11: transplantation Flashcards

1
Q

neurons have to? cell replacement techniques represent? clinical implications for?

A

have to carry out function for entire life, aren’t replaced if damaged. one of the advanced methods by which we can ameliorate dysfunction of lesioned/damaged brain. NDDs like AD, PD for which no adequate medical treatments are avail

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2
Q

5 essential elements of neuronal transplantation?

A

donor age. host age. vascularization. immunologic factors. target access.

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3
Q

donor age

A

transplanted tissues survive best when from active stage of embryogenesis

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4
Q

host age

A

old age drastically reduces survival and fiber outgrowth of graft

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5
Q

vasculrization for neuronal transplantation?

A

development of adequate blood supply to the graft is one of the most important factors determining graft survival

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6
Q

brain: immunologically? leads to? survival of graft enhanced by?

A

brain is an immunologic privileged site, leads to delyaed immune response to grafted tissue. by using immunosupressants

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7
Q

target access for neuronal transplantation? where should you always put the graft?

A

appropriate target area influences graft survival + growth of grafted tissues. always place at terminal area/target site, not the site of cellular origin

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8
Q

3 methods of neuronal transplantation

A

transplantation of: embryonic tissues, genetically modified cells, polymer-encapsulated cells

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9
Q

transplanation of embryonic tissues: what

A

solid pieces of tissues in preformed cavity or cell suspension of embronic tissues injected into target area

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10
Q

transplanation of embryonic tissues: 2 advantages + disadvantages

A

A: good graft survival, regulated release. D: ethical issues, limited avail of fetal tissue

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11
Q

transplanation of genetically modified cells: two cell types? mos commonly used method?

A

primary cells + immortalized cells. most commonly used: retroviral infection, which yields high levels of transgene incorporation

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12
Q

transplanation of genetically modified cells: 2 advantages + disadvantages

A

A: trasnplantation of specific genes. no ethical issues. D: unregulated secretion. poor survival of graft

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13
Q

transplanation of genetically modified cells: two classes of genes usually used

A

grwoth factors: cells genetically modified to produce GDNF, prevents degeneration of DA neurons (for PD). affected NT enzymes: cells genetically modified to produce TH, L-DOPA can ameliorate deficits in PD

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14
Q

transplantation of polymer encapsulated cells: is what? comprises what? what cells?

A

delivers growth factors/NTs to discrete brain areas. a selective barrier that allows free transport of low but not high MW agents. encapsulated PC12 cells, for animal models of PD

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15
Q

PC12 cells

A

produces NA + DA. immortalized rat chromaffin cell that releases NA + DA. used for transplantation of polymer encapsulated cells for animal model of PD

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16
Q

transplantation of polymer encapsulated cells: 3 adv? 1 disadv?

A

use of unmatched tissue, no danger of tumor formation, can be retrieved in case of detrimental effects. D: unregulated secretion

17
Q

2 animal models of PD

A

unilateral lesion of nigrostriatal pathway with 6 -hydroxydopamine. bilateral lesion of nigrostriatal pathways with MPTP

18
Q

6 hydroxydopamine: what lesion induced changes do you see (+ drugs)?

A

loss of DA neurons triggers drug induced sterotypical rotational behaviour. apomorphine, DA agonist = contralateral while amphetamine = ipsilateral rotation