Transplantation of human neural stem cell prevents symptomatic motor behavior disability in a rat model of Parkinson’s disease
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Fen Wang
und Chun-Feng Liu
Abstract
Parkinson’s disease (PD) is a ubiquitous brain cell degeneration disease and presents a significant therapeutic challenge. By injecting 6-hydroxydopamine (6-OHDA) into the left medial forebrain bundle, rats were made to exhibit PD-like symptoms and treated by intranasal administration of a low-dose (2 × 105) or high-dose (1 × 106) human neural stem cells (hNSCs). Apomorphine-induced rotation test, stepping test, and open field test were implemented to evaluate the motor behavior and high-performance liquid chromatography was carried out to detect dopamine (DA), 3,4-dihydroxyphenylacetic acid (DOPAC), serotonin, and 5-hydroxyindole-3-acetic acid in the striatum of rats. Animals injected with 6-OHDA showed significant motor function deficits and damaged dopaminergic system compared to the control group, which can be restored by hNSCs treatment. Treatment with hNSCs significantly increased the tyrosine hydroxylase-immunoreactive cell count in the substantia nigra of PD animals. Moreover, the levels of neurotransmitters exhibited a significant decline in the striatum tissue of animals injected with 6-OHDA when compared to that of the control group. However, transplantation of hNSCs significantly elevated the concentration of DA and DOPAC in the injured side of the striatum. Our study offered experimental evidence to support prospects of hNSCs for clinical application as a cell-based therapy for PD.
1 Introduction
Parkinson’s disease (PD) is a chronic neurological disease caused by the decay or breakdown of the neurons in the brain that are responsible for producing dopamine [1,2]. PD exhibits a variety of clinical manifestations, encompassing both motor and non-motor symptoms, compared with other motor deficit diseases [3–7]. Neural stem cells (NSCs) have shown potential as a therapeutic option for PD due to their ability to replace damaged or lost neurons [8]. In 1992, Weiss and Reynolds [9] separated NSCs from the striatum of adult mice and first employed epidermal growth factor (EGF) to stimulate the growth and division of NSCs in vitro. Subsequently, studies have shown that the joint application of EGF and basic fibroblast growth factor (bFGF) can effectively promote the proliferation and self-renewal of NSCs, leading to the development of neurospheres derived from mammalian tissues [10,11]. However, to advance cell therapies, specifically those utilizing human NSCs (hNSCs), from the experimental stage to clinical application, it is necessary to establish stringent protocols for cell production and preservation following the regulations of good manufacturing practice (GMP).
To assess the feasibility of using hNSCs in a clinical study aiming at PD patients, we conducted a preclinical study to evaluate the efficacy of hNSCs in reducing neurological deficits in a rodent model of PD.
2 Methods and materials
2.1 Generation of hNSCs
hNSCs were derived from aborted fetal brain tissue (8–12 gestational week), which was obtained with full parental permission and approval from the Institutional Ethics Committee (2011 NO.103). Fetal midbrain tissue was separated and dissected at GMP facilities (Angecon Biotech, China), and then digested with papain (200 U/10 mL, Worthington, USA) for 30 min. The prepared single cell concentration was 1.0 × 105 cells/mL and cultured with serum-free NSCs medium (Angecon Biotech, China), which consisted of a 1:1 mixture of Dulbecco’s modified Eagle’s medium and Ham’s F12 (Invitrogen), supplemented with B27 (2% v/v; Invitrogen), GlutaMAX (2% v/v; Invitrogen), MEM sodium pyruvate (2% v/v; Invitrogen), N2 formulation (1% v/v; Invitrogen), NAC (1.63 mg/mL; Sigma), bFGF (20 ng/mL; PEPROTECH), EGF (20 ng/mL; PEPROTECH), and LIF (10 ng/mL; PEPROTECH). The primary cells were grown for a period of 12–14 days in a humidified incubator at 37°C and 5% CO2. Then the neurospheres were dissociated with TrypLETM Express (Invitrogen, USA) to single cells, and seeded into the new T75 flasks at a concentration of 1 × 105 cells/mL. Under the same culture conditions, hNSCs were further cultured and passaged, then frozen and stored in the three-level cell banks: the Seed Cell Bank (SCB, P3), the Master Cell Bank (MCB, P5), and the Working Cell Bank (WCB, P8).
Cell preparation: Cells in WCB were thawed and cultured for 14 days, then digested into single cells and washed with normal saline twice, then adjusted to the final concentrations of 2 × 105 cells/10 µL and 1 × 106 cells/10 µL, and packed.
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Informed consent: Informed consent has been obtained from all individuals included in this study.
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Ethical approval: The research related to human use has been complied with all the relevant national regulations, institutional policies and in accordance with the tenets of the Helsinki Declaration, and has been approved by the Institutional Ethics Committee (2011 NO.103). The research related to animal use has been complied with all the relevant national regulations and institutional policies for the care and use of animals, and has been approved by the Institutional Ethics Committee of the Second Affiliated Hospital of Soochow University (201511A113).
2.2 Identification of hNSCs
2.2.1 Phenotype detection
The cell samples were subjected to centrifugation (500×g, 3 min), and the resulting supernatant was removed. Cells were fixed using a fixation/permeabilization kit (BD, USA) and then incubated at 4°C for 15 min. Next, 400 μL cleaning solution was added, and the cells were centrifuged again (500×g, 3 min). The cells were buffered in PBS for intracellular staining and incubated with Alexa Fluor® 647 Mouse Nestin (560393, BD) and Alexa Fluor® 488 Mouse anti-Sox2 (560301, BD), and then washed twice. Finally, 500 μL PBS was added to resuspend the cells, and detection was performed using flow cytometry (Cytoflex, Beckman) [12].
