Clinical safety of computed tomography-guided injection of autologous muscle-derived mesenchymal stem cells in the intervertebral disc in dogs.

Background: Pre-clinical randomized controlled animal trials have been conducted to evaluate the effect of mesenchymal stem cell (MSCs) transplantation on intervertebral disc (IVD) degeneration. MSCs can be obtained from different tissues, but systematic studies concerning the effects of muscle-derived MSCs injections on canine naturally degenerated IVD are still lacking. The aim of this study is the assessment of the clinical safety of this technique and its effects on the imaging features of the lumbosacral IVD. Methods: Eight adult healthy Beagle dogs were used in this study. In the preliminary phase, viability of muscle-derived MSCs in presence of contrast medium was assessed. In the clinical assessment phase, MSCs were injected in the lumbosacral IVD by computed-tomography (CT) guidance, after the injection of contrast medium to assess the correct intradiscal needle position. Regular clinical examinations were performed and pre- and post-injections (CT) and magnetic resonance imaging (MRI) features of the IVD were assessed. Results: The percentage of viability of MSCs in the presence of contrast medium ranged from 90 to 98%. 3x106 MSCs were obtained from six dogs and injected in the IVD. No major or minor complications were reported during the procedure and no abnormalities were noticed during the clinical examinations. No statistically significant variations were noticed between the pre- and post-injections imaging features. Conclusion: This technique is clinically safe and it is not associated with any progression of the IVD degeneration, detected by CT and MRI imaging.

Molecular identification and pathology of Anisakis pegreffii (Nematoda: Anisakidae) infection in the Mediterranean loggerhead sea turtle (Caretta caretta).

Nematodes of genus Anisakis spp. parasitize a wide range of marine hosts with marine mammals (mainly cetaceans) serving as definitive hosts, while fish, squid and other invertebrates serve as paratenic or intermediate hosts. Sea turtles can act as accidental or paratenic hosts for Anisakis spp. larvae, harbouring third-stage larvae unable to complete their life cycle in an ectothermic vertebrate. Post-mortem examination of 96 loggerhead sea turtles (Caretta caretta) stranded along the Italian coast of the Mediterranean Sea showed infection by Anisakis larvae Type I from 4 of 6 locations that were identified as belonging to Anisakis pegreffii by sequence analyses of the mtDNA cox2. Thirteen turtles (11 males and 2 females) were infected with A. pegreffii. Larvae were detected through gross necroscopy from 7 turtles, while in other 6 positive loggerhead sea turtles A. pegreffii larvae were revealed by histopathology. Pathological changes associated with A. pegreffii larvae in the stomach and intestine included necrosis and granulomatous response compatible with larvae migration. The role of the loggerhead sea turtle as an accidental host in the life cycle of this nematode is also discussed. This study is the first description of pathological changes associated with A. pegreffii in a sea turtle.