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The Lund Transplant Program for Parkinson’s Disease and Patients with MPTP-Induced Parkinsonism

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Cell Transplantation for Neurological Disorders

Part of the book series: Contemporary Neuroscience ((CNEURO))

Abstract

Based on a novel staining technique, with the unique possibility to visualize individual neurons based on their neurotransmitter content, an interest in the plasticity of the central nervous system was raised in Sweden in the late 1960s. The histochemical technique of Falck-Hillarp was very powerful, and could demonstrate sprouting and other phenomena in after experimental damage of catecholamine-containing neurons in the brain. In order to study the limitations and possibilities of central nervous system plasticity, number of lesioning and development studies were performed. Transplantation of immature neural tissue was performed in order to study the properties of immature neurons. In 1975, Björklund and collaborators (1) showed consistent survival of grafted embryonic catecholaminergic neurons implanted into the brain of adult rats and also reinnervation of the grafts and the host brain from the grafts. These observations were taken further and applied in the Ungerstedt unilateral 6-OHDA-treated rat model of parkinsonism (2), an animal model of dopamine depletion. In 1979, two groups demonstrated that embryonic dopaminergic neural tissue, obtained from the ventral mesencphalic region of rat fetuses, could reverse symptoms of dopamine depletion in the Ungerstedt rat model after transplantation (3,4). The rotational imbalance in the rat was counteracted by the presence of a graft, and the functional improvement disappeared when the graft was destroyed. Several modifications of the technique have then been tested and applied subsequently (5). As reviewed previously, the mechanisms of graft function and extent of functional recovery depend on a number of critical factors (6, 7).

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References

  1. Björklund, A., Johansson, B., Stenevi, U., and Svedgaard, N. A. (1975) Reestablishment of functional connections by regenerating central adrenergic and cholinergic axons. Nature 253, 446–447.

    Article  PubMed  Google Scholar 

  2. Ungerstedt, U. and Arbuthnott, G. W. (1970) Quantitative recording of rotational behavior in rats after 6-hydroxydopamine lesions of the nigrostriatal dopamine system. Brain Res. 24, 485–493.

    Article  PubMed  CAS  Google Scholar 

  3. Björklund, A. and Stenevi, U. (1979) Reconstruction of the nigrostriatal dopamine pathway by intracerebral nigral transplants. Brain Res. 177, 555–560.

    Article  PubMed  Google Scholar 

  4. Perlow, M. J., Freed, W. J., Hoffer, B. J., Seiger, A., Olson, L., and Wyatt, R. J. (1979) Brain grafts reduce motor abnormalities produced by destruction of nigrostriatal dopamine system. Science 204, 643–647.

    Article  PubMed  CAS  Google Scholar 

  5. Brundin, P. (1992) Dissection, preparation and implantation of human embryonic brain tissue, in Neural Transplantation. A Practical Approach (Dunnett, S. B. and Björklund, A., eds.), Oxford University Press, New York, pp. 139–160.

    Google Scholar 

  6. Björklund, A., Lindvall, O., Isacson, O., Brundin, P., Wictorin, K., Strecker, R. E., et al. (1987) Mechanisms of action of intracerebral neural implants: studies on nigral and striatal implants to the lesioned striatum. Trend Neurosci. 10, 509–516.

    Article  Google Scholar 

  7. Brundin, P., Duan, W-M., and Sauer, H. (1994) Functional effects of mesencephalic dopamine neurons and adrenal chromaffin cells grafted to the striatum, in Functional Neural Transplantation ( Björklund, A., ed.), Raven, New York, pp. 9–46.

    Google Scholar 

  8. Dunnett, S. B., Annett, L. E., Lindvall, O. (1991) Nigral transplants in primate models of parkinsonism, in Intracerebral Transplantation in Movement Disorders ( Björklund, A. and Widner, H., eds.), Elsevier, Amsterdam, pp. 27–51.

    Google Scholar 

  9. Annett, L. E. (1994) Functional studies of neural grafts in parkinsonian primates, in Functional Neural Transplantation ( Dunnett, S. B. and Björklund, A., eds.), Raven, New York, pp. 47–75.

    Google Scholar 

  10. Backlund, E. O., Granberg, P. 0., Hamberger, B., Knutsson, E. J., Mârtensson, A., and Sedvall, G. (1985) Transplantation of adrenal medulla to the striatum in parkinsonism. J. Neurosurg. 62, 169–173.

    CAS  Google Scholar 

  11. Lindvall, O., Backlund, E. O., Farde, L., Sedvall, G., Freedman, R., Hoffer, B. J., et al. (1987) Transplantation in Parkinson’s disease: Two cases of adrenal medualla grafting to the putamen. Ann. Neurol. 22, 457–468.

    Article  PubMed  CAS  Google Scholar 

  12. Brundin, P., Strecker, R. E., Widner, H., Clarke, D. J., Nilsson, O. G., Astedt, B., et al. (1988) Human fetal dopamine neurons grafted in a rat model of Parkinson’s disease: immunological aspects, spontaneous and drug induced behaviour and dopamine release. Exp. Brain Res. 70, 192–208.

    PubMed  CAS  Google Scholar 

  13. Widner, H., Brundin, P., Björklund, A., Möller, E. (1989) Survival and immunogenecity in situ of allogeneic fetal nerve cell grafts in suspension into the striatum of mice. Exp. Brain Res. 76, 187–197.

    Article  PubMed  CAS  Google Scholar 

  14. Widner, H. and Brundin P. (1988) Immunological aspects of grafting in the mammalian central nervous system: A review and speculative synthesis. Brain Res. Rev. 13, 287–324.

