Цитологія і генетика 2023, том 57, № 1, 26-43
Cytology and Genetics 2023, том 57, № 1, 19–34, doi: https://www.doi.org/https://doi.org/10.3103/S0095452723010073

Вплив імплантації фібринового матриксу, асоційованого з мезенхімними стромальними клітинами вартонових драглів, на перебіг експериментальної травми спинного мозку

Медведєв В.В., Олексенко Н.П., Пічкур Л.Д., Вербовська С.А., Савосько С.І., Драгунцова Н.Г., Лонтковський Ю.А., Васлович В.В., Цимбалюк В.І.

  1. Національний медичний університет імені О.О. Богомольця, бульвар Тараса Шевченка, 13, Київ, 01601, Україна
  2. ДУ «Інститут нейрохірургії ім. акад. А.П. Ромоданова НАМН України», вул. Платона Майбороди, 32, Київ, 04050, Україна
  3. КНП «Кам’янець­Подільська міська лікарня» КП МР, вул. Пушкінська, 31, Кам’янець­Подільський, Хмельницька область, 32301, Україна

У роботі досліджено ефективність негайної імплантації фібринового матриксу, асоційованого з мезенхімними стромальними клітинами Вартонових драглів, на моделі травми спинного мозку (ТСМ). Роботу виконано на білих безпородних щурах-самцях (~260 г, 4–5 міс). Модель травми – лівобічний перетин половини спинного мозку на рівні сегментів Т13–L1. Відновлювальне лікування – негайна трансплантація у зону травми фібринового матриксу людини, асоційованого з мезенхімними стромальними клітинами Вартонових драглів людини (mesenchymal stromal cells, MSC, n = 9). Референтні групи – ізольована ТСМ (trauma, Tr, n = 7) та імплантація у зону травми фібринового матриксу людини (fibrin, Fb, n = 6). Рухову активність і спастичність паретичної кінцівки оцінювали, відповідно, за шкалою ВВВ і шкалою Ashworth у власних модифікаціях. Морфологічну картину у ділянці травми досліджували у віддаленому періоді з використанням імпрегнації поздовжніх зрізів спинного мозку азотнокислим сріблом. Виявлено, що мезенхімні стромальні клітини Вартонових драглів людини у присутності фібринового матриксу в культурі демонстрували ознаки активної життєдіяльності, росту і здатності до міграції. Інтенсивне збільшення рухової активності паретичної кінцівки у групі Fb обмежувалося першими 2-ма тижнями спостереження, у групі MSC – 3-ма. Впродовж усього експерименту рівень функції у групі MSC поступався рівню групи Fb, однак лише на першому тижні спостереження – достовірно. Через 5 міс показник рухової функції складав 10,4 ± 1,0 бала ВВВ (MSC) і 11,6 ± 2,0 бала ВВВ (Fb), а у групі Tr – 5,9 ± 1,6 бала ВВВ. Тим не менш, значущу різницю значень показника виявляли для груп MSC і Tr – через 6 тиж, 3 і 5 міс після імплантації. Істотну перевагу рівня спастичності у групі Tr над групою MSC виявляли через 6 і 7 тиж та через 5 міс після травми, а перевагу над показником групи Fb – через 7 тиж після травми. Достовірних відмінностей рівня спастичності між групами MSC і Fb протягом усього експерименту не виявлено. Таким чином, негайна імплантація фібринового матриксу у зону травми спинного мозку чинить позитивний вплив на відновлення рухової функції паретичної кінцівки тварини, особливо за наявності мезенхімних стромальних клітин Вартонових драглів людини.

Ключові слова: травма спинного мозку, Вартонові драглі, мезенхімні стромальні клітини, фібриновий матрикс, відновлення рухової функції, спастичність

Цитологія і генетика
2023, том 57, № 1, 26-43

Current Issue
Cytology and Genetics
2023, том 57, № 1, 19–34,
doi: https://doi.org/10.3103/S0095452723010073

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