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Table 1 Experimental studies using GRPs and OPCs in cellular therapies for glia regeneration in different models of neurological diseases

From: Glial-restricted progenitor cells: a cure for diseased brain?

Type of transplanted cells

Source of transplanted cells

Animal model / recipient

Number of transplanted cells

Delivery route

Observation time

Molecular outcome

Functional outcome

Human disease model

References

GRPs

I. Human fetal brain

II. Human adult brain

Shiverer mice

1 × 105

Intracerebral

3 months

Oligodendrocytes

Astrocytes

Compact myelin

Not determined

Hypomyelinating disease

[173] **

GRPs

Human fetal brain

Shiverer mice

3 × 105

Intracerebral

 > 1 year

Oligodendrocytes

Compact myelin

Increased survival Reduced seizure frequency

Hypomyelinating disease

[174] *

GRPs

Human fetal brain

Shiverer mice

0.5 × 105

Intracerebral

12 weeks

Oligodendrocytes

Astrocytes

Compact myelin

Not determined

Hypomyelinating disease

[142] *

GRPs

Human fetal brain

Shiverer mice

3 × 105

Intracerebral

1 year

Humanization of mice brain

Oligodendrocytes

Astrocytes

Improved cognition Increased survival

Hypomyelinating disease

[175] **

GRPs

I. Mouse fetal brain

II. Human fetal brain

Shiverer mice

2 × 105

Intraventricular

I. 46 weeks

II. 62 weeks

I. Early compact myelin formation with limited cell migration

II. Late compact myelin formation with extensive cell migration

None

Hypomyelinating disease

[88] **

GRPs

Human fetal brain

I. Shiverer mice

II. Mice with cuprizone demyelination

2 × 105

Intracerebral

20 weeks

Oligodendrocytes

Compact myelin

Improved nerve conduction

Improved motor behaviour

Hypomyelinating disease

[176]

GRPs

Canine fetal brain and spinal cord

Shiverer mice

2 × 105

Intraventricular

Up to 400 days

Partial remyelination

Extended survival

Hypomyelinating disease

[147]

OPCs

hESCs

Brain irradiated nude rats

1 × 106

Intracerebral

10 weeks

Oligodendrocytes

Compact myelin

Recovery from motor deficits

Hypomyelinating disease

[124]

OPCs

hiPSCs from MS patients

Shiverer mice

1 × 105

Intracerebral

12–16 weeks

Myelinating oligodendrocytes

Not determined

Hypomyelinating disease

[26]

OPCs

hESCs

Shiverer mice

4 × 105

Intraspinal

6 weeks

Oligodendrocytes

Compact myelin

Not determined

Hypomyelinating disease

[113] *

OPCs

hiPSCs

Shiverer mice

I. 1 × 105

II. 3 × 105

Intracerebral

9 months

Oligodendrocytes

Astrocytes

Compact myelin

Increased survival

Hypomyelinating disease

[169]

OPCs overexpressing Zfp488

hiPSCs

Shiverer mice

5 × 105

Intracerebral

8 weeks

Oligodendrocytes

Compact myelin

Not determined

Hypomyelinating disease

[13]

OPCs

mESCs

Twitcher mice

0.2 × 105

Intracerebral

 ~ 3 weeks

Modest myelination

None

Leukodystrophy

[71]

OPCs

Rat fetal brain

ARSA null neonate mice

1.5 × 105

Intraventricular

60 days

Increased brain ARSA activity

Prevention of motor deficits

Leukodystrophy

[36]

GRPs/OPCs (sorted for:

A2B5+, GLAST+, and PDGFαR+ populations)

Mouse fetal brain

Mice with vanishing white matter

6 × 105

Intracerebral

9 months

Astrocytes

Oligodendrocytes

Selectively improved motor skills

Leukodystrophy

[25]

GRPs

Rat fetal brain

SOD1 G93A rats

9 × 105

Intraspinal

80 days

Astrocytes

Oligodendrocytes

Reduced microgliosis

Increased survival Improved motor performance

ALS

[78] *

GRPs

Human fetal brain

SOD1 G93A mice

I. 2 × 105

II. 6 × 105

Intraspinal

130 days

Astrocytes

Oligodendrocytes

None

ALS

[77]

GRPs

Human fetal brain

SOD1 G93A mice

3 × 105

Intraspinal

90 days

Retained characteristics of GRPs

Not determined

ALS

[46]

