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Generation of Human Nasal Epithelial Cell Spheroids for Individualized Cystic Fibrosis Transmembrane Conductance Regulator Study
Published on: April 11, 2018
Cell therapy for cystinosis
Sara Terryn1, Olivier Devuyst, Corinne Antignac
1Division of Nephrology, Université catholique de Louvain Medical School, B-1200 Brussels, Belgium.
Insights
Syngeneic bone marrow cell (BMC) and hematopoietic stem cell (HSC) transplantation effectively reduced cystine accumulation in a mouse model of cystinosis. This therapy shows promise for treating cystinosis and other kidney disorders.
Area of Science:
- Medical Genetics
- Lysosomal Storage Diseases
- Stem Cell Therapy
Background:
- Cystinosis is an autosomal recessive metabolic disease.
- Lysosomal cystine accumulation causes multi-organ dysfunction, including kidney failure.
- Current treatments are limited.
Purpose of the Study:
- To evaluate bone marrow cell (BMC) and hematopoietic stem cell (HSC) therapy in a mouse model of cystinosis.
- To assess the impact of transplantation on cystine levels and organ damage.
- To determine the therapeutic potential of BMC and HSC transplantation for cystinosis.
Main Methods:
- Used Ctns knock-out (Ctns(-/-)) mice as a model for cystinosis.
- Performed syngeneic bone marrow cell (BMC) transplantation.
- Transplanted hematopoietic stem cells (HSCs).
Main Results:
- BMC transplantation significantly reduced cystine content in all tested tissues.
- Transplantation attenuated kidney injury progression and corneal cystine crystal formation.
- Engraftment of donor BMC producing functional cystine transporters correlated with therapeutic effects.
- HSC transplantation demonstrated similar therapeutic efficacy to BMC transplantation.
Conclusions:
- Syngeneic BMC and HSC transplantation are effective treatments in a mouse model of cystinosis.
- This therapy reduces cystine accumulation and mitigates organ damage.
- BMC or HSC transplantation represents a potential therapeutic strategy for cystinosis and other renal tubular disorders.
Abstract:
In the September 2009 issue of Blood, Syres et al. [1] report on syngeneic bone marrow cell (BMC) and haematopoietic stem cell (HSC) therapy as a successful treatment in a mouse model of cystinosis, an autosomal recessive metabolic disease caused by a defect in the transport of cystine across the lysosomal membrane. The accumulation of cystine crystals in lysosomes leads to a multi-organ dysfunction including proximal tubulopathy and renal failure, corneal deposits, myopathy and central nervous system defects. By using Ctns knock-out (Ctns(-/-)) mice as a model for cystinosis, Syres et al. show that BMC transplantation leads to a major reduction of cystine content in all tissues tested, reflected by a significant attenuation of the development and progression of kidney injury and reduction in the number of mice with corneal cystine crystals. These changes were correlated with the engraftment of donor BMC producing a functional cystine transporter in the tissues tested. The transplantation of mouse HSC had the same therapeutic effect than whole BMC in this model, which is important as such HSC can readily be isolated from peripheral blood in humans. This work suggests that BMC or HSC transplantation is a potential treatment for cystinosis and other renal tubular disorders.
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