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Medicine
Image-Guided Resection of Glioblastoma and Intracranial Implantation of Therapeutic Stem Cell-see...
Image-Guided Resection of Glioblastoma and Intracranial Implantation of Therapeutic Stem Cell-see...
JoVE Journal
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JoVE Journal Medicine
Image-Guided Resection of Glioblastoma and Intracranial Implantation of Therapeutic Stem Cell-seeded Scaffolds

Image-Guided Resection of Glioblastoma and Intracranial Implantation of Therapeutic Stem Cell-seeded Scaffolds

Full Text
8,745 Views
09:18 min
July 16, 2018

DOI: 10.3791/57452-v

Kevin T. Sheets1, Juli R. Bagó1, Ivory L. Paulk1, Shawn D. Hingtgen1,2

1Division of Pharmacoengineering and Molecular Pharmaceutics, UNC Eshelman School of Pharmacy,University of North Carolina at Chapel Hill, 2Lineberger Comprehensive Cancer Center,University of North Carolina at Chapel Hill

Tumor-seeking therapeutic mesenchymal stem cells (MSCs) show promise as a treatment for invasive glioblastoma. Optimal transplantation involves delivery of MSCs into the tumor resection cavity on scaffolds. Here, preclinical techniques to study MSC treatment of glioblastoma are provided including: image-guided tumor resection; implantation of MSC-seeded scaffolds; and postoperative therapy tracking.

The overall goal of this procedure is to surgically resect brain cancer in mice and to implant a scaffold seeded with tumor-homing therapeutic stem cells into the postoperative resection cavity. This method can help answer key questions in the cell therapy and neuro-oncology fields, such as how surgical resection affects cell implantation into the surgical cavity, how effective new therapeutic agents are on postsurgical brain cancer, and how scaffold-based delivery systems influence therapeutic outcomes. The main advantage of this technique is that brain cancer interventions can be studied in mice in a way that closely mimics the clinical standard of care in human patients.

Though this method can provide insight into stem cell therapy delivered on scaffold, it can also be applied to other interventions, such as nanoparticles, small molecules, oncolytic viruses, or other emerging therapies. Prepare the scaffolds 48 hours prior to implantation in mice by first cutting PLA scaffolds into resection cavity-sized pieces of approximately two by two millimeters. Sterilize the scaffolds by immersing in 70%ethanol for 15 minutes.

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