GRPs

Human fetal brain

SOD1 G93A mice

4 × 105

Intracerebral

Up to 300 days

None

None

ALS

[148]

GRPs

hiPSCs

SOD1 G93A mice

8 × 104

Intraspinal

up to 90 days

Astrocytes

Increased survival

Improved clinical motor score

ALS

[67] *

GRPs

Mouse fetal brain

MHV-infected mice

2.4 × 105

Intraspinal

33 days

Remyelination

Axonal sparing

Locomotor recovery

MS

[158]

GRPs

Mouse fetal brain

MHV-infected mice

2.4 × 105

Intraspinal

21 days

Remyelination without attenuated inflammatory response

Not determined

MS

[49]

OPCs

hESCs

EAE mice

1 × 106

Intraventricular

15 days

Immunomodulation

Improved neurological disability score

MS

[64]

OPCs

hWJ-MSCs

EAE mice

1 × 106

Intracerebroventricular

50 days

Increased remyelination

Reduced symptoms

MS

[97]

OPCs

hESCs

MS mice

1 × 106

Intracerebroventricular

65 days

Reduced inflammation

Reduced demyelination

Reduced axonal loss

Long term disease attenuation

MS

[112]

GRPs

Mouse fetal brain

Wild-type mice (later subjected to brain trauma)

4 × 105

Intracerebroventricular

16 weeks

Enhanced GRP engraftment and tissue repair after brain trauma

Not determined

Brain injury

[168]

OPCs

Human fetal brain

Ischemic stroke rats

3 × 105

I. Intraventricular

Ii. Intracerebral

 ~ 90 days

Thick myelin sheath

Reduced brain structural damage

Enhanced modified neurological severity score

Brain injury

[177]

OPCs

Human fetal brain

H/I brain injury + LPS injected rats

4 × 105

Intracerebroventricular

45 days

Myelinating oligodendrocytes

Improved locomotor and cognitive performance

Brain injury

[66]

OPCs

Human fetal brain

Ischemic stroke gerbils

1 × 106

Intravenous

30 days

Restored myelination

Improved memory and cognition

Brain injury

[1]

OPCs

mESCs

Ischemic stroke rats

2 × 105

Intraventricular

6 weeks

Myelin

Apoptosis inhibition

Improved spatial learning and memory

Brain injury

[18]

OPCs

hESCs

Global cerebral ischemic rats

5 × 105

Intracerebroventricular

2 weeks

Astroglia

Preserved myelin integrity

Improved learning and memory

Brain injury

[57]

OPCs

Mouse adult brain

MCAO mice

6 × 105

Intracerebral

Up to 14 days

Alleviated edema and infarct volume

Reduced blood–brain barrier leakage

Neurological recovery promotion

Brain injury

[167]

OPCs

hESCs

Marmarou weight drop injury rat model

2 × 105

Intracerebral

3 months

Ensheathing oligodendrocytes

Not determined

Brain injury

[179]

CM from GRPs

hiPSCs

MCAO rats

50 µg of total protein

Intraarterial

30 days

Enhanced angiogenesis

Cytoprotection

Anti-inflammatory effect

Neurological improvement

Brain injury

[137]

GRPs loaded with PAMAM

Mouse fetal spinal cord

Ischemic stroke mice

1 × 105

Intracerebral

8 weeks

Improved GRPs migration and differentiation

Not determined

Brain injury

[108]

GRPs overexpressing VLA-4

Mouse fetal brain

MCAO mice

1 × 106

Intraarterial

30 days

Increased efficiency of GRPs' docking

Diapedesis induction

Not determined

Brain injury

[55] *

GRPs

Rat fetal spinal cord

SCI rats

3 × 105

Intraspinal

3 weeks

Astrocytes

Promotion of axonal growth

Not determined

SCI

[45]

GRPs

Human fetal brain

SCI rats

6 × 105

Intraspinal

5 weeks

Astrocytes

Axonal regeneration

Not determined

SCI

[44] *

GRPs

Human fetal brain

SCI rats

1 × 106

Intraspinal

8 weeks

Mostly astrocytes

Reduced glial scar

Attenuated hyperactive bladder reflexes

SCI

[58]

GRPs

Human fetal brain

SCI rats

4 × 105

Intraspinal

95 days

Preserved electrophysiological conduction

Myelination

Astrocytes

Modest generation of oligodendrocytes

None

SCI

[165] **

GRPs

Rat fetal spinal cord

SCI rats

2 × 105

Intraspinal

5 weeks

Astrocytes

Oligodendrocytes

Not determined

SCI

[48]

