouse model.  previously reported by the ALS-Therapy Development
                                                               Institute (ALS-TDI), that is, the loss of self-righting ability
            2. Methods                                         within 10 s (neurological score = 4) or the inability to move to
                                                               reach food on the cage floor. Mice that reached the humane
            2.1. Administration of hDPSCs                      endpoint were euthanized within 3 h. No animal deaths

            Here, hDPSCs were extracted from the third molars of   occurred during the evaluation, and there were no post-
            healthy volunteers at the Dental Clinic of the Beijing   infusion deaths. All experimental procedures were conducted
            Stomatological Hospital, with ethical approval (Approval   according to the guidelines of the Institutional Animal Care
            Number: KJ-2021-  016-C-01-CS, Beijing, China).    and Use Committee of Beijing Tiantan Hospital and the
            Written informed consent was provided to all donors   Chinese Small Animal Protection Association Experimental
            who participated in the study. The hDPSCs injection was   Protocol with approval from the Institutional Animal Care
            prepared and appraised by Beijing Chengnuo Medical   and Use Committee Institutional Animal Care and Use
            Technology Co., Ltd. After cleaning and disinfecting the   Committee (IACUC) under the protocol number 202203004.


            Volume 2 Issue 4 (2024)                         2                                doi: 10.36922/bh.3996
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