2.2.2 Differentiation potential
The 12-well plates were coated with poly-l-lysine (P4707, Sigma, Germany) and hNSC neurospheres were inoculated together with the medium into the well-coated plates for adherent culture. After 5–8 h of culture, the neurospheres were fully adhered to the plates, and then the medium without cytokines was added in place of the original medium. After 2 weeks of culture, the cells were dispersed and adhered to the bottom, and spontaneously differentiated. The fixed differentiated cells were then exposed to a permeabilization mixture containing 10% normal donkey serum, 0.1% Triton, and PBS for 1 h. Then the cells were treated with primary antibodies (B-tubulin [T8860 sigma, Germany], GFAP [Z0334 DAKO, Denmark], and O4 [MAB345 Millipore, USA]) and incubated to allow for binding at 4°C overnight. After that, the cells were rinsed to remove any unbound primary antibodies and then incubated with secondary antibodies and DAPI. Images were taken using a fluorescence microscope (DMI 3000, Laica, Germany).
2.2.3 Genetic test
Cells were lysed with Rneasy Mini Kit (Qiagen, Germany) and RNA was separated based on the manufacturer’s specified guidelines. RNA quantity was determined by QubitTM RNA HS Assay Kit using a Qubit Fluorometer (Life Technology, USA). RNAs were converted into cDNA using the Transcriptor First Strand cDNA Synthesis Kit (Roche, Switzerland). Light Cycler 480 SYBR Green I Master was used for qRT-PCR on a Light cycler 96 system (Roche, Switzerland). The specific primer sequences are outlined below: NCAM (Forward: GGCATTTACAAGTGTGTGGTTAC; Reverse: TTGGCGCATTCTTGAACATGA), NGFR (Forward: CCTACGGCTACTACCAGGATG; Reverse: CACACGGTGTTCTGCTTGT), Sox2 (Forward: TACAGCATGTCCT ACTCGCAG; Reverse: GAGGAAGAGGTAACCACAGGG), Pax6 (Forward: TGGGCAGGTATTACGAGACTG; Reverse: ACTCCCGCTTATACTGGGCTA), and GAPDH (Forward: GTGGACCTGACCTGCCGTCT; Reverse: GGAGGAGTGGGTGTCGCTGT).
2.2.4 Karyotype test
Standard G-Band analysis was used for sample processing, and BX53 microscope (Olympus) was used to take photos. Chromosome numbers were calculated, and its characteristics were observed through images, and chromosome karyotype matching was carried out. At least 20 cell groups were selected from each sample for observation and counting to check whether there were abnormal conditions such as chromosome deletion and ectopic.
2.3 Animals
The animal protocol was approved by the Institutional Ethics Committee of the Second Affiliated Hospital of Soochow University (201511A113). Adult Sprague Dawley rats of both genders (180 ± 10 g) were sourced from Shanghai SLAC Laboratory Animal Co., Ltd (Shanghai, China). The rats were accommodated (five rats per cage) in a temperature-controlled room (22–25°C) with 12 h light/dark cycle. Food and water were offered to the rats without limitation. All animal procedures adhered to the established guidelines of the Animal Use and Care Committee of Soochow University. Fifty-six rats were used to build PD models by 6-hydroxydopamine (6-OHDA, H116, Sigma, USA) injection and 42 rats were successfully modeled. The rats were allocated to four groups at random: (1) sham group (n = 10), (2) PD model group (6-OHDA, n = 14, male, 7; female, 7), (3) low-dose hNSCs group (2 × 105 hNSCs, n = 9, male, 4; female, 5), and (4) high-dose hNSCs group (1 × 106 hNSCs, n = 19, male, 9; female, 10). All rats in (2), (3), and (4) groups were given saline or hNSCs suspension intranasally once a week for 4 weeks. After the first hNSCs/saline treatment, apomorphine (APO)-induced rotation test, stepping test, and open field test were performed every 2 weeks for 12 weeks.
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Ethical approval: The research related to animal use has been complied with all the relevant national regulations and institutional policies for the care and use of animals, and was approved by the Institutional Ethics Committee of the Second Affiliated Hospital of SoochowUniversity (201511A113).
2.4 Establishment of 6-OHDA-induced PD rat model
The rats were administered 3% isoflurane until the loss of righting reflex was observed, following which anesthesia was maintained using 1.5% isoflurane, and the rats were secured in a stoelting stereotaxic apparatus (RWD Co., Shenzhen, China). The rat brain atlas was consulted to determine the location [13]. 6-OHDA in saline (16 μg/8 μL) was administered via injection into the left medial forebrain bundle (MFB) through a 10 μL Hamilton syringe at a speed of 0.5 μL/min. The left MFB’s coordinates (two spots) were as follows: (1) −1.8 mm anteroposterior, −2.5 mm mediolateral, and −7.5 mm dorsoventral; (2) −1.8 mm anteroposterior, −2.5 mm mediolateral, and −8.0 mm dorsoventral (from the dura) from the bregma. The syringe was slowly extracted from the MFB after remaining in place for a duration of 4 min. Following a 3-week healing period after the surgery, apomorphine hydrochloride (APO, 013-18313, Wako, Japan)-induced rotation tests were performed. Only rats that displayed a rotational frequency above 210 turns per 30 min during rotation tests were deemed eligible for inclusion in the PD model [14].
