Discovery Offers New Hope For Spinal Cord Injury Repair

Summary: V2a interneurons could potentially repair spinal cord injuries, researchers report.

Source: Gladstone Institute.

Gladstone scientists are the first to produce a type of stem cell-derived neuron that could potentially help restore movement.

Scientists at the Gladstone Institutes created a special type of neuron from human stem cells that could potentially repair spinal cord injuries. These cells, called V2a interneurons, transmit signals in the spinal cord to help control movement. When the researchers transplanted the cells into mouse spinal cords, the interneurons sprouted and integrated with existing cells.

V2a interneurons relay signals from the brain to the spinal cord, where they ultimately connect with motor neurons that project out to the arms and legs. The interneurons cover long distances, projecting up and down the spinal cord to initiate and coordinate muscle movement, as well as breathing. Damage to V2a interneurons can sever connections between the brain and the limbs, which contributes to paralysis following spinal cord injuries.

“Interneurons can reroute after spinal cord injuries, which makes them a promising therapeutic target,” said senior author Todd McDevitt, PhD, a senior investigator at Gladstone. “Our goal is to rewire the impaired circuitry by replacing damaged interneurons to create new pathways for signal transmission around the site of the injury.”

Several clinical trials are testing cell replacement therapies to treat spinal cord injuries. Most of these trials involve stem cell-derived neural progenitor cells, which can turn into several different types of brain or spinal cord cells, or oligodendrocyte progenitor cells, which create the myelin sheaths that insulate and protect nerve cells. However, these approaches either do not attempt or cannot reliably produce the specific types of adult spinal cord neurons, such as V2a interneurons, that project long distances and rebuild the spinal cord.

In the current study, published in the Proceedings of the National Academy of Sciences, the researchers produced V2a interneurons from human stem cells for the first time. They identified a cocktail of chemicals that gradually coaxed the stem cells to develop from spinal cord progenitor cells to the desired V2a interneurons. By adjusting the amounts of three of the chemicals and when each one was added, the scientists refined their recipe to create large amounts of V2a interneurons from stem cells.

“Our main challenge was to find the right timing and concentration of the signaling molecules that would yield V2a interneurons instead of other neuronal cell types, such as motor neurons,” said first author Jessica Butts, a graduate student in the McDevitt lab. “We used our knowledge of how the spinal cord develops to identify the right combination of chemicals and to improve our procedure to give us the highest concentration of V2a interneurons.”

Image shows person made up of dna double helixes.
Several clinical trials are testing cell replacement therapies to treat spinal cord injuries. Most of these trials involve stem cell-derived neural progenitor cells, which can turn into several different types of brain or spinal cord cells, or oligodendrocyte progenitor cells, which create the myelin sheaths that insulate and protect nerve cells. NeuroscienceNews.com image is for illustrative purposes only.

Working in collaboration with Linda Noble, PhD, at the University of California, San Francisco (UCSF), the scientists transplanted the V2a interneurons into the spinal cords of healthy mice. In their new environment, the cells matured appropriately and integrated with existing spinal cord cells. Importantly, the mice moved normally after the interneurons were transplanted and showed no signs of impairment.

“We were very encouraged to see that the transplanted cells sprouted long distances in both directions–a key characteristic of V2a interneurons — and that they started to connect with the relevant host neurons,” said co-author Dylan McCreedy, PhD, a postdoctoral scholar at Gladstone.

The researchers say their next step is to transplant the cells into mice with spinal cord injuries to see if the V2a interneurons can help to restore movement after damage has occurred. They are also interested in exploring the potential role of these cells in models of neurodegenerative movement disorders such as amyloid lateral sclerosis.

About this neuroscience research article

Other Gladstone scientists on the study include Nik Mendoza-Camacho, Tracy Hookway, Casey Gifford, and Praveen Taneja. Researchers from University of California, Berkeley and UCSF also took part in the study.

Funding: Funding was provided by the California Institute of Regenerative Medicine, the National Science Foundation, the UCSF Alvera Kan Endowed Chair, the Howard Hughes Medical Institute, and the Damon Runyon Cancer Research Foundation.

Source: Julie Langelier – Gladstone Institute
Image Source: NeuroscienceNews.com image is in the public domain.
Original Research: Abstract for “Differentiation of V2a interneurons from human pluripotent stem cells” by Jessica C. Butts, Dylan A. McCreedy, Jorge Alexis Martinez-Vargas, Frederico N. Mendoza-Camacho, Tracy A. Hookway, Casey A. Gifford, Praveen Taneja, Linda Noble-Haeusslein, and Todd C. McDevitt in PNAS. Published online April 24 2017 doi:10.1073/pnas.1608254114

Cite This NeuroscienceNews.com Article

[cbtabs][cbtab title=”MLA”]Gladstone Institute “Discovery Offers New Hope For Spinal Cord Injury Repair.” NeuroscienceNews. NeuroscienceNews, 24 April 2017.
<https://neurosciencenews.com/sci-stem-cell-neurons-6494/>.[/cbtab][cbtab title=”APA”]Gladstone Institute (2017, April 24). Discovery Offers New Hope For Spinal Cord Injury Repaire. NeuroscienceNew. Retrieved April 24, 2017 from https://neurosciencenews.com/sci-stem-cell-neurons-6494/[/cbtab][cbtab title=”Chicago”]Gladstone Institute “Discovery Offers New Hope For Spinal Cord Injury Repair.” https://neurosciencenews.com/sci-stem-cell-neurons-6494/ (accessed April 24, 2017).[/cbtab][/cbtabs]


Abstract

Differentiation of V2a interneurons from human pluripotent stem cells

The spinal cord consists of multiple neuronal cell types that are critical to motor control and arise from distinct progenitor domains in the developing neural tube. Excitatory V2a interneurons in particular are an integral component of central pattern generators that control respiration and locomotion; however, the lack of a robust source of human V2a interneurons limits the ability to molecularly profile these cells and examine their therapeutic potential to treat spinal cord injury (SCI). Here, we report the directed differentiation of CHX10+ V2a interneurons from human pluripotent stem cells (hPSCs). Signaling pathways (retinoic acid, sonic hedgehog, and Notch) that pattern the neural tube were sequentially perturbed to identify an optimized combination of small molecules that yielded ∼25% CHX10+ cells in four hPSC lines. Differentiated cultures expressed much higher levels of V2a phenotypic markers (CHX10 and SOX14) than other neural lineage markers. Over time, CHX10+ cells expressed neuronal markers [neurofilament, NeuN, and vesicular glutamate transporter 2 (VGlut2)], and cultures exhibited increased action potential frequency. Single-cell RNAseq analysis confirmed CHX10+ cells within the differentiated population, which consisted primarily of neurons with some glial and neural progenitor cells. At 2 wk after transplantation into the spinal cord of mice, hPSC-derived V2a cultures survived at the site of injection, coexpressed NeuN and VGlut2, extended neurites >5 mm, and formed putative synapses with host neurons. These results provide a description of V2a interneurons differentiated from hPSCs that may be used to model central nervous system development and serve as a potential cell therapy for SCI.

“Differentiation of V2a interneurons from human pluripotent stem cells” by Jessica C. Butts, Dylan A. McCreedy, Jorge Alexis Martinez-Vargas, Frederico N. Mendoza-Camacho, Tracy A. Hookway, Casey A. Gifford, Praveen Taneja, Linda Noble-Haeusslein, and Todd C. McDevitt in PNAS. Published online April 24 2017 doi:10.1073/pnas.1608254114

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