Therapeutic potentials of hypoxic- and baicalein-enriched fraction-preconditioned human neural stem cells for in vitro ischemic stroke model

Ischemic stroke is the third leading cause of death in Malaysia, closely after heart disease and cancer. Standard treatments for stroke are not totally efficient to repair and regenerate the damaged brain tissue and there are possibilities for the recurrence. Replacement by endogenous adult neura...

Full description

Bibliographic Details
Main Author: Nee, Kang In
Format: Thesis
Language:English
Published: 2018
Subjects:
Online Access:http://eprints.usm.my/46019/
http://eprints.usm.my/46019/1/Dr.%20Kang%20In%20Nee-24%20pages.pdf
_version_ 1848880490274095104
author Nee, Kang In
author_facet Nee, Kang In
author_sort Nee, Kang In
building USM Institutional Repository
collection Online Access
description Ischemic stroke is the third leading cause of death in Malaysia, closely after heart disease and cancer. Standard treatments for stroke are not totally efficient to repair and regenerate the damaged brain tissue and there are possibilities for the recurrence. Replacement by endogenous adult neural stem cells (NSCs) during ischemic stroke was insufficient to repair injury site due to low neuronal turnover that could integrate into functional neuron network. Therefore, it is imperative to develop alternative therapeutic strategies to improve stroke recovery. Recently, human NSC grafting has emerged as encouraging approach for treating stroke. Nonetheless, the therapeutic potential of NSC-based treatment is limited, mainly due to a large number of implanted cells died after grafting into the injury site. To circumvent this problem, this study aimed to enhance therapeutic potentials of human NSCs prior to transplantation through hypoxic and baicalein-enriched fraction (F5) preconditioning. Hypoxic preconditioning under 2% O2 for 24 h enhanced NSC self-renewal, survival and multipotency. 60S ribosomal protein large P1 (RPLP1) and ribosomal protein L13A (RPL13A) were the most reliable reference genes for qPCR normalization of normoxic- and hypoxic-preconditioned NSCs. Hypoxic preconditioning induced innate neuroprotective signaling through transcriptional activation of hypoxia-inducible factor-1 alpha (HIF-1α), vascular endothelial growth factor A (VEGFA), angiopoietin 1 (ANGPT1), neurogenic locus notch homolog protein 1 (Notch 1), nuclear factor erythroid 2-related factor 2 (Nrf2) and sodium dismutase 1 (SOD1). Based on the HIF-1α stabilization potential of baicalein at ambient conditions, F5 was postulated to trigger effects mimic hypoxic preconditioning under normoxia. Interestingly, preconditioning with 1.56 μg/mL of F5 for 24 h increased NSC proliferation, viability and lineage specific differentiation. Hypoxanthine phosphoribosyl transferase 1 (HPRT1) and RPL13A were the most stably expressed reference genes for qPCR normalization of control (0.1% DMSO) and F5-preconditioned NSCs. Moreover, F5 preconditioning stimulated hypoxiamimetic signaling intrinsically via HIF-1α, VEGFA, ANGPT1, Notch 1, Nrf2 and SOD1 upregulation. Both hypoxic- and F5-preconditioned NSCs were applied to in vitro ischemic stroke (IVIS) model on wound-healing based culture slide for 72 h of live imaging. F5-preconditioned NSCs accelerated migration and homing towards IVIS model over an experimental period of 72 h compared to hypoxicpreconditioned NSCs. The neuroprotective factors induced by hypoxic preconditioning are postulated to degrade rapidly when exposed to oxygen. Contrarily, F5-preconditioned NSCs attained intrinsic neuroprotective mechanisms without compromising their stability under normoxia. In conclusion, both the hypoxic and F5 preconditioning had successfully enhanced therapeutic potentials of NSCs for ischemic stroke. F5-preconditioned NSCs with enhanced therapeutic efficacy was more likely to be applicable in clinical setting and thus could be a promising therapeutic tool for ischemic stroke in the future.
first_indexed 2025-11-15T18:03:57Z
format Thesis
id usm-46019
institution Universiti Sains Malaysia
institution_category Local University
language English
last_indexed 2025-11-15T18:03:57Z
publishDate 2018
recordtype eprints
repository_type Digital Repository