2.5 Intranasal administration of hNSCs
Rats were anesthetized via inhalation of isoflurane gas delivered in a flow of oxygen, with a concentration of 3.0% for induction and 1.5% for maintenance. The rats were then positioned in the supine position. Each rat was given 10 μL (5 μL/side) of hNSCs cell suspension or saline bilaterally. A thin hose of 0.5–0.7 cm in length was placed at the needle of the microsyringe. The cells suspension was absorbed and extended into the left nasal cavity, and slowly injected into the nasal cavity and maintained its posture for 5 min. After 15 min, the cell suspension was given to the right nostril in the same way. After administration, the rats were kept in supine position for 5 min. Anesthesia was discontinued and the rats were returned to their cages when aroused [12,15].
2.6 Behavioral experiments
2.6.1 APO-induced rotation test
Using a video camera, the contralateral rotations caused by APO (0.25 mg/kg, subcutaneous) were measured and documented for a period of 30 min during each recording session [16].
2.6.2 Stepping test
While securing the hindlimbs of the rat with one hand, the experimenter ensured that the forelimbs of rats were unconstrained but kept in touch with the table. The rat was repositioned to the side (90 cm in 5 s) in the forehand direction, and the frequency of steps to both forelimbs was counted and documented [17].
2.6.3 Open field test
The rat was placed in the middle of a cubic container (80 × 80 × 40 cm3) that was equipped with a camera. The behavioral box had a black-colored interior and bottom surface, which contrasted with the rats’ coloring. Using a Flex field/Open Field Activity System (ANY-maze; Stoelting, Wood Dale, IL, USA), the locomotor tracks of the rats were continually recorded. The observations of each rat were conducted and recorded for 300 s, and the process was repeated three times at 10 min intervals.
2.7 Immunostaining of tyrosine hydroxylase (TH)
To determine the viability of the TH neurons in the substantia nigra (SN), we performed immunostaining as described previously [18].
2.8 High-performance liquid chromatography (HPLC)
At the 12th week, after behavioral determination, dopamine (DA), 3,4-dihydroxyphenylacetic acid (DOPAC), 5-hydroxyindole-3-acetic acid (5-HIAA), and serotonin (5-HT) in the striatum were detected by HPLC with an electrochemical detector (Antec, Zoeterwoude, Netherlands). The striatal tissues were lysed and centrifuged at 12,000 rpm for 20 min at 4°C in 4% perchloric acid. The supernatants were filtered through a 0.22 μm syringe filter before applying to the HPLC system. A mobile phase contained NaH2PO4 100 mM, sodium octanesulfonate 0.74 mM, EDTA-Na2 0.027 mM, KCl 2 mM, and 15% (vol/vol) methanol. A C18 chromatographic column (2.1 mm, 100 mm, 3 mm, Antec) was used to analyze the qualitative and quantitative content of neurotransmitter. The standard substances (DA, H8502; DOPAC, 11569; 5-HT, H7877; 5-HIAA, H8876, purchased from Sigma) were used for quantitative analysis, and the neurotransmitter was analyzed at a speed of 0.20 mL/min by the HPLC pump.
2.9 Statistical analysis
Data gathered from behavioral tests and HPLC were checked for normality of distribution and homogeneity of variance and displayed as mean ± SEM. Data of behavioral tests were analyzed using the repeated measurement ANOVA followed by multiple comparisons performed by SPSS 22.0 statistical software. Data of HPLC were analyzed with Kruskal–Wallis test and Dunnett non-parametric test for further multiple comparison test. Differences with p-values less than 0.05 (two sided) were deemed to be statistically significant.
3 Results
3.1 Characteristics of hNSCs
Flow cytometry was used to monitor the phenotype of NSCs. The expressions of Nestin and SOX2 were higher than 90% (Figure 1a). Fluorescence photomicrograph showed that NSCs could different into neurons (B-tubulin positive), astrocyte (GFAP positive), and oligogendrocyte (O4 positive) (Figure 1b). qRT-PCR indicated that the expressions of specific genes of NSCs (SOX2, NCAM, NGFR, and Pax6) were significantly higher than that of peripheral blood mononuclear cells (Figure 1c). The karyotype of the cell line was normal (46, XX) (Figure 1d). As a summary, these results signify that the quality of NSCs meets the requirements.

Characteristics of hNSCs: (a) phenotype detection, (b) differentiation potential, (c) specific gene expression, and (d) karyotype test. Scale bar: 100 μm, TUB: B-tubulin; GFAP: glial fibrillary acidic protein.
3.2 APO-induced rotation test
After the 6-OHDA injection, the statistical analysis demonstrated a significant difference in the count of rotations induced by APO between the animals that received the injections and the sham group (Figure 2a). In addition, we observed that the 6-OHDA injections resulted in alterations in the motor function of the animals. At the 10th and 12th week, the number of APO-induced rotation in both 2 × 105 and 1 × 106 hNSCs group was significantly lower than that in 6-OHDA model group, respectively (p < 0.01 and p < 0.05) (Figure 2a). The rotations did not exhibit any significant differences between low-dose and high-dose hNSCs treatment group.

Behavior test of rats in all groups: (a) APO rotation test, (b) stepping test, and (c) open field test. **: p < 0.01, 6-OHDA group vs sham group; +: p < 0.05, 6-OHDA + 2 × 105 hNSCs group vs 6-OHDA group; ++: p < 0.01, 6-OHDA + 2 × 105 hNSCs group vs 6-OHDA group; #: p < 0.05, 6-OHDA + 1 × 106 hNSCs group vs 6-OHDA group; ##: p < 0.01, 6-OHDA + 1 × 106 hNSCs group vs 6-OHDA group.
