CEREBROPROTECTIVE POTENTIAL OF TRANSPLANTATION OF RAT EMBRYONIC FIBROBLASTS IN THE TREATMENT OF EXPERIMENTAL ACUTE ISCHEMIC STROKE

Keywords: cerebral ischemia, hippocampus, stem cells, cerebroprotection, rats

Abstract

Introduction. Currently, ischemic stroke is one of the most common neurological diseases, characterized by high mortality and disability rates. Stem cell-based therapies, particularly embryonic stem cells, is a promising direction in the modern treatment of ischemic stroke.

Objective: To evaluate the cerebroprotective effect of rat embryonic fibroblast transplantation in acute ischemic stroke.

Methods. The study was conducted on 74 Wistar rats using a model of transient bilateral 20-minute ischemia-reperfusion by bilaterally ligating the internal carotid arteries. The animals were divided into three research groups: 1 – sham-operated animals, 2 – a control pathology group (intravenous injection of 0.9% NaCl solution post-ischemia-reperfusion), and 3 – a treatment group (intravenous transplantation of rat embryonic fibroblasts at a dose of 106 cells per animal, suspended in 0.2 ml of physiological saline post-ischemia-reperfusion). The effects of fibroblast transplantation were assessed based on mortality rates and neurological deficit dynamics using the McGraw Stroke-index. Hippocampal damage in the rats’ brains was evaluated immunohistochemically using specific anti-NeuN antibody markers, while DNA fragmentation in hippocampal neuron nuclei was measured via flow cytometry.

Results. The obtained results showed that with subtotal cerebral ischemia (bilateral occlusion of the internal carotid arteries) in rats, first of all, significant neurodegenerative processes occur in the dentate gyrus in the CA1 area, and this leads to significant disturbances in the neurological status of the experimental animals and their high lethality. Therapy by intravenous transplantation of rat embryonic fibroblasts significantly reduced mortality rates, improved neurological status, and decreased neuroapoptosis in the hippocampus. Additionally, NeuN-positive neuron fluorescence intensity in the CA1 hippocampal region increased more than twofold compared to the control pathology group.

Conclusions. Experimental therapy with intravenous transplantation of rat embryonic fibroblasts preserved cytoarchitectonic integrity in the pyramidal layer of the CA1 hippocampal region and significantly reduces the level of DNA fragmentation in hippocampal neuron nuclei. These effects, along with decreased mortality rates and improved neurological outcomes, highlight the neuroprotective potential of embryonic fibroblasts in ischemic stroke. These findings indicate the promising use of embryonic fibroblasts for neuroprotection in ischemic stroke, which may provide a foundation for further research in this field.

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References

Phipps MS, Cronin CA. Management of acute ischemic stroke. BMJ. 2020;368:l6983. https://doi.org/10.1136/bmj.l6983

Wang ML, Zhang LX, Wei JJ, Li LL, Zhong WZ, Lin XJ, Zheng JO, Li XF. Granulocyte colony-stimulating factor and stromal cell-derived factor-1 combination therapy: A more effective treatment for cerebral ischemic stroke. Int J Stroke. 2020;15(7):743-754. https://doi.org/10.1177/1747493019879666

Barahimi P, Karimian M, Nejati M, Azami Tameh A, Atlasi MA. Oxytocin improves ischemic stroke by reducing expression of excitatory amino acid transporter 3 in rat MCAO model. J Immunoassay Immunochem. 2021;42(5):513-524. https://doi.org/10.1080/15321819.2021.1906270

Tremonti C, Thieben M. Drugs in secondary stroke prevention. Aust Prescr. 2021;44(3):85-90. https://doi.org/10.18773/austprescr.2021.018

Haupt M, Gerner ST, Bähr M, Doeppner TR. Neuroprotective Strategies for Ischemic Stroke-Future Perspectives. Int J Mol Sci. 2023;24(5):4334. https://doi.org/10.3390/ijms24054334

Yao H, Gao M, Ma J, Zhang M, Li S, Wu B, et al. Transdifferentiation-Induced Neural Stem Cells Promote Recovery of Middle Cerebral Artery Stroke Rats. PLoS One. 2015;10(9):e0137211. https://doi.org/10.1371/journal.pone.0137211

Zheng X, Hermann DM, Bähr M, Doeppner TR. The role of small extracellular vesicles in cerebral and myocardial ischemia-Molecular signals, treatment targets, and future clinical translation. Stem Cells. 2021;39(4):403-413. https://doi.org/10.1002/stem.3329

Chen J, Zhang X, Liu X, Zhang C, Shang W, Xue J, et al. Ginsenoside Rg1 promotes cerebral angiogenesis via the PI3K/Akt/mTOR signaling pathway in ischemic mice. Eur J Pharmacol. 2019;856:172418. https://doi.org/10.1016/j.ejphar.2019.172418

European convention for the protection of vertebrate animals used for experimental and other scientific purposes [Text]. Council of European. Strasbourg, 1986;123:1-11. Retrieved from: https://rm.coe.int/168007a67b

Law of Ukraine “On the Protection of Animals from Cruelty” [Information of the Verkhovna Rada of Ukraine] dated February 21, 2006 No. 3447-IV. 2006;27:990. Retrieved from: https://www.globalanimallaw.org/downloads/database/national/ukraine/library64.pdf

Chen Y, Peng D, Li J, Zhang L, Chen J, Wang L, Gao Y. A comparative study of different doses of bone marrow-derived mesenchymal stem cells improve post-stroke neurological outcomes via intravenous transplantation. Brain Res. 2023;1798:148161. https://doi.org/10.1016/j.brainres.2022.148161

Konovalov S, Moroz V, Yoltukhivskyi M, Gadzhula N, Stelmashchuk A. The influence of mesenchymal stromal cells of different genesis on energy metabolism in the rat somatosensory cortex during ischemia-reperfusion. East. Ukr. Med. J. 2024;12(3):642-650. https://doi.org/10.21272/eumj.2024;12(3):642-650

Mehta A, Mahale R, Buddaraju K, Javali M, Acharya P, Srinivasa R. Efficacy of Neuroprotective Drugs in Acute Ischemic Stroke: Is It Helpful? J Neurosci Rural Pract. 2019;10(4):576-581. https://doi.org/10.1055/s-0039-1700790

Konovalov SV, Moroz VM, Yoltukhivskyy MV, Gadzhula NG, Gusakova IV, Deryabina OG, Kordium VA. Therapeutic potential of mesenchymal stromal cells on morphological parameters in the hippocampus of rats with brain ischemia-reperfusion modeling. Reports of Morphology. 2024;30(3):52-62. https://doi.org/10.31393/morphology-journal-2024-30(3)-06

Barzegar M, Kaur G, Gavins FNE, Wang Y, Boyer CJ, Alexander JS. Potential therapeutic roles of stem cells in ischemia-reperfusion injury. Stem Cell Res. 2019;37:101421. https://doi.org/10.1016/j.scr.2019.101421

Marei HE, Hasan A, Rizzi R, Althani A, Afifi N, Cenciarelli C, et al. Potential of Stem Cell-Based Therapy for Ischemic Stroke. Front Neurol. 2018;9:34. https://doi.org/10.3389/fneur.2018.00034

Yavari N, Nadia Sharifi Z, Rekabdar Y, Movassaghi S. Protective Effect of Curcumin on CA1 Region of Hippocampus in Rat Model of Ischemia/ Reperfusion Injury: Galen Med J. 2022;11:e1062. https://doi.org/10.31661/gmj.v11i.1062

Montoya-García R, Fernández-Vargas V, Albor-Martínez KN, Martínez-Martínez A, Hernández-Jasso I, Quintanar-Stephano A, et al. Analysis of hippocampus in rats with acute brain ischemia-reperfusion injury treated with leuprolide acetate, an agonist of GnRH. Restor Neurol Neurosci. 2023;41(3-4):83-89. https://doi.org/10.3233/RNN-221286

Jurcau A, Ardelean IA. Molecular pathophysiological mechanisms of ischemia/reperfusion injuries after recanalization therapy for acute ischemic stroke. J Integr Neurosci. 2021;20(3):727-744. https://doi.org/10.31083/j.jin2003078

Radak D, Katsiki N, Resanovic I, Jovanovic A, Sudar-Milovanovic E, Zafirovic S, et al. Apoptosis and Acute Brain Ischemia in Ischemic Stroke. Curr Vasc Pharmacol. 2017;15(2):115-122. https://doi.org/10.2174/1570161115666161104095522

Published
2026-03-30
How to Cite
Konovalov, S., Moroz, V., Yoltukhivskyi, M., Gadzhula, N., & Cherepakha, O. (2026). CEREBROPROTECTIVE POTENTIAL OF TRANSPLANTATION OF RAT EMBRYONIC FIBROBLASTS IN THE TREATMENT OF EXPERIMENTAL ACUTE ISCHEMIC STROKE. Eastern Ukrainian Medical Journal, 14(1), 79-88. https://doi.org/10.21272/eumj.2026;14(1);79-88
Section
ORIGINAL RESEARCH. GENERAL AND INTERNAL MEDICINE