Transplant of cultured neuron-like differentiated chromaffin cells in a Parkinson's disease patient.: A preliminary report

被引:20
作者
Drucker-Colín, R
Verdugo-Díaz, L
Morgado-Valle, C
Solís-Maldonado, G
Ondarza, R
Boll, C
Miranda, G
Wang, GJ
Volkow, N
机构
[1] Univ Nacl Autonoma Mexico, Fac Med, Dept Fisiol, Mexico City 04510, DF, Mexico
[2] Univ Nacl Autonoma Mexico, Dept Neurociencias, Inst Fisiol Celular, Mexico City 04510, DF, Mexico
[3] Hosp Cent Sur PEMEX, Serv Neurocirugia, Mexico City, DF, Mexico
[4] Inst Nacl Neurol & Neurocirugia Manuel Velasco Su, Div Neurocirugia, Mexico City, DF, Mexico
[5] Inst Nacl Neurol & Neurocirugia Manuel Velasco Su, Dept Psicol, Mexico City, DF, Mexico
[6] Brookhaven Natl Lab, Dept Med, Upton, NY 11973 USA
关键词
differentiation; magnetic fields; Parkinson's disease; chromaffin cells; PET scan;
D O I
10.1016/S0188-0128(98)00007-4
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Background. Treatment of Parkinson's Disease (PD) has been attempted by others by transplanting either the patient's own adrenal medullary tissue or fetal substantia nigra into caudate or putamen areas. However, the difficulties inherent in using the patient's own adrenal gland, or the difficulty in obtaining human fetal tissue, has generated the need to find alternative methods. Methods. We report here of an alternative to both procedures by using as transplant material cultured human adrenal chromaffin cells differentiated into neuron-like cells by extremely low frequency magnetic fields (ELF MF). Results. The results of this study show that human differentiated chromaffin cells can be grafted into the caudate nucleus of a PD patient, generating substantial clinical improve ment, as measured by the Unified Rating Scale for PD, which correlated with glucose metabolism and D-2 DA receptor increases as seen in a PET scan, while allowing a 70% decrease in L-Dopa medication. Discussion. This is the first preliminary report showing that transplants of cultured differentiated neuron-like cells can be successfully used to treat a PD patient. (C) 1999 IMSS. Published by Elsevier Science Inc.
引用
收藏
页码:33 / 39
页数:7
相关论文
共 48 条
[1]   ADRENAL-MEDULLARY TRANSPLANTATION TO THE CAUDATE-NUCLEUS IN PARKINSONS-DISEASE - INITIAL CLINICAL-RESULTS IN 18 PATIENTS [J].
ALLEN, GS ;
BURNS, RS ;
TULIPAN, NB ;
PARKER, RA .
ARCHIVES OF NEUROLOGY, 1989, 46 (05) :487-491
[2]  
AsanteKorang A, 1996, J HEART LUNG TRANSPL, V15, P415
[3]   TRANSPLANTATION OF ADRENAL-MEDULLARY TISSUE TO STRIATUM IN PARKINSONISM - 1ST CLINICAL-TRIALS [J].
BACKLUND, EO ;
GRANBERG, PO ;
HAMBERGER, B ;
KNUTSSON, E ;
MARTENSSON, A ;
SEDVALL, G ;
SEIGER, A ;
OLSON, L .
JOURNAL OF NEUROSURGERY, 1985, 62 (02) :169-173
[4]  
BAKAY RAE, 1990, PROG BRAIN RES, V82, P603
[5]  
BAKAY RAE, 1993, ACTA NEUROCHIR, P8
[6]   RE-INNERVATION OF THE DENERVATED STRIATUM BY SUBSTANTIA NIGRA TRANSPLANTS - FUNCTIONAL CONSEQUENCES AS REVEALED BY PHARMACOLOGICAL AND SENSORIMOTOR TESTING [J].
BJORKLUND, A ;
DUNNETT, SB ;
STENEVI, U ;
LEWIS, ME ;
IVERSEN, SD .
BRAIN RESEARCH, 1980, 199 (02) :307-333
[7]  
BOYER KL, 1995, NEUROSURG CLIN N AM, V6, P113
[8]  
Chung CK, 1996, NEUROL SURG TOKYO, V24, P987
[9]   Histological evidence of fetal pig neural cell survival after transplantation into a patient with Parkinson's disease [J].
Deacon, T ;
Schumacher, J ;
Dinsmore, J ;
Thomas, C ;
Palmer, P ;
Kott, S ;
Edge, A ;
Penney, D ;
Kassissieh, S ;
Dempsey, P ;
Isacson, O .
NATURE MEDICINE, 1997, 3 (03) :350-353
[10]   Long-term outcome of unilaterally transplanted Parkinsonian patients .1. Clinical approach [J].
Defer, GL ;
Geny, C ;
Ricolfi, F ;
Fenelon, G ;
Monfort, JC ;
Remy, P ;
Villafane, G ;
Jeny, R ;
Samson, Y ;
Keravel, Y ;
Gaston, A ;
Degos, JD ;
Peschanski, M ;
Cesaro, P ;
Nguyen, JP .
BRAIN, 1996, 119 :41-50