3.3 Stepping test
There was a statistically significant difference observed in the number of steps between the PD model group and the sham group, with the former showing a lower count. At the 10th week, the number of steps observed in the 2 × 105 hNSCs treatment group was significantly greater than that in the 6-OHDA model group (p < 0.05). Moreover, there were also significant differences between 1 × 106 hNSCs treatment group and 6-OHDA model group at the 10th and 12th week after hNSCs administration (p < 0.05). At other time points, the differences were not significant (Figure 2b).
3.4 Open field test
Rats were filmed while freely moving in a square flat arena for 300 s and the path followed by the animals was tracked and analyzed. The total traveled distance of rats in the 6-OHDA group showed a trend of reduction compared to the sham group, but the difference did not reach statistical significance. The results did not show any significant differences in the traveled distance between hNSCs treatment group and 6-OHDA model group at all time points (Figure 2c).
3.5 Immunostaining of TH in the SN
Following the motor function test, we conducted immunohistochemical analysis to investigate the recovery of dopaminergic neurons in the SN using the TH antibody. The 6-OHDA injected animals showed significantly reduced TH intensity both in the injured and contralateral side of SN in comparison to the control rats. However, TH intensity was restored in the PD rats treated with 1 × 106 hNSCs (Figure 3).

Representative images of TH immunoreactivity in the SN from rats. The right side of each panel shows the injected effect of 6-OHDA. TH signal was not significantly different between the 6-OHDA + 2 × 105 hNSCs group and the 6-OHDA group (7.19 ± 1.35 vs 4.94 ± 0.67, p = 0.15), but was significantly higher in the 6-OHDA + 1 × 106 hNSCs group compared to that of the 6-OHDA group (25.19 ± 8.02 vs 4.94 ± 0.67, p < 0.05). n ≥ 3 in each group.
3.6 Levels of DA, DOPAC, 5-HIAA, and 5-HT in the striatum
HPLC was utilized to measure the contents of DA, DOPAC, 5-HIAA, and 5-HT in the injured side of striatum at the 12th week in all groups. As shown in Figure 4, the contents of DA, DOPAC, and 5-HT in the injured side of striatum in the 6-OHDA group exhibited a statistically significant reduction contrasted with the sham group (p < 0.01). The content of 5-HIAA showed a decreased trend but the difference did not meet the threshold for statistical significance. After hNSCs administration, the content of DA and DOPAC in the injured side were significantly increased in 1 × 106 hNSCs group, respectively, compared to those of the 6-OHDA group (p < 0.05). The content of 5-HIAA was significantly increased in the 2 × 105 hNSCs group, compared to that of the 6-OHDA group (p < 0.05).

Concentration of DA (a), DOPAC (b), 5-HIAA (c), and 5-HT (d) in the injured side of striatum. 6-OHDA: 6-hydroxydopamine; hNSCs: human neural stem cells; DA: dopamine; DOPAC: dihydroxyphenyl acetic acid; 5-HT: serotonin; 5-HIAA: 5-hydroxyindole-3-acetic acid. *: p < 0.05; **: p < 0.01.
4 Discussion
Recent studies have confirmed the feasibility and safety of employing NSCs clinically to manage various neurodegenerative conditions, including amyotrophic lateral sclerosis [19,20], spinal cord injury [21], Alzheimer’s disease [22,23], and Huntington’s disease [24,25]. Some studies have offered evidence to support the idea that the replacement of cells could have the ability to reverse the neurobehavioral symptoms in certain patients with neurodegenerative diseases [6,10,26,27]
In order to establish a stringent protocol before the clinical application of hNSCs, a clearly defined animal model of PD was employed in this study. The results of the APO-induced rotation test (Figure 2a) demonstrated that the rats injected with 6-OHDA had a pronounced turning behavior, indicating a significant impairment in the proper functioning of the brain’s dopamine-producing system in contrast to that of the sham group. Furthermore, the animals’ movement was also found to be impaired, as determined by the stepping test. As evaluated through neurobehavioral tests, significant enhancements in motor performance were observed in the PD animals following hNSCs treatment in comparison to the untreated PD group (Figure 2). In addition, treatment with hNSCs significantly increased the quantity of cells expressing TH in the SN of PD animals. Moreover, we found animals receiving 6-OHDA injection showed a significant reduction in the levels of DA, DOPAC, 5-HIAA, and 5-HT in the injured side of striatum when contrasted with sham group. However, administration of hNSCs led to a significant increase in levels of the neurotransmitter dopamine and its metabolite DOPAC in the injured side of the striatum (Figures 3 and 4). These results in the present study indicated that hNSCs significantly improve the motor behavior and increase the striatal dopamine in the rat model of PD.
There have been several preclinical studies that have demonstrated the potential of NSCs as a therapeutic option for PD [28–34]. The level of DA transporter immunoreactivity in the host brain tissue was found to be positively linked to the degree of functional recovery observed [35]. Simultaneous transplantation of NSCs overexpressing glial cell line-derived neurotrophic factor and fetal dopaminergic neurons was found to mitigate motor symptoms in a rat model of PD in one study [28]. The secretome of human NSCs was characterized in another study, which revealed that its application partially modulated DA neurons cell survival and improved the motor deficits of PD animals [30]. Qian et al. observed an increase in the suitability of host brain environments following the co-transplantation of NSCs overexpressing Nurr1 and microglia [32]. Using a high-throughput quantitative proteomic approach, Zuo et al. characterized the protein profiles of brain regions associated with PD in 6-OHDA-injected Parkinsonian mice, including the striatum, SN, olfactory bulb, and subventricular zone [33]. Human NSC-derived extracellular vesicles exhibited neuroprotective properties by decreasing reactive oxygen species and pro-inflammatory cytokines in an in vitro transwell system and a PD model [36]. Consistent with these findings, our current study validated that hNSCs significantly improved motor behavior and increased striatal dopamine levels in PD rats. Additionally, we evaluated the efficiency of varying doses of hNSCs and found that the impact of hNSCs on motor function was dependent on the dosage.
