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Regenerating the injured brain to allow for functional recovery remains an unmet challenge. Many innovative preclinical approaches have evolved targeting, for example, immune modulation19,20, angiogenesis1,21,22,23, blood-brain-barrier integrity2,3,24,25, and cell replacement5,26. Especially in recent years, cell-based therapies have emerged as a promising treatment strategy for the brain due to major advancements in stem cell technology and efficient differentiation protocols15,28. This paper provides a valuable protocol for transplanting and tracking neural cells in the mouse brain. The method is applicable for all transducable cell lines for in vivo applications in the mouse brain.
The presented setup uses transplants of human origin in a mouse. These transplants are not viable in the long-term in immunocompetent wild-type mice due to immunogenicity. Hence, immunodeficient NSG mice were used to overcome this limitation. Alternatively, the use of mouse transplants may be preferred to overcome the immunogenic aspects. If transplantation of human cells is required, humanized mouse models represent an emerging alternative to reduce the probability of graft rejection29.
A commercial dual-reporter viral vector consisting of firefly luciferase and eGFP under the EF1α promotor was used to visualize the transplants. This promotor was selected to achieve a high signal intensity15. However, apart from NPCs, other cell types have been shown to promote brain function after injury, including pericytes30 and astrocytes31; hence, depending on the cell line used, other promotors might be more suitable to achieve high expression levels. Additionally, the use of transgene promoters, such as CMV, may lead to downregulation, especially in long-term experiments32. The transduction efficiency of the lentiviral vector strongly depends on the used cell line and may vary between single experiments. Therefore, transduction efficiency must be evaluated before starting the in vivo experiments and to correct variations in transduction efficacy between experiments. The brain region of transplantation also influences the signal strength. Although a detection limit of <6,000 cells was achieved for cortical transplantations, it may require more cells to detect a signal in deeper brain regions, for example, striatum or hippocampus.
Transplantation volumes in the mouse brain are limited to 1-2 µL. Therefore, it is important to identify a suitable cell number for the experiments. It has been previously observed that increasing cell numbers leads to decreased survival rate, most likely due to limited availability of nutrients and oxygen in the region of transplantation33. In vivo bioluminescence imaging provides a relatively low spatial resolution compared to other in vivo imaging methods such as MRI or CT. Therefore, short migratory paths of grafted cells can only reliably be assessed in the subsequent post-hoc analysis.
The absolute signal strength of the bioluminescence is generally proportional to the transplanted cell number. However, the signal strength might be reduced if grafts are transplanted in deeper brain structures or if the signal strength is outside the linear detection spectrum of the in vivo imaging system. Currently, novel substrates are developed to ensure more efficient penetration across the blood-brain barrier than D-luciferin, including cycluc1. These substrates may further improve the detection limit of the grafted cells in the future18. Overall, this protocol allows a straightforward, minimally invasive procedure to transplant and observe grafts in the mouse brain.