Journal of Behavioral and Brain Science, 2013, 3, 156-161 http://dx.doi.org/10.4236/jbbs.2013.31015 Published Online February 2013 (http://www.scirp.org/journal/jbbs) Effect of BDNF and Adipose Derived Stem Cells Transplantation on Cognitive Deficit in Alzheimer Model of Rats Parvin Babaei1,2, Bahram Soltani Tehrani1,3 1Cellular and Molecular Research Center, Guilan University of Medical Science, Rasht, Iran 2Department of Physiology, Guilan University of Medical science, Rasht, Iran 3Department of Pharmacology, Guilan University of Medical science, Rasht, Iran Email: p_babaei@gums.ac.ir, bahram_s_t@yahoo.com Received August 29, 2012; revised September 29, 2012; accepted October 19, 2012 ABSTRACT In this study, the potential for recovery mediated by co-treatment of brain-derived neurotrophic factor (BDNF) and adipose tissue derived stem cells (ASCs) on functional recovery after Ibotenic acid (Ibo) lesion of the nucleus basalis magnocellularis (NBM) was examined. Ibotenic acid was injected bilaterally into the NBM of experimental rats, then the animals received treatments as follows: ASCs (500 × 103), BDNF (5 ug/ul) and a combination of BDNF and ASCs. Two months after the treatment, cognitive recovery was assessed by the Morris water-maze. These results showed that ASCs transplantation may have therapeutic value in disease and conditions that result in memory loss, and co-treatment with BDNF doesn’t offer more efficacious cognitive function. Keywords: Alzheimer’s Disease; Adipose Stem Cells; Brain-Derived Neurotrophic Factor; Learning and Memory 1. Introduction Alzheimer’s disease (AD) is a progressive dementia as- sociated with cholinergic cell deterioration in the nucleus of Meynert, which results in the loss of cognitive func- tions [1,2]. In AD, the severity of cognitive deficits cor- relates with synaptic loss in cholinergic neurons supply- ing neocortex and hippocampus [3]. Although adult brain has limited regenerative capabil- ity, to devise a method for manipulating and reimplanting neural stem cells is difficult. Stem cell therapy is one of the most interesting approaches for the treatment of neu- rodegenerative diseases. Our previous work showed that infusion of bone marrow mesenchymal stem cells in Al- zheimer model of rats lead to improve learning and me- mory ability [4]. Recent studies have raised the possibil- ity that adipose derived stem cells (ASCs) could be a good candidate for brain repair, due to their accessibility [5], and potency to differentiate into neurons [6,7]. However the main problem in stem cells transplantation strategy is how to improve cell survival in vivo. It has been known that the migration of stem cells is controlled by a set of special genes introducing the neurotrophic growth factors [8]. Studies show that BDNF, a member of the neurotro- phin family, which is wildly expressed in adult brain ar- eas, prevents neuronal degeneration during development [9] and promotes in vivo neurogenesis in adult forebrain [10]. A new strategy on manipulating components of the niche that facilitates cross-talk between stem cells and the dysfunctional brain may offer more efficacious neu- rotransplantation [11]. The hypothesis that BDNF pro- motes survival and differentiation of grafted neural stem cells [12,13] triggered us to investigate whether the co- treatment of BDNF with adipose stem cells increases the effects of transplanted cells in restoring cognitive deficit. Since the ultimate goal for cell therapy is functionality and few studies have examined a cognitive endpoint, here we focused on changes in learning and memory recovery. 2. Materials & Methods 2.1. Animals Fifty-seven male Wistar rats weighing 250 - 300 g were used for this study. Animals were housed with free ac- cess to food and water in a 12-h light/dark cycle and con- stant temperature. All procedures concerning animal care were in accordance with Guilan University of Medical Sciences ethical committee article (DEC No. 2719). 2.2. Surgical Procedures & Behavioral Test To establish the AD animal model, we infused Ibotenic acid into the nucleus basalis magnocellularis. On the day of surgery, the animals were anesthetized with ketamine/ C opyright © 2013 SciRes. JBBS