    Article  CAS  Google Scholar 

  15. Widner, H., Brundin, P., and Lindvall, O. (1989) Transplantation of fetal neural tissue in Parkinson’s disease. Theoretical and practical immunological aspects, in Pathophysiology of the Blood-Brain Barrier (Johansson, B. B., Owman, C., and Widner, H., eds.), Elsevier Science Publishers, Amsterdam, pp. 587–608.

    Google Scholar 

  16. Lindvall, O., Rehncrona, S., Brundin, P., Gustavii, B., Âstedt, B., Widner, H., et al. (1989) Human fetal dopamine neurons grafted into the striatum in two patients with severe Parkinson’s disease: a detailed account of methodology and a 6 months follow-up. Arch. Neurol. 46, 615–631.

    Article  PubMed  CAS  Google Scholar 

  17. Lindvall, O., Brundin, P., Widner, H., Rehncrona, S., Gustavii, B., Frackowiak, R., et al. (1990) Grafts of fetal dopamine neurons survive and improve motor function in Parkinson’s disease. Science 247, 547–577.

    Article  Google Scholar 

  18. Sawle, G. V., Bloomfield, P. M., Björklund, A., Brooks, D. J., Brundin, P., Leenders, K. L., et al. (1992) Transplantation of fetal dopamine neurons in Parkinson’s disease: positron emission tomography [18F]-6-L-fluorodopa studies in two patients with putaminal implants. Ann. Neurol. 31, 166–173.

    Article  PubMed  CAS  Google Scholar 

  19. Lindvall, O., Widner, H., Rehncrona, S., Brundin, P., Odin, P., Gustavii, B., et al. (1992) Transplantation of fetal dopamine neurons in Parkinson’s disease: 1-year clinical and neurophysiological observations in two patients with putaminal implants. Ann. Neurol. 31, 155–165.

    Article  PubMed  CAS  Google Scholar 

  20. Lindvall, O., Sawle, G., Widner, H., Rothwell, J. C., Björklund, A., Brooks, D., et al. (1994) Evidence for long term survival and function of dopaminergic grafts in progressive Parkinson’s disease. Ann. Neurol. 35, 172–180.

    Article  PubMed  CAS  Google Scholar 

  21. Wenning, G. K., Odin, P., Morris, P., Rehncrona, S., Widner, H., Brundin, P., et al. (1997) Short-and long-term survival and function of unilateral intrastriatal dopaminergic grafts in Parkinson’s Disease. Ann. Neurol. 42, 95–107.

    Article  PubMed  CAS  Google Scholar 

  22. Langston, J. W., Ballard, P., Tetrud, J. W., and Irwin, I. (1983) Chronic parkinsonism in humans due to a product of meperidine analog synthesis. Science 219, 979–980.

    Article  PubMed  CAS  Google Scholar 

  23. Ballard, P. A., Tetrud, J. W., and Langston, J. W. (1985) Permanent parkinsonism in humans due to 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP): Seven cases. Neurology 35, 949–956.

    Article  PubMed  CAS  Google Scholar 

  24. Langston, J. W., Forno, L. S., Rebert, C. S., and Irwin, I. (1984) Selective nigral toxicity after systemic administration of 1-methyl-4-phenyl-1,2,5,6-tetrahydropyridine (MPTP) in the squirrel monkey. Brain Res. 292, 390–394.

    Article  PubMed  CAS  Google Scholar 

  25. Langston, J. W., Widner, H., Brooks, D., Fahn, S., Freeman, T. B., Goetz, C., et al. (1992) Core Assessment Program for Intracerebral Transplantations. CAPIT. Movement Disord. 7, 1–13.

    Article  Google Scholar 

  26. Widner, H., Tetrud, J., Rehncrona, S., Snow, B., Brundin, P., Gustavii B., et al. (1992) Bilateral fetal mesencephalic grafting in two patients with severe parkinsonism induced by 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP). N. Engl. J. Med. 327, 1556–1563.

    Article  PubMed  CAS  Google Scholar 

  27. Nakao, N., Frodl, E., Duan, W-M., Widner, H., and Brundin, P. (1994) Lazaroids improve the survival of grafted rat embryonic dopamine neurons. Proc. Natl. Acad. Sci. USA 91,12, 408–12, 412.

    Google Scholar 

  28. Nakao, N., Frodl, E. M., Widner, H., Carlson, E., Epstein, C. J., and Brundin, P. (1995) Enhanced survival of transplanted dopamine neurons overexpressing CuZn-superoxide dimutase in a rat model of Parkinson’s disease. Nature Med. 1, 226–231.

    Article  PubMed  CAS  Google Scholar 

  29. Kordower, J. H., Freeman, T. B., Snow, B. J., Vingerhoet, F. J., Muffa, E. J., Sanberg, P. R., et al. (1995) Neuropathological evidence of graft survival and striatal reinnervation after the transplantation of fetal mesencephalon in a patient with Parkinson’s disease. N. Engl. J. Med. 332, 1118–1124.

    Article  PubMed  CAS  Google Scholar 

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Widner, H. (1998). The Lund Transplant Program for Parkinson’s Disease and Patients with MPTP-Induced Parkinsonism. In: Freeman, T.B., Widner, H. (eds) Cell Transplantation for Neurological Disorders. Contemporary Neuroscience. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-476-4_1

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  • DOI: https://doi.org/10.1007/978-1-59259-476-4_1

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-043-4

  • Online ISBN: 978-1-59259-476-4

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