The underlying mechanisms of the hNSCs’ effects on PD are not fully understood. By replacing the lost dopaminergic neurons in the SN, hNSCs may restore the production of dopamine and improve the symptoms of PD [37–42]. hNSCs may also secrete neurotrophic factors, which are proteins that support the survival and expansion of neurons [43–45]. Neurotrophic factors may help protect and promote the growth of dopaminergic neurons in the SN, potentially slowing or halting the advancement of PD [33]. In addition, hNSCs may have immunomodulatory effects, meaning they can regulate the immune response in the brain [43]. PD is associated with inflammation in the brain, and hNSCs may be able to reduce this inflammation, leading to a reduction in the symptoms of the disease [46]. Finally, hNSCs may also have a neuroprotective effect. They may be able to protect existing neurons from further damage, potentially slowing the progression of the disease [30,47]. Human embryonic stem cell transplantation clinical trials for PD treatment are presently ongoing in Australia < NCT02452723 > [48] and China < NCT03119636 (Chinese ASZQ-003) > [49], and other trials are set to commence soon [50,51].
5 Conclusions
In conclusion, transplantation of hNSCs improves symptomatic motor behavior, prevents symptom progress, and increases striatal dopamine in a rat model of PD, which indicates that hNSCs have the possibility of being a preventive and therapeutic method for PD. Our study offers experimental evidence for the potential use of hNSCs in cell-based therapy for PD in clinical settings.
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Funding information: This project was supported by the funding of National Key R&D Program of China (2019YFA 0110102) and Jiangsu Provincial Medical Key Discipline (ZDXK202217).
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Author contributions: Fen Wang, Xiao-Yu Cheng, and Yu-Ting Zhang performed the experiments and analyzed the data. Fen Wang drafted the manuscript. Chun-Feng Liu, Quan-Hong Ma, and Qing-Ran Bai designed the experiments and supervised the project. Xiong-Fei Zhao, Xiao-Qi Zhang, and Xi-Cai Sun isolated and cultured the hNSCs. All authors were involved in data quantification and contributed to the manuscript revision.
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Conflict of interest Xiong-Fei Zhao, Xiao-Qi Zhang, and Xi-Cai Sun are employees of Shanghai Angecon Biotechnology Co., Ltd, Shanghai, China. They provided hNSCs, and are responsible for identifying the characteristics, purity, and differentiation of hNSCs in vitro. Remaining authors declare no conflicts of interest.
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Data availability statement: The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
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© 2024 the author(s), published by De Gruyter
This work is licensed under the Creative Commons Attribution 4.0 International License.
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Artikel in diesem Heft
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- Current state of research on copper complexes in the treatment of breast cancer
- Exploring antioxidant strategies in the pathogenesis of ALS
- Helicobacter pylori causes gastric dysbacteriosis in chronic gastritis patients
- IL-33/soluble ST2 axis is associated with radiation-induced cardiac injury
- The predictive value of serum NLR, SII, and OPNI for lymph node metastasis in breast cancer patients with internal mammary lymph nodes after thoracoscopic surgery
- Carrying SNP rs17506395 (T > G) in TP63 gene and CCR5Δ32 mutation associated with the occurrence of breast cancer in Burkina Faso
- P2X7 receptor: A receptor closely linked with sepsis-associated encephalopathy
- Probiotics for inflammatory bowel disease: Is there sufficient evidence?
- Identification of KDM4C as a gene conferring drug resistance in multiple myeloma
- Microbial perspective on the skin–gut axis and atopic dermatitis
- Thymosin α1 combined with XELOX improves immune function and reduces serum tumor markers in colorectal cancer patients after radical surgery
- Highly specific vaginal microbiome signature for gynecological cancers
- Sample size estimation for AQP4-IgG seropositive optic neuritis: Retinal damage detection by optical coherence tomography
- The effects of SDF-1 combined application with VEGF on femoral distraction osteogenesis in rats
- Fabrication and characterization of gold nanoparticles using alginate: In vitro and in vivo assessment of its administration effects with swimming exercise on diabetic rats
- Mitigating digestive disorders: Action mechanisms of Mediterranean herbal active compounds
- Distribution of CYP2D6 and CYP2C19 gene polymorphisms in Han and Uygur populations with breast cancer in Xinjiang, China
- VSP-2 attenuates secretion of inflammatory cytokines induced by LPS in BV2 cells by mediating the PPARγ/NF-κB signaling pathway
- Factors influencing spontaneous hypothermia after emergency trauma and the construction of a predictive model
- Long-term administration of morphine specifically alters the level of protein expression in different brain regions and affects the redox state
- Application of metagenomic next-generation sequencing technology in the etiological diagnosis of peritoneal dialysis-associated peritonitis
- Clinical diagnosis, prevention, and treatment of neurodyspepsia syndrome using intelligent medicine
- Case report: Successful bronchoscopic interventional treatment of endobronchial leiomyomas
- Preliminary investigation into the genetic etiology of short stature in children through whole exon sequencing of the core family
- Cystic adenomyoma of the uterus: Case report and literature review
- Mesoporous silica nanoparticles as a drug delivery mechanism
- Dynamic changes in autophagy activity in different degrees of pulmonary fibrosis in mice
- Vitamin D deficiency and inflammatory markers in type 2 diabetes: Big data insights