P. BABAEI, B. S. TEHRANI 157 xylazine (50 mg/kg, i.p.) and placed in a computerized stereotaxic apparatus (Neurostar, Germany). The incisor bar was set at: −1.14 mm posterior and ±2.46 mm lateral to the bregma and 7.9 below the top of the skull to reach the nucleus basalis magnocellularis [14], then guide can- nula was implanted bilaterally for further infusions. Rats received bilateral infusions of 0.5 ul or Ibotenic acid (10 ug/ul) using a 5 ul Hamilton syringe. After 14 days, rats were tested in the Morris Water Maze (MWM) in order to test learning ability. Animals who showed memory impairment were distributed into 4 groups: IBO + BDNF (5 ug/ul), IBO+ASCs (500 × 103 cells), IBO + (ASCs/ BDNF) and IBO+PBS. The control intact animals re- ceived only PBS. BDNF infusion was repeated twice for two weeks after the initiation of treatment in BDNF-re- ceiving groups. The Morris water maze [15] consisted of a black pool (148 cm diameter) filled with water (26˚C ± 2˚C). A cir- cular black platform was submerged 2 cm below the water surface, in the middle of the target quadrant. The behavior of the rats in the pool could be tracked with a camera connected to Ethovision system (Noldus, EX 6.1, Netherlands) allowing us to measure swim speed, dis- tance and latency to find the platform. Rats were trained with a protocol of four trials per day, with an interval of 20 min, for 5 consecutive days. A probe trial was admi- nistered on the fifth day, when each subject was placed into the water diagonally opposite the target quadrant, and allowed 90 s to search the water, from which the platform had been removed. 2.3. Adipose Stem Cells Isolation and Culture Adipose tissue was obtained from the abdomen. One gram adipose tissue was incubated with 1.5 mg collage- nase type II in 10 ml saline at 37˚C for one hour. Di- gested adipose tissues were centrifuged for ten minutes at 1500 rpm, and pellets were washed with 10 ml and plated in 25 ml cultured flask containing DMEM, 10% FBS and antibiotics. Then cells were incubated at 37˚C in a humi- dified atmosphere containing 95% air and 5% CO2. On reaching confluency, the adherent cells were detached by 0.05% trypsin and 0.02% EDTA for 5 min at 37˚C, har- vested and washed with DMEM and 10% FBS and fi- nally resuspended in complete medium. After 2 - 3 pas- sages, the morphologically homogeneous population of ASCs was analyzed for the expression of cell surface molecules using histology staining. Flow cytometry test was used for detecting stem cells markers of CD44, CD 105, CD90 according to standard protocols [5]. Cell sus- pensions with viability more than 90%, were made at a density of 500 × 103 cells/μl and were kept on ice to op- timize cell viability until infusion. 2.4. Statistical Analysis The data is expressed as means ± SEM. Group differ- ences in the escape latency in the Morris water maze probe task were analyzed using one-way analysis of va- riance (ANOVA) followed by Tukey’s post hoc test. The repeated ANOVA measure for multiple group compa- rison was used to analyze group differences of the data collected during the training days. 3. Results Adipose stem cells were successfully culture-expanded and a morphologically homogeneous population of fibro- blast-like cells was seen after 14 days. Flow cytometry analysis showed uniformly positive stem cells for CD44, CD105, CD90 as shown in Figure 1. Since the ultimate measure of stem cells transplanta- tion into the brain is functionality, we tested animals two months after transplantation. As seen in Figure 2, there was no initial difference between treated animals during the first days of acquisition in the Morris water maze. Treated rats acquired the task rapidly in all groups, and latency to escape