spelling usm-460192020-01-29T04:08:36Z http://eprints.usm.my/46019/ Therapeutic potentials of hypoxic- and baicalein-enriched fraction-preconditioned human neural stem cells for in vitro ischemic stroke model Nee, Kang In RC31-1245 Internal medicine Ischemic stroke is the third leading cause of death in Malaysia, closely after heart disease and cancer. Standard treatments for stroke are not totally efficient to repair and regenerate the damaged brain tissue and there are possibilities for the recurrence. Replacement by endogenous adult neural stem cells (NSCs) during ischemic stroke was insufficient to repair injury site due to low neuronal turnover that could integrate into functional neuron network. Therefore, it is imperative to develop alternative therapeutic strategies to improve stroke recovery. Recently, human NSC grafting has emerged as encouraging approach for treating stroke. Nonetheless, the therapeutic potential of NSC-based treatment is limited, mainly due to a large number of implanted cells died after grafting into the injury site. To circumvent this problem, this study aimed to enhance therapeutic potentials of human NSCs prior to transplantation through hypoxic and baicalein-enriched fraction (F5) preconditioning. Hypoxic preconditioning under 2% O2 for 24 h enhanced NSC self-renewal, survival and multipotency. 60S ribosomal protein large P1 (RPLP1) and ribosomal protein L13A (RPL13A) were the most reliable reference genes for qPCR normalization of normoxic- and hypoxic-preconditioned NSCs. Hypoxic preconditioning induced innate neuroprotective signaling through transcriptional activation of hypoxia-inducible factor-1 alpha (HIF-1α), vascular endothelial growth factor A (VEGFA), angiopoietin 1 (ANGPT1), neurogenic locus notch homolog protein 1 (Notch 1), nuclear factor erythroid 2-related factor 2 (Nrf2) and sodium dismutase 1 (SOD1). Based on the HIF-1α stabilization potential of baicalein at ambient conditions, F5 was postulated to trigger effects mimic hypoxic preconditioning under normoxia. Interestingly, preconditioning with 1.56 μg/mL of F5 for 24 h increased NSC proliferation, viability and lineage specific differentiation. Hypoxanthine phosphoribosyl transferase 1 (HPRT1) and RPL13A were the most stably expressed reference genes for qPCR normalization of control (0.1% DMSO) and F5-preconditioned NSCs. Moreover, F5 preconditioning stimulated hypoxiamimetic signaling intrinsically via HIF-1α, VEGFA, ANGPT1, Notch 1, Nrf2 and SOD1 upregulation. Both hypoxic- and F5-preconditioned NSCs were applied to in vitro ischemic stroke (IVIS) model on wound-healing based culture slide for 72 h of live imaging. F5-preconditioned NSCs accelerated migration and homing towards IVIS model over an experimental period of 72 h compared to hypoxicpreconditioned NSCs. The neuroprotective factors induced by hypoxic preconditioning are postulated to degrade rapidly when exposed to oxygen. Contrarily, F5-preconditioned NSCs attained intrinsic neuroprotective mechanisms without compromising their stability under normoxia. In conclusion, both the hypoxic and F5 preconditioning had successfully enhanced therapeutic potentials of NSCs for ischemic stroke. F5-preconditioned NSCs with enhanced therapeutic efficacy was more likely to be applicable in clinical setting and thus could be a promising therapeutic tool for ischemic stroke in the future. 2018-04 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/46019/1/Dr.%20Kang%20In%20Nee-24%20pages.pdf Nee, Kang In (2018) Therapeutic potentials of hypoxic- and baicalein-enriched fraction-preconditioned human neural stem cells for in vitro ischemic stroke model. Masters thesis, Universiti Sains Malaysia.
spellingShingle RC31-1245 Internal medicine
Nee, Kang In
Therapeutic potentials of hypoxic- and baicalein-enriched fraction-preconditioned human neural stem cells for in vitro ischemic stroke model
title Therapeutic potentials of hypoxic- and baicalein-enriched fraction-preconditioned human neural stem cells for in vitro ischemic stroke model
title_full Therapeutic potentials of hypoxic- and baicalein-enriched fraction-preconditioned human neural stem cells for in vitro ischemic stroke model
title_fullStr Therapeutic potentials of hypoxic- and baicalein-enriched fraction-preconditioned human neural stem cells for in vitro ischemic stroke model
title_full_unstemmed Therapeutic potentials of hypoxic- and baicalein-enriched fraction-preconditioned human neural stem cells for in vitro ischemic stroke model
title_short Therapeutic potentials of hypoxic- and baicalein-enriched fraction-preconditioned human neural stem cells for in vitro ischemic stroke model
title_sort therapeutic potentials of hypoxic- and baicalein-enriched fraction-preconditioned human neural stem cells for in vitro ischemic stroke model
topic RC31-1245 Internal medicine
url http://eprints.usm.my/46019/
http://eprints.usm.my/46019/1/Dr.%20Kang%20In%20Nee-24%20pages.pdf