- Lactate-induced IGF1R protein lactylation promotes proliferation and metabolic reprogramming of lung cancer cells
- Meta-analysis on the efficacy of allogeneic hematopoietic stem cell transplantation to treat malignant lymphoma
- Mitochondrial DNA drives neuroinflammation through the cGAS-IFN signaling pathway in the spinal cord of neuropathic pain mice
- Application value of artificial intelligence algorithm-based magnetic resonance multi-sequence imaging in staging diagnosis of cervical cancer
- Embedded monitoring system and teaching of artificial intelligence online drug component recognition
- Investigation into the association of FNDC1 and ADAMTS12 gene expression with plumage coloration in Muscovy ducks
- Yak meat content in feed and its impact on the growth of rats
- A rare case of Richter transformation with breast involvement: A case report and literature review
- First report of Nocardia wallacei infection in an immunocompetent patient in Zhejiang province
- Rhodococcus equi and Brucella pulmonary mass in immunocompetent: A case report and literature review
- Downregulation of RIP3 ameliorates the left ventricular mechanics and function after myocardial infarction via modulating NF-κB/NLRP3 pathway
- Evaluation of the role of some non-enzymatic antioxidants among Iraqi patients with non-alcoholic fatty liver disease
- The role of Phafin proteins in cell signaling pathways and diseases
- Ten-year anemia as initial manifestation of Castleman disease in the abdominal cavity: A case report
- Coexistence of hereditary spherocytosis with SPTB P.Trp1150 gene variant and Gilbert syndrome: A case report and literature review
- Utilization of convolutional neural networks to analyze microscopic images for high-throughput screening of mesenchymal stem cells
- Exploratory evaluation supported by experimental and modeling approaches of Inula viscosa root extract as a potent corrosion inhibitor for mild steel in a 1 M HCl solution
- Imaging manifestations of ductal adenoma of the breast: A case report
- Gut microbiota and sleep: Interaction mechanisms and therapeutic prospects
- Isomangiferin promotes the migration and osteogenic differentiation of rat bone marrow mesenchymal stem cells
- Prognostic value and microenvironmental crosstalk of exosome-related signatures in human epidermal growth factor receptor 2 positive breast cancer
- Circular RNAs as potential biomarkers for male severe sepsis
- Knockdown of Stanniocalcin-1 inhibits growth and glycolysis in oral squamous cell carcinoma cells
- The expression and biological role of complement C1s in esophageal squamous cell carcinoma
- A novel GNAS mutation in pseudohypoparathyroidism type 1a with articular flexion deformity: A case report
- Predictive value of serum magnesium levels for prognosis in patients with non-small cell lung cancer undergoing EGFR-TKI therapy
- HSPB1 alleviates acute-on-chronic liver failure via the P53/Bax pathway
- IgG4-related disease complicated by PLA2R-associated membranous nephropathy: A case report
- Baculovirus-mediated endostatin and angiostatin activation of autophagy through the AMPK/AKT/mTOR pathway inhibits angiogenesis in hepatocellular carcinoma
- Metformin mitigates osteoarthritis progression by modulating the PI3K/AKT/mTOR signaling pathway and enhancing chondrocyte autophagy
- Evaluation of the activity of antimicrobial peptides against bacterial vaginosis
- Atypical presentation of γ/δ mycosis fungoides with an unusual phenotype and SOCS1 mutation
- Analysis of the microecological mechanism of diabetic kidney disease based on the theory of “gut–kidney axis”: A systematic review
- Omega-3 fatty acids prevent gestational diabetes mellitus via modulation of lipid metabolism
- Refractory hypertension complicated with Turner syndrome: A case report
- Interaction of ncRNAs and the PI3K/AKT/mTOR pathway: Implications for osteosarcoma
- Association of low attenuation area scores with pulmonary function and clinical prognosis in patients with chronic obstructive pulmonary disease
- Long non-coding RNAs in bone formation: Key regulators and therapeutic prospects
- The deubiquitinating enzyme USP35 regulates the stability of NRF2 protein
- Neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio as potential diagnostic markers for rebleeding in patients with esophagogastric variceal bleeding
- G protein-coupled receptor 1 participating in the mechanism of mediating gestational diabetes mellitus by phosphorylating the AKT pathway
- LL37-mtDNA regulates viability, apoptosis, inflammation, and autophagy in lipopolysaccharide-treated RLE-6TN cells by targeting Hsp90aa1
- The analgesic effect of paeoniflorin: A focused review
- Chemical composition’s effect on Solanum nigrum Linn.’s antioxidant capacity and erythrocyte protection: Bioactive components and molecular docking analysis
- Knockdown of HCK promotes HREC cell viability and inner blood–retinal barrier integrity by regulating the AMPK signaling pathway
- The role of rapamycin in the PINK1/Parkin signaling pathway in mitophagy in podocytes
- Laryngeal non-Hodgkin lymphoma: Report of four cases and review of the literature
- Clinical value of macrogenome next-generation sequencing on infections
- Overview of dendritic cells and related pathways in autoimmune uveitis
- TAK-242 alleviates diabetic cardiomyopathy via inhibiting pyroptosis and TLR4/CaMKII/NLRP3 pathway
- Hypomethylation in promoters of PGC-1α involved in exercise-driven skeletal muscular alterations in old age
- Profile and antimicrobial susceptibility patterns of bacteria isolated from effluents of Kolladiba and Debark hospitals
- The expression and clinical significance of syncytin-1 in serum exosomes of hepatocellular carcinoma patients
- A histomorphometric study to evaluate the therapeutic effects of biosynthesized silver nanoparticles on the kidneys infected with Plasmodium chabaudi
