Approximately half of traumatic spinal cord injury (SCI) cases affect cervical spinal cord regions, resulting in debilitating and often chronic respiratory compromise. The majority of these injuries affect mid-cervical spinal cord levels, the location of the important pool of phrenic motor neurons (PMNs) that innervates the diaphragm, the primary muscle of inspiration. Following initial trauma to cervical spinal cord, a valuable opportunity exists for preventing secondary PMN degeneration and consequently preserving respiratory function. One of the major causes of secondary injury following SCI is excitotoxic cell death due to dysregulation of extracellular glutamate homeostasis. In the central nervous system (CNS), glutamate is efficiently cleared from the synapse and other sites by glutamate transporters. Astrocytes are supportive glial cells that play a host of crucial roles in CNS function. In particular, astrocytes express the major CNS glutamate transporter, GLT1, which is responsible for the vast majority of functional glutamate uptake in most CNS regions, particularly spinal cord. Preliminary findings from our lab show that: 1) levels of intraspinal GLT1 expression and GLT1-mediated glutamate uptake are reduced in an animal model of cervical contusion SCI;2) histological and functional outcomes following SCI are worsened in GLT1 heterozygous mice;3) increasing intraspinal GLT1 levels via injection of AAV1-GLT1 viral vector decreases PMN loss and diaphragm dysfunction after cervical contusion;4) intraspinal astrocyte transplantation decreases secondary degeneration after thoracic contusion, and transplantation of astrocytes engineered to constitutively overexpress GLT1 further enhances efficacy. Proposed studies will test the central hypothesis that astrocyte GLT1 loss plays a key role in secondary respiratory PMN degeneration. With the goal of developing a viable therapy for SCI patients, studies will test intraspinal transplantation of a clinically-relevant source of cells, human induced Pluripotent Stem (iPS) cell- derived astrocytes (hIPSAs), in a cervical contusion model. By targeting GLT1, this stem cell-based astrocyte replacement strategy aims to protect PMNs from glutamate excitotoxicity during secondary degeneration. As therapeutic efficacy is a function of transplant integration in diseased CNS, studies in Aim #1 will characterize in vivo survival, differentiation and long-term safety of hIPSAs following intraspinal transplantation in a mouse model of cervical contusion SCI. As GLT1 is a promising target for transplant-based astrocyte replacement in SCI, studies in Aim #2 will examine in vivo ability of transplanted hIPSAs to express GLT1 and to increase intraspinal GLT1 protein and glutamate uptake levels after cervical contusion. Results will show whether, similar to endogenous astrocytes after contusion SCI, transplanted hIPSAs have reduced propensity for GLT1 expression and function, which has important relevance for their therapeutic potential in SCI. hIPSAs will also be engineered to constitutively overexpress GLT1 to enhance therapeutic potential.
In Aim #3, studies will evaluate in vivo efficacy of hIPSAs for PMN protection and consequent preservation of diaphragm function.
Following the majority of human spinal cord injury (SCI) cases, most functional loss does not result from initial trauma, but is instead due to subsequent secondary injury resulting from events such as excitotoxic cell death due to increased levels of the neuron-to-neuron communication molecule, glutamate. The astrocyte glutamate transporter, GLT1, is centrally responsible for the vast majority of glutamate removal from the extracellular space in the spinal cord, thereby preventing excess glutamate buildup and excitotoxic injury. The studies proposed in this application will examine the role played by astrocyte GLT1 in secondary degeneration of respiratory motor neurons and consequent respiratory dysfunction in a cervical spinal cord animal model of SCI, and will also therapeutically target astrocyte GLT1 as a promising neuroprotective approach via intraspinal transplantation of adult-derived astrocyte stem cells.
|GoulÃ£o, Miguel; Lepore, Angelo C (2016) iPS cell transplantation for traumatic spinal cord injury. Curr Stem Cell Res Ther 11:321-8|
|Falnikar, Aditi; Hala, Tamara J; Poulsen, David J et al. (2016) GLT1 overexpression reverses established neuropathic pain-related behavior and attenuates chronic dorsal horn neuron activation following cervical spinal cord injury. Glia 64:396-406|
|Falnikar, Aditi; Li, Ke; Lepore, Angelo C (2015) Therapeutically targeting astrocytes with stem and progenitor cell transplantation following traumatic spinal cord injury. Brain Res 1619:91-103|
|Li, Ke; Javed, Elham; Scura, Daniel et al. (2015) Human iPS cell-derived astrocyte transplants preserve respiratory function after spinal cord injury. Exp Neurol 271:479-92|
|Martin, Melanie; Li, Ke; Wright, Megan C et al. (2015) Functional and morphological assessment of diaphragm innervation by phrenic motor neurons. J Vis Exp :e52605|
|Li, Ke; Javed, Elham; Hala, Tamara J et al. (2015) Transplantation of glial progenitors that overexpress glutamate transporter GLT1 preserves diaphragm function following cervical SCI. Mol Ther 23:533-48|
|Nicaise, Charles; Mitrecic, Dinko; Falnikar, Aditi et al. (2015) Transplantation of stem cell-derived astrocytes for the treatment of amyotrophic lateral sclerosis and spinal cord injury. World J Stem Cells 7:380-98|
|Bonner, Joseph F; Steward, Oswald (2015) Repair of spinal cord injury with neuronal relays: From fetal grafts to neural stem cells. Brain Res 1619:115-23|
|Allard, Justine; Li, KÃ©; Lopez, Xavier Moles et al. (2014) Immunohistochemical toolkit for tracking and quantifying xenotransplanted human stem cells. Regen Med 9:437-52|
|Li, Ke; Nicaise, Charles; Sannie, Daniel et al. (2014) Overexpression of the astrocyte glutamate transporter GLT1 exacerbates phrenic motor neuron degeneration, diaphragm compromise, and forelimb motor dysfunction following cervical contusion spinal cord injury. J Neurosci 34:7622-38|
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