Granulocyte colony-stimulating factor modulates glial scar formation after hemorrhagic stroke in rats by mobilizing mesenchymal cells

Home/2025, Vol. 13, No. 1/Granulocyte colony-stimulating factor modulates glial scar formation after hemorrhagic stroke in rats by mobilizing mesenchymal cells

Cell and Organ Transplantology. 2025; 13(1):54-61 (e2025131177).
DOI: 10.22494/cot.v13i1.177

Granulocyte colony-stimulating factor modulates glial scar formation after hemorrhagic stroke in rats by mobilizing mesenchymal cells

Grabovoy A., Mervinsky T., Savosko S., Kondaurova H., Konovalova L., Yaremenko L.

  • Bogomolets National Medical University, Kyiv, Ukraine

Abstract

A glial scar typically develops in the brain following a stroke and represents a common astrocytic response to injury. While astrocytes are the primary cell type involved in this process, non-glial cells also contribute to scar formation. The immunophenotype of these additional cell populations remains poorly characterized. Identifying these cells could deepen our understanding of glial scar development and help uncover potential therapeutic targets.
Aim. To identify cells of potential mesenchymal origin in the glial scar following hemorrhagic stroke (HS) and assess changes in their number under the influence of granulocyte colony-stimulating factor (G-CSF) and its combination with dexamethasone (DEX).
Materials and methods: A unilateral model of hemorrhagic stroke was induced in 120 rats, which were divided into three groups: HS, HS+G-CSF, and HS+G-CSF+DEX. The control group consisted of sham-operated animals without stroke induction. On days 1, 3, 10, 30, and 60 post-injury, glial scar formation was assessed by immunohistochemistry. Brain sections were analyzed for GFAP expression and the presence of CD44, CD68, and CD90 cells. Densitometric analysis of the GFAP-positive area was performed.
Results. G-CSF increased the number of CD44 cells in the glial scar area during the acute phase after stroke. The combination of G-CSF and DEX attenuated the accumulation of CD44 cells but promoted their prolonged presence. G-CSF also enhanced the mobilization of CD68 cells to the site of hemorrhage, while DEX delayed their appearance, possibly due to its anti-inflammatory effects during the acute phase. CD68 cells in the lesion area may represent not only phagocytes but also mesenchymal progenitor cells. The mobilization of CD90 cells to the glial scar formation zone is limited and infrequent but increases under the influence of G-CSF. Nevertheless, their presence indicates the involvement of mesenchymal stem cells in regenerative processes following hemorrhagic stroke, as these cell types are not detected in the intact brain. Additionally, G-CSF reduced the intensity of astroglial activation following injury.
Conclusions. Cells of mesenchymal origin contribute to glial scar formation after hemorrhagic stroke, while such involvement is absent in the sham-operated group, aside from the rare appearance of CD44 cells. G-CSF modulates glial scar development by promoting the accumulation of mesenchymal cells in the injury area, which contributes to greater compactness of the scar without increasing its connective tissue component. G-CSF even reduces astrogliosis, a process that is otherwise exacerbated by dexamethasone during glial scar formation after brain hemorrhage.

Key words: cerebral stroke; glial scar; mesenchymal stem cell; granulocyte colony-stimulating factor; CD44; CD68

 

 


Full text PDF

1. Cantore S, Crincoli V, Boccaccio A, Uva AE, Fiorentino M, Monno G, et al. Recent advances in endocrine, metabolic and immune disorders: mesenchymal stem cells (MSCs) and engineered scaffolds. Endocr. Metab. Immune Disord. Drug Targets. 2018, 18(5):466-469.
https://doi.org/10.2174/1871530318666180423102905
PMid:29692270
2. Panés J, García-Olmo D, Van Assche G, Colombel JF, Reinisch W, Baumgart DC, et al. ADMIRE CD Study Group Collaborators. Long-term efficacy and safety of stem cell therapy (Cx601) for complex perianal fistulas in patients with Crohn’s disease. Gastroenterology. 2018; 154(5):1334-1342.e4.
https://doi.org/10.1053/j.gastro.2017.12.020
PMid:29277560
3. Musialek P, Mazurek A, Jarocha D, Tekieli L, Szot W, Kostkiewicz M, et al. Myocardial regeneration strategy using Wharton’s jelly mesenchymal stem cells as an off-the-shelf ‘unlimited’ therapeutic agent: results from the Acute Myocardial Infarction First-in-Man Study. Postepy Kardiol Interwencyjnej. 2015, 11(2):100-107.
https://doi.org/10.5114/pwki.2015.52282
PMid:26161101 PMCid:PMC4495125
4. Liau LL, Ruszymah BHI, Ng MH, Law JX. Characteristics and clinical applications of Wharton’s jelly-derived mesenchymal stromal cells. Curr. Res. Transl. Med. 2020, 68(1):5-16.
https://doi.org/10.1016/j.retram.2019.09.001
PMid:31543433
5. Liu J, Gao J, Liang Z, Gao C, Niu Q, Wu F, et al. Mesenchymal stem cells and their microenvironment. Stem Cell Res. Ther. 2022, 13(1):429. h
https://doi.org/10.1186/s13287-022-02985-y
PMid:35987711 PMCid:PMC9391632
6. La Greca A, Solari C, Furmento V, Lombardi A, Biani MC, et al. Extracellular vesicles from pluripotent stem cell-derived mesenchymal stem cells acquire a stromal modulatory proteomic pattern during differentiation. Exp. Mol. Med. 2018, 50(9), 1-12.
https://doi.org/10.1038/s12276-018-0142-x
PMid:30201949 PMCid:PMