Bone marrow cells migrate to the heart and skeletal muscle and participate in tissue repair after Trypanosoma cruzi infection in mice.

Infection by Trypanosoma cruzi, the aetiological agent of Chagas disease, causes an intense inflammatory reaction in several tissues, including the myocardium. We have previously shown that transplantation of bone marrow cells (BMC) ameliorates the myocarditis in a mouse model of chronic Chagas disease. We investigated the participation of BMC in lesion repair in the heart and skeletal muscle, caused by T. cruzi infection in mice. Infection with a myotropic T. cruzi strain induced an increase in the percentage of stem cells and monocytes in the peripheral blood, as well as in gene expression of chemokines SDF-1, MCP1, 2, and 3 in the heart and skeletal muscle. To investigate the fate of BMC within the damaged tissue, chimeric mice were generated by syngeneic transplantation of green fluorescent protein (GFP(+) ) BMC into lethally irradiated mice and infected with Trypanosoma cruzi. Migration of GFP(+) BMC to the heart and skeletal muscle was observed during and after the acute phase of infection. GFP(+) cardiomyocytes and endothelial cells were present in heart sections of chimeric chagasic mice. GFP(+) myofibres were observed in the skeletal muscle of chimeric mice at different time points following infection. In conclusion, BMC migrate and contribute to the formation of new resident cells in the heart and skeletal muscle, which can be detected both during the acute and the chronic phase of infection. These findings reinforce the role of BMC in tissue regeneration.

Granulocyte colony-stimulating factor treatment in chronic Chagas disease: preservation and improvement of cardiac structure and function.

This study investigates the effects of granulocyte colony-stimulating factor (G-CSF) therapy in experimental chronic chagasic cardiomyopathy. Chagas disease is one of the leading causes of heart failure in Latin America and remains without an effective treatment other than cardiac transplantation. C57BL/6 mice were infected with 10(3) trypomastigotes of Trypanosoma cruzi, and chronic chagasic mice were treated with G-CSF or saline (control). Evaluations following treatment were functional, immunological, and histopathological. Comparing hearts of G-CSF-treated mice showed reduced inflammation and fibrosis compared to saline-treated chagasic mice. G-CSF treatment did not alter the parasite load but caused an increase in the number of apoptotic inflammatory cells in the heart. Cardiac conductance disturbances in all infected animals improved or remained stable due to the G-CSF treatment, whereas all of the saline-treated mice deteriorated. The distance run on a treadmill and the exercise time were significantly greater in G-CSF-treated mice when compared to chagasic controls, as well as oxygen consumption (VO(2)), carbon dioxide production (VCO(2)), and respiratory exchange ration (RER) during exercise. Administration of G-CSF in experimental cardiac ischemia had beneficial effects on cardiac structure, which were well correlated with improvements in cardiac function and whole animal performance.

ß-Cyclodextrin complex improves the bioavailability and antitumor potential of cirsiliol, a flavone isolated from Leonotis nepetifolia (Lamiaceae).

Cirsiliol is a flavone found in many Lamiaceae species with high cytotoxic activity against tumor cell lines. Although cirsiliol is being used in cancer therapy, its pharmacological potential is limited by its low solubility and bioavailability. In this paper, a cirsiliol-ß-cyclodextrin inclusion complex was developed in order to increase its solubility and bioavailability. The formation of inclusion complex was proved by scanning electron microscopy, Fourier-transform infrared spectroscopy (FTIR) and nuclear magnetic resonance (NMR) and solubility increment was verified through the ultraviolet-visible (UV-Vis) method. The cytotoxic effect against tumor cells (PC3, HCT-116 and HL-60 human cell lines, and S-180 murine cell line) and the antitumor activity in mice bearing sarcoma S-180 were also investigated. The inclusion complex was obtained with 71.45% of total recovery and solubility 2.1 times higher compared to the compound in its free form. This increment in solubility was responsible by a tumor growth inhibition potentiation (1.5 times greater compared to compound in its free form). In addition, this study showed that cirsiliol and its inclusion complex in ß-cyclodextrin have strong antitumor potential at low doses without promoting side effects commonly observed for conventional drugs as doxorubicin.

Clinical neurofunctional rehabilitation of a cat with spinal cord injury after hemilaminectomy and autologous stem cell transplantation.

Stem cell-based therapy has been investigated in a number of degenerative and traumatic diseases, including spinal cord injury. In the present study, we investigated the use of autologous mesenchymal stem cells in the functional rehabilitation of a domestic cat presenting a compressive L1-L5 fracture. Bone marrow cells collected by puncture of the iliac crest were cultured to obtain mesenchymal stem cells three weeks before surgery. Hemilaminectomy was performed, followed by injection of the mesenchymal stem cells in the injured area. Clinical evaluation of the animal prior to surgery showed absence of pain, muscular tonus, and panniculi reflexes. Seven days after surgery and cell transplantation the examination revealed a progressive recovery of the panniculus reflexes and of the responses to superficial and deep pain stimuli despite the low proprioceptive and hyperreflexic ataxic hind limbs. Physiotherapy protocols were applied for clinical rehabilitation after surgery. The cat's first steps, three-minute weight-bearing, and intestine and urinary bladder partial reestablishment were observed 75 days post-surgery. Our results indicate the therapeutic potential of mesenchymal stem cells in chronic spinal cord injuries.

Reversion of gene expression alterations in hearts of mice with chronic chagasic cardiomyopathy after transplantation of bone marrow cells.

Chronic chagasic cardiomyopathy is a leading cause of heart failure in Latin American countries, being associated with intense inflammatory response and fibrosis. We have previously shown that bone marrow mononuclear cell (BMC) transplantation improves inflammation, fibrosis, and ventricular diameter in hearts of mice with chronic Chagas disease. Here we investigated the transcriptomic recovery induced by BMC therapy by comparing the heart transcriptomes of control, chagasic, and BMC transplanted mice. Out of the 9390 unique genes quantified in all samples, 1702 had their expression altered in chronic chagasic hearts compared to those of normal mice. Major categories of significantly upregulated genes were related to inflammation, fibrosis and immune responses, while genes involved in mitochondrion function were downregulated. When BMC-treated chagasic hearts were compared to infected mice, 96% of the alterations detected in infected hearts were restored to normal levels, although an additional 109 genes were altered by treatment. Transcriptomic recovery, a new measure that considers both resotrative and side effects of treatment, was remarkably high (84%). Immunofluorescence and morphometric analyses confirmed the effects of BMC therapy in the pattern of inflammatory-immune response and expression of adhesion molecules. In conclusion, by using large-scale gene profiling for unbiased assessment of therapeutic efficacy we demonstrate immunomodulatory effects of BMC therapy in chronic chagasic cardiomyopathy and identify potentially relevant factors involved in the pathogenesis of the disease that may provide new therapeutic targets.

Avaliação da toxicidade de materiais endodônticos em células-tronco da polpa dentária / Toxicity evaluation of endodontic materials in dental pulp stem cells

O objetivo deste trabalho foi avaliar ao efeito citotóxico doHidróxido de Cálcio, Paramonoclorofenol Canforado, Otosporin eFormocresol diluído em células-tronco da polpa de dente permanentehumano (DPSC). As DPSC foram semeadas em placa decultura na concentração de 1,5X104 células/poço. Foram feitasdiluições das drogas em 1:9, 1:27 e 1:81 e deixadas em contatocom as células por 2 horas, sendo que o grupo controle foi mantidoem DMEM completo. As células foram lavadas com soluçãosalina duas vezes. Foram realizadas avaliações do metabolismo(MTT). Concluiu-se que o Hidróxido de Cálcio e o Otosporinforam as drogas menos tóxicas para as DPSC, enquanto que oParamonofenol Canforado e o Formocresol foram letais em todas asconcentrações.

The aim of this paper was analyze the cytotoxicity effect ofCalcium Hydroxide, Paramonoclorofenol Canforado, Otosporinand Formocresol deluded in dental pulp stem cells (DPSC).Material and Methods: DPSC were grown in 96 wells cultureplate in the concentration of 1.5 X104 cells per well. Dilutionsof drugs were as followed: 1:9, 1:27 and 1:81, and control withDPSC in DMEM. The cells were cultured for an additional 2hours. The cells were washed with bufferin saline solution for2 times and MTT test was performed. Results: The Ca(OH)2and Otosporin were the drugs less toxic to the DPSC, while theParamonophenol Canforated and formocresol were lethal in allconcentrations. Conclusions: all drugs tested were toxic to theDPSC.

Terapia celular na doença de Chagas: [revisão] / Cell therapy in Chagas' disease: [review]

A doença de Chagas, que ocorre no México e nas Américas Central e do Sul, continua representando um grave problema de saúde pública. A prevalência global da infecção humana pelo Trypanosoma cruzi foi estimada em 16-18 milhões de casos no ano de 2005, sendo corrigida para aproximadamente 28 milhões de pessoas no ano de 2007, segundo a Organização Mundial de Saúde. A cardiopatia chagásica crônica é a forma mais comum de cardiomiopatia nas Américas Central e do Sul e a principal causa de morte por doença cardiovascular em áreas endêmicas. Até o momento não existe nenhum tratamento eficiente para esta doença a não ser o tratamento farmacológico ou o transplante cardíaco nos indivíduos que desenvolvem um quadro mais grave da doença. Trabalhos atuais têm mostrado o uso de células-tronco de várias origens em modelos animais e humanos de doenças do coração, como infarto do miocárdio, destacando uma melhora em aspectos como neovascularização, regeneração do músculo cardíaco, aumento da fração de ejeção e melhora na qualidade de vida dos indivíduos tratados. Estes dados induziram os pesquisadores a investigar os efeitos terapêuticos do transplante de células mononucleares de medula óssea em um modelo murino e em indivíduos chagásicos crônicos. Esta revisão tem por objetivo mostrar os trabalhos realizados usando a terapia celular na cardiopatia chagásica crônica.

Chagas' disease occurs throughout Mexico, Central and South America and still represents a serious threat to public health. The overall prevalence of infection by Trypanosoma cruzi was estimated at 16-18 million cases in 2005 and updated to approximately 28 million people in 2007, according to the World Health Organization. Chronic Chagas heart disease is the most common form of cardiomyopathy in Central and South America and one of the leading causes of death from cardiovascular disease in endemic areas. So far, there is no effective treatment for this disease except for heart transplantation in individuals who develop a more severe form the disease. Recent works have shown that the use of stem cells from various sources tested in animal models and in human heart diseases, including myocardial infarction, have resulted in an improvement in aspects such as vascularization, regeneration of the heart muscle, in ejection fraction and in quality of life of individuals treated. These data led researchers to investigate the effects of transplantation of bone marrow mononuclear cells in muriine models and chronic chagasic individuals. The present review aims to show the work carried out using cell therapy in chronic Chagas heart disease.

Transplanted bone marrow cells repair heart tissue and reduce myocarditis in chronic chagasic mice.

A progressive destruction of the myocardium occurs in approximately 30% of Trypanosoma cruzi-infected individuals, causing chronic chagasic cardiomyopathy, a disease so far without effective treatment. Syngeneic bone marrow cell transplantation has been shown to cause repair and improvement of heart function in a number of studies in patients and animal models of ischemic cardiopathy. The effects of bone marrow transplant in a mouse model of chronic chagasic cardiomyopathy, in the presence of the disease causal agent, ie, the T. cruzi, are described herein. Bone marrow cells injected intravenously into chronic chagasic mice migrated to the heart and caused a significant reduction in the inflammatory infiltrates and in the interstitial fibrosis characteristics of chronic chagasic cardiomyopathy. The beneficial effects were observed up to 6 months after bone marrow cell transplantation. A massive apoptosis of myocardial inflammatory cells was observed after the therapy with bone marrow cells. Transplanted bone marrow cells obtained from chagasic mice and from normal mice had similar effects in terms of mediating chagasic heart repair. These results show that bone marrow cell transplantation is effective for treatment of chronic chagasic myocarditis and indicate that autologous bone marrow transplant may be used as an efficient therapy for patients with chronic chagasic cardiomyopathy.