耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
虚血性内耳障害に対する造血幹細胞鼓室階注入の効果とGDNFの役割
吉田 正
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ジャーナル フリー

2007 年 100 巻 5 号 p. 397-403

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The transplantation of hematopoietic stem cells (HSCs) is regarded to be a potential approach for promoting the repair of damaged organs. Here, we investigated the influence of hematopoietic stem cells on progressive hair cell degeneration after cochlear ischemia in gerbils. Intrascalar injection of HSCs prevented Ischemia-induced hair cell degeneration and ameliorated hearing impairment. The administration of HSCs apparently augmented the upregulation of ischemia-induced GDNF, which is proved to inhibit ischemic cochlear damage. A tracking study revealed that HSCs injected into cochlear were retained in the perilymphatic space of the cochlea, although they neither transdifferentiated into cochlear cell types nor fused with injured hair cells. These results suggested that HSCs have therapeutic potential by preventing ischemia-induced hearing loss, probably through their paracrine effects. We concluded that the direct administration of HSCs into the perilymphatic space can be a new therapeutic strategy for sudden-onset hearing loss due to cochlear ischemia.
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