GRPs

Rat fetal brain

SCI rats

2–3 × 106

Intraspinal

12 weeks

Integration within the host tissue

Astrocytic and oligodendrocytic differentiation

Recovery of erectile events and locomotion functions

SCI

[114]

OPCs

hiPSCs

SCI rats

5 × 105

Intraspinal

2 months

Mature oligodendrocytes

Reduced cavity size

Increased number of myelinated axons

Partial motor recovery

SCI

[3]

OPCs

miPSCs

SCI rats

5 × 106

Intraspinal

4 weeks

Promoted myelin formation

Attenuated motor and sensory dysfunction

SCI

[188]

OPCs

hESCs

SCI rats

I. 15 × 105

II. 2.5 × 105

Intraspinal

8 weeks

Oligodendrocytes

Improved myelination

Improved motor function

SCI

[62] *

OPCs

hiPSCs

SCI rats

5 × 105

Intraspinal

12 weeks

Oligodendrocytes

Neurons

None

SCI

[122]

OPCs

hESCs

SCI rats

2.4 × 105—2.4 × 106

Intraspinal

12 months

Neurite outgrowth

Myelination

No adverse clinical observations (allodynia, toxicity, or tumor formation)

SCI

[127]

OPCs

hiPSCs

SCI rats

I. Efficacy dose: 2.4 × 105

II. Maximum feasible dose: 2.4 × 106

Intraspinal

4 months

Reduction in parenchymal cavitation at the injury site

Increased number of myelinated axons

Improved locomotor performance

SCI

[90]

OPCs

hESCs

SCI rats

1 × 106

Intraspinal

8 weeks

Neural rescue

Movement recovery

SCI

[140]

OPCs

Human fetal brain

SCI rats

I. Hemisection: 1.5 × 106

II. Dorsal column: 1 × 106

Intraspinal

5 weeks

Promotion of sensory and motor axonal regeneration

Not determined

SCI

[59]

OPCs

hESCs

SCI patients (clinical trial NCT02302157)

I. 2 × 106

II. 1 × 107

III. 2 × 107

Intraparenchymal

1 year

No: enlarging mass, spinal cord damage related to the injection procedure, inflammatory lesions in the spinal cord, or masses in the VS

Moderate recovery of neurological functions

SCI (clinical trial)

[30] **

GRPs overexpressing GLT1

Rat fetal spinal cord

SCI rats

I. 6 × 105

II. 9 × 105

Intraspinal

5 weeks

Reduced lesion size, diaphragm denervation and diaphragm dysfunction

Not determined

SCI

[80]

OPCs overexpressing microRNA-219

hiPSCs

SCI rats

1 × 106

Intraspinal

2 months

Mature oligodendrocytes

Improved locomotor activity

SCI

[107]

OPCs overexpressing MRF + Schwann cells

Rat fetal spinal cord

SCI rats

2 × 105 of each cell type

Intraspinal

6 weeks

Increased myelination and tissue repair

Recovery of neurological function

SCI

[178]

OPCs overexpressing PDGF-AA

Rat fetal spinal cord

SCI rats

2 × 105

Intraspinal

7 weeks

Increased myelination and tissue repair

Recovery of neurological function

SCI

[186]

  1. ALS amyotrophic lateral sclerosis, ARSA arylsulfatase A, CM conditioned medium, EAE experimental autoimmune encephalomyelitis, GRPs glial-restricted progenitors, H/I hypoxia/ischemia, hESC human embryonic stem cell, hiPSC human induced pluripotent stem cell, hWJ-MSC human Wharton jelly-derived mesenchymal stem cell, LPS lipopolysaccharide, MCAO middle cerebral artery occlusion, mESC mouse embryonic stem cell, MHV mouse hepatitis virus, miPSC mouse induced pluripotent stem cell, MRF myelin regulatory factor, MS multiple sclerosis, OPCs oligodendrocyte progenitor cells, PAMAM hydroxyl polyamidoamine dendrimer, PDGF-AA platelet-derived growth factor-AA, SCI spinal cord injury, SOD1 superoxide dismutase-1, VLA4 very late antigen 4, VS ventricular system
  2. *Denotes an article of special interest
  3. **Denotes an article of outstanding interest