Table 3.
Studies on Stem Cell Grafts Generating GABA-ergic Cells in Epilepsy Models
Animal Prototype and Type of Donor Cells |
Timing and Site of Grafting |
Time-point of Seizure Analyses & Effects on Seizures |
Effects on Memory and Mood Function |
Graft Cell Survival Differentiation and Integration |
Effects of Grafts on Host Brain Changes |
---|---|---|---|---|---|
Kainate induced rat model of chronic temporal lobe epilepsy (TLE) Neural stem cells (NSCs) expanded from E14 rat medial ganglionic eminence (MGE) Waldau et al., 2010 |
9–12 months after the induction of status epilepticus (SE) - Rats exhibiting continuing spontaneous recurrent seizures (SRS) and learning and memory dysfunction Grafts placed into the hippocampus |
1–3 months post- grafting Reduced the frequency & duration of SRS by 43–51%, Stage-V seizures by 90%, and the total time spent in seizures by 74% |
No positive effects of grafts on spatial learning and memory function |
Recovery: 28% of injected cells Differentiation of graft- derived cells: 10% into gamma-amino butyric acid positive (GABA- ergic) neurons; 57% into S-100β+ astrocytes; and 3% into oligodendrocyte progenitors. 50% of graft-derived astrocytes also expressed glial cell-line derived neurotrophic factor (GDNF) |
Grafting restored GDNF in host astrocytes Grafting did not enhance neurogenesis in the hippocampus |
Rat models of kindling and pilocarpine induced TLE NSCs from the human telencephalon of aborted 13 weeks gestation fetus Lee et al., 2014 |
After full kindling or 3-weeks after SE (i.e. after the occurrence of SRS) |
2 weeks to 3 months post- grafting NSC grafting reduced: (i) durations of behavioral seizures and after discharges, and seizure stage in the kindling model; (ii) Frequency of SRS and time spent in seizure activity in the pilocarpine model |
No positive effects of grafts on spatial learning and memory function |
Recovery: 57–29% of injected cells at 4–8 weeks post-grafting in the kindling model; Percentage survival not reported for pilocarpine model Differentiation of graft- derived cells: 24% into GABA-ergic neurons; 28% into S- APC-CC1+ oligodendrocytes; and 8% into astrocytes. 50% of graft-derived astrocytes also expressed GDNF |
Grafting restored the expression of GDNF in host astrocytes Grafting did not ameliorate the aberrant mossy fiber sprouting |
Pilocarpine induced SE in mice Mouse embryonic stem cell (mESC) derived neural progenitor cells (NPCs) with ventral forebrain identities Maisano et al., 2012 |
Two-weeks after SE Grafts were placed into the DG |
Not examined | Not examined | Graft-derived GABA+ neurons displayed electrical properties of hilar interneurons and received excitatory synaptic connections |
No significant effect on aberrant mossy fiber sprouting |
Pilocarpine model of SE in NOD-SCID mice MGE-like progenitors from hESCs Cunningham et al., 2014 |
~3 weeks after SE Grafts were placed into the hippocampus |
3 months after grafting 93% reduction in the frequency of seizures; 56% of grafted animals displayed no seizures (based on continuous EEG for 5–10 days) |
Alleviation of hyperactivity and aggressive behavior; Reversal of short-term working memory and object recognition memory dysfunction |
Survival: ~19% of injected cells. Majority of graft- derived cells expressed GABA and displayed presynaptic machinery for releasing GABA, properties for inhibiting host hippocampal neurons and postsynaptic machinery for receiving excitatory inputs from host hippocampal neurons |
No effect on aberrant mossy fiber sprouting |