- PGRMC1 and PAQR4 are promising molecular targets for a rare subtype of ovarian cancer
- Analysis of MDA, SOD, TAOC, MNCV, SNCV, and TSS scores in patients with diabetes peripheral neuropathy
- SLIT3 deficiency promotes non-small cell lung cancer progression by modulating UBE2C/WNT signaling
- The relationship between TMCO1 and CALR in the pathological characteristics of prostate cancer and its effect on the metastasis of prostate cancer cells
- Heterogeneous nuclear ribonucleoprotein K is a potential target for enhancing the chemosensitivity of nasopharyngeal carcinoma
- PHB2 alleviates retinal pigment epithelium cell fibrosis by suppressing the AGE–RAGE pathway
- Anti-γ-aminobutyric acid-B receptor autoimmune encephalitis with syncope as the initial symptom: Case report and literature review
- Comparative analysis of chloroplast genome of Lonicera japonica cv. Damaohua
- Human umbilical cord mesenchymal stem cells regulate glutathione metabolism depending on the ERK–Nrf2–HO-1 signal pathway to repair phosphoramide mustard-induced ovarian cancer cells
- Electroacupuncture on GB acupoints improves osteoporosis via the estradiol–PI3K–Akt signaling pathway
- Renalase protects against podocyte injury by inhibiting oxidative stress and apoptosis in diabetic nephropathy
- Review: Dicranostigma leptopodum: A peculiar plant of Papaveraceae
- Combination effect of flavonoids attenuates lung cancer cell proliferation by inhibiting the STAT3 and FAK signaling pathway
- Renal microangiopathy and immune complex glomerulonephritis induced by anti-tumour agents: A case report
- Correlation analysis of AVPR1a and AVPR2 with abnormal water and sodium and potassium metabolism in rats
- Gastrointestinal health anti-diarrheal mixture relieves spleen deficiency-induced diarrhea through regulating gut microbiota
- Myriad factors and pathways influencing tumor radiotherapy resistance
- Exploring the effects of culture conditions on Yapsin (YPS) gene expression in Nakaseomyces glabratus
- Screening of prognostic core genes based on cell–cell interaction in the peripheral blood of patients with sepsis
- Coagulation factor II thrombin receptor as a promising biomarker in breast cancer management
- Ileocecal mucinous carcinoma misdiagnosed as incarcerated hernia: A case report
- Methyltransferase like 13 promotes malignant behaviors of bladder cancer cells through targeting PI3K/ATK signaling pathway
- The debate between electricity and heat, efficacy and safety of irreversible electroporation and radiofrequency ablation in the treatment of liver cancer: A meta-analysis
- ZAG promotes colorectal cancer cell proliferation and epithelial–mesenchymal transition by promoting lipid synthesis
- Baicalein inhibits NLRP3 inflammasome activation and mitigates placental inflammation and oxidative stress in gestational diabetes mellitus
- Impact of SWCNT-conjugated senna leaf extract on breast cancer cells: A potential apoptotic therapeutic strategy
- MFAP5 inhibits the malignant progression of endometrial cancer cells in vitro
- Major ozonated autohemotherapy promoted functional recovery following spinal cord injury in adult rats via the inhibition of oxidative stress and inflammation
- Axodendritic targeting of TAU and MAP2 and microtubule polarization in iPSC-derived versus SH-SY5Y-derived human neurons
- Differential expression of phosphoinositide 3-kinase/protein kinase B and Toll-like receptor/nuclear factor kappa B signaling pathways in experimental obesity Wistar rat model
- The therapeutic potential of targeting Oncostatin M and the interleukin-6 family in retinal diseases: A comprehensive review
- BA inhibits LPS-stimulated inflammatory response and apoptosis in human middle ear epithelial cells by regulating the Nf-Kb/Iκbα axis
- Role of circRMRP and circRPL27 in chronic obstructive pulmonary disease
- Investigating the role of hyperexpressed HCN1 in inducing myocardial infarction through activation of the NF-κB signaling pathway
- Characterization of phenolic compounds and evaluation of anti-diabetic potential in Cannabis sativa L. seeds: In vivo, in vitro, and in silico studies
- Quantitative immunohistochemistry analysis of breast Ki67 based on artificial intelligence
- Ecology and Environmental Science
- Screening of different growth conditions of Bacillus subtilis isolated from membrane-less microbial fuel cell toward antimicrobial activity profiling
- Degradation of a mixture of 13 polycyclic aromatic hydrocarbons by commercial effective microorganisms
- Evaluation of the impact of two citrus plants on the variation of Panonychus citri (Acari: Tetranychidae) and beneficial phytoseiid mites
- Prediction of present and future distribution areas of Juniperus drupacea Labill and determination of ethnobotany properties in Antalya Province, Türkiye
- Population genetics of Todarodes pacificus (Cephalopoda: Ommastrephidae) in the northwest Pacific Ocean via GBS sequencing
- A comparative analysis of dendrometric, macromorphological, and micromorphological characteristics of Pistacia atlantica subsp. atlantica and Pistacia terebinthus in the middle Atlas region of Morocco
- Macrofungal sporocarp community in the lichen Scots pine forests
- Assessing the proximate compositions of indigenous forage species in Yemen’s pastoral rangelands
- Food Science
- Gut microbiota changes associated with low-carbohydrate diet intervention for obesity
- Reexamination of Aspergillus cristatus phylogeny in dark tea: Characteristics of the mitochondrial genome
- Differences in the flavonoid composition of the leaves, fruits, and branches of mulberry are distinguished based on a plant metabolomics approach
- Investigating the impact of wet rendering (solventless method) on PUFA-rich oil from catfish (Clarias magur) viscera
- Non-linear associations between cardiovascular metabolic indices and metabolic-associated fatty liver disease: A cross-sectional study in the US population (2017–2020)
- Knockdown of USP7 alleviates atherosclerosis in ApoE-deficient mice by regulating EZH2 expression