diminished over time (p < 0.001). Since the experimental groups didn’t differ in swim speed (Ibo: 22 ± 0.6 cm/s, cell/BDNF: 22.7 ± 0.4 cm/s, ASCs: 21.8 ± 0.93, F (4, 170) = 0.85, p > 0.05), we used latency to find the platform as an indicator of learning performance. The improvement in acquisition was found in ASCs-trans- planted group across trials (F9,387 = 91.3; p < 0.0001). Cell transplanted rats spent shorter time (11.3 ± 0.9 sec; Figures 3 and 5) to reach the platform in probe test, and also spent more time in the target quadrant (25 ± 1.34 sec; Figure 4) compared to other treated groups, except unle- sioned control group. There was no statistical difference in the ability of learning and memory between BDNF and Ibo + PBS (p = 0.13); however, the BDNF group showed better perform- ance (Figure 2). Although water maze acquisition was improved by adipose stem cells transplantation, but none of the treated groups reached to the level of the naive group (Figure 2). 4. Discussion In the present study, the transplanted group showed an improvement in learning performance, indicating effec- tiveness of ASCs in restoring learning capability of AD animals two months after transplantation. This finding is in agreement with the results of similar studies on bone marrow mesenchymal stem cells [4], neural stem cells [13,16], and umbilical cord blood stem cells transplanta- tion in AD animals [17]. Although the mechanisms of recovery are not completely understood, a first explana- tion could be the capacity of ASCs to dif ferentiate into Copyright © 2013 SciRes. JBBS
P. BABAEI, B. S. TEHRANI 158 CD 105 80 70 60 50 40 30 20 10 0 0 1023 0 1023 0 1023 0 1023 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 FSC-H SSC-H FL1-H FL2-H FL2- FL2- FL3-H 0 256 Events 0 256 Events Acquisition test PBS CD 44 0 1023 0 1023 0 1023 0 1023 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 FSC-H SSC-H FL1-H FL2-H FL2-W FL2- FL3-H 0 512 Events 0 512 Events CD 90 0 1023 0 1023 0 1023 0 1023 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 FSC-H SSC-H FL1-H FL2-H FL2-W FL2- FL3-H 0 256 Events 0 256 Events Figure 1. Flow cytometric analysis of ASCs indicated cell surface phenotype characteristic CD44, CD90, CD105. the new cholinergic neurons to compensate cholinergic deficit. The potency of these cells to differentiate into the neuron has been reported in previous studies [3,6]. How- ever we cannot exclude the possibility that stem cells may provide therapeutic effects by keeping the integrity of neurons through exerting protective chaperone effect [12,18] or neurochemical modulation. Moreover, we showed that infusion of recombinant Esca e latenc sec Ibo+PBS Ibo+Cell Ib o+C e l l + BDNF Ibo+BDNF day1 day2 day3 day4 Figure 2. The ability of spatial learning in MWM. PBS con- trol (n = 13), Ibo + PBS (n = 10), IBO + BDNF (n = 8), IBO + ASCs (n = 14), IBO + (ASCs + BDNF, n = 8) *p < 0.01, **p < 0.001 compared with Ibo + group. 100 90 80 70 60 50 40 30 20 10 0 Prob tril performance Latency to platform (sec) PBS Ibo+PBS Ibo+Cell Ibo+BDNF + Cell Ibo+BDNF Figure 3. Performance of animals in prob trial. Means and standard errors of the latency to find the platform, in sec are depicted PBS control (n = 13), Ibo + PBS (n = 10), IBO + BDNF (n = 8), IBO + ASCs (n = 14), IBO + (ASCs/BDNF , n = 8) **p < 0.001 compared with Ibo-group. 40 35 30 25 20 15 10 5 0 Prob tria performance Time spent in target quadrant (sec) PBS Ibo+PBS Ibo+Cell Ibo+BDNF + Cell Ibo +BDNF Figure 4. The ability of spatial learning in MWM. PBS con- trol (n = 13), Ibo + PBS (n = 10), IBO + BDNF (n = 8), IBO + ASCs (n = 14), IBO + (ASCs + BDNF, n = 8) *p < 0.01, **p < 0.001 compared with Ibo + group. BDNF into the NBM, 14 days afte the lesion, slightly reverses the deficit in memory caused by Ibo. It has been documented that BDNF is implicated in learning and memory [19,20]. Several invetigators have reported pro- s Copyright © 2013 SciRes. JBBS