- Utility of dairy microbiome as a tool for authentication and traceability
- Agriculture
- Enhancing faba bean (Vicia faba L.) productivity through establishing the area-specific fertilizer rate recommendation in southwest Ethiopia
- Impact of novel herbicide based on synthetic auxins and ALS inhibitor on weed control
- Perspectives of pteridophytes microbiome for bioremediation in agricultural applications
- Fertilizer application parameters for drip-irrigated peanut based on the fertilizer effect function established from a “3414” field trial
- Improving the productivity and profitability of maize (Zea mays L.) using optimum blended inorganic fertilization
- Application of leaf multispectral analyzer in comparison to hyperspectral device to assess the diversity of spectral reflectance indices in wheat genotypes
- Animal Sciences
- Knockdown of ANP32E inhibits colorectal cancer cell growth and glycolysis by regulating the AKT/mTOR pathway
- Development of a detection chip for major pathogenic drug-resistant genes and drug targets in bovine respiratory system diseases
- Exploration of the genetic influence of MYOT and MB genes on the plumage coloration of Muscovy ducks
- Transcriptome analysis of adipose tissue in grazing cattle: Identifying key regulators of fat metabolism
- Comparison of nutritional value of the wild and cultivated spiny loaches at three growth stages
- Transcriptomic analysis of liver immune response in Chinese spiny frog (Quasipaa spinosa) infected with Proteus mirabilis
- Disruption of BCAA degradation is a critical characteristic of diabetic cardiomyopathy revealed by integrated transcriptome and metabolome analysis
- Plant Sciences
- Effect of long-term in-row branch covering on soil microorganisms in pear orchards
- Photosynthetic physiological characteristics, growth performance, and element concentrations reveal the calcicole–calcifuge behaviors of three Camellia species
- Transcriptome analysis reveals the mechanism of NaHCO3 promoting tobacco leaf maturation
- Bioinformatics, expression analysis, and functional verification of allene oxide synthase gene HvnAOS1 and HvnAOS2 in qingke
- Water, nitrogen, and phosphorus coupling improves gray jujube fruit quality and yield
- Improving grape fruit quality through soil conditioner: Insights from RNA-seq analysis of Cabernet Sauvignon roots
- Role of Embinin in the reabsorption of nucleus pulposus in lumbar disc herniation: Promotion of nucleus pulposus neovascularization and apoptosis of nucleus pulposus cells
- Revealing the effects of amino acid, organic acid, and phytohormones on the germination of tomato seeds under salinity stress
- Combined effects of nitrogen fertilizer and biochar on the growth, yield, and quality of pepper
- Comprehensive phytochemical and toxicological analysis of Chenopodium ambrosioides (L.) fractions
- Impact of “3414” fertilization on the yield and quality of greenhouse tomatoes
- Exploring the coupling mode of water and fertilizer for improving growth, fruit quality, and yield of the pear in the arid region
- Metagenomic analysis of endophytic bacteria in seed potato (Solanum tuberosum)
- Antibacterial, antifungal, and phytochemical properties of Salsola kali ethanolic extract
- Exploring the hepatoprotective properties of citronellol: In vitro and in silico studies on ethanol-induced damage in HepG2 cells
- Enhanced osmotic dehydration of watermelon rind using honey–sucrose solutions: A study on pre-treatment efficacy and mass transfer kinetics
- Effects of exogenous 2,4-epibrassinolide on photosynthetic traits of 53 cowpea varieties under NaCl stress
- Comparative transcriptome analysis of maize (Zea mays L.) seedlings in response to copper stress
- An optimization method for measuring the stomata in cassava (Manihot esculenta Crantz) under multiple abiotic stresses
- Fosinopril inhibits Ang II-induced VSMC proliferation, phenotype transformation, migration, and oxidative stress through the TGF-β1/Smad signaling pathway
- Antioxidant and antimicrobial activities of Salsola imbricata methanolic extract and its phytochemical characterization
- Bioengineering and Biotechnology
- Absorbable calcium and phosphorus bioactive membranes promote bone marrow mesenchymal stem cells osteogenic differentiation for bone regeneration
- New advances in protein engineering for industrial applications: Key takeaways
- An overview of the production and use of Bacillus thuringiensis toxin
- Research progress of nanoparticles in diagnosis and treatment of hepatocellular carcinoma
- Bioelectrochemical biosensors for water quality assessment and wastewater monitoring
- PEI/MMNs@LNA-542 nanoparticles alleviate ICU-acquired weakness through targeted autophagy inhibition and mitochondrial protection
- Unleashing of cytotoxic effects of thymoquinone-bovine serum albumin nanoparticles on A549 lung cancer cells
- Erratum
- Erratum to “Investigating the association between dietary patterns and glycemic control among children and adolescents with T1DM”
- Erratum to “Activation of hypermethylated P2RY1 mitigates gastric cancer by promoting apoptosis and inhibiting proliferation”
- Retraction
- Retraction to “MiR-223-3p regulates cell viability, migration, invasion, and apoptosis of non-small cell lung cancer cells by targeting RHOB”
- Retraction to “A data mining technique for detecting malignant mesothelioma cancer using multiple regression analysis”
- Special Issue on Advances in Neurodegenerative Disease Research and Treatment
- Transplantation of human neural stem cell prevents symptomatic motor behavior disability in a rat model of Parkinson’s disease
- Special Issue on Multi-omics
- Inflammasome complex genes with clinical relevance suggest potential as therapeutic targets for anti-tumor drugs in clear cell renal cell carcinoma
- Gastroesophageal varices in primary biliary cholangitis with anti-centromere antibody positivity: Early onset?