P. BABAEI, B. S. TEHRANI Copyright © 2013 SciRes. JBBS 159 Figure 5. Shows a sample of computer tracking from probe trial (90 sec duration). Top left: Ibotenic acid, top right: ASCs transplanted, down left: BDNF and down right: ASCs + BDNF. The rat of Ibo group swims in a concentric pattern, whereas cell treated group sw ims in a short direct patte r n toward the hidden platform. tective and anti-apoptotic effects of BDNF on neural cells [9,12,21] and that it induces neurogenesis [22]. It is pos- sible that BDNF induces the survival of some but not all of the degenerating cholinergic neurons in the NBM. We initially assumed that adding BDNF to stem cells will increase learning and memory performance. Much to our surprise, the present study shows that adding BDNF to ASCs leads to improvement in learning ability, but in a lesser extent compared to cells alone. Our results ap- pear to contradict results of Xuan [13], who reported that BDNF improves the effects of neural stem cells on the rat model of Alzheimer’s disease. The reasons for this dis- crepancy might be the source of stem cells which in their studies was neural stem cells, and also method of lesion, which was unilateral fimbria-fornix lesioning which cau- ses axonal damage [23], whereas IBO induces neuronal necrosis which is confined to somata of neurons, without affecting on myelinated axons or blood vessels [24]. To explain why adding BDNF to stem cells didn’t lead to an enhancement in learning performance compared to stem cells infusion, one can point to the concentration of the BDNF. There are studies showing that Brain-derived neurotrophic factor in high concentration might induce adverse effects. Although we didn’t measure the BDNF levels in NBM after the transplantation, the possible re- lease of BDNF by injured brain [2], glia cells [25] and also transplanted ASCs (Kang et al., 2003; McCoy et al., 2008), might lead to increase in the level of BDNF, and this neurothrophine, in high concentration causes learn- ing deficits [26,27]. BDNF plays different roles in learn- ing and memory depending on receptors; the receptor P75NTR, involves in, LTD and cell death, however Trkβ is responsible for LTP and survival of neurons [26]. To answer this question that how much stem cells ther-
P. BABAEI, B. S. TEHRANI 160 apy is efficient for Alzheimer treatment, we should men- tion that although enhancement of learning ability was achieved after the ASCs transplantation, but none of the treated groups reached the control levels performance. This indicates that adding stem cells to neural network is not sufficient to restore learning and memory completely. It is well known that the learning process, as a complex phenomenon in CNS, needs an orchestrated chain of translational and transcriptional events in functional sy- napses in order to encode, store, and recall information appropriately [20]. One limitation of this study is not being able to assess the fate of the transplanted stem cells and follow up the functional outcome of grafted cells over three months. Although transplanted cells take over a month in vivo to develop, the electrophysiological responsiveness of ma- ture neurons form long projecting axons to the forebrain, but it takes at least 3 months for a memory to manifest [21,28]. 5. Discussion Our results showed that ASCs treatment significantly increased learning and memory ability in Alzheimer mo- del of rats. Addition of BDNF to ASCs doesn’t improve the effectiveness of cells in restoring cognitive function. In a clinical point of view, and considering less ethical problems and ease of accessibility, adipose stem cells could be a valuable therapeutic tool in treating patients suffering from neurodegenerative diseases. More broadly, this study supports the view that manipulating compo- nents of the niche affects on cross-talk between stem cells and the dysfunctional brain, but not always bring effica- cious neuro transplantation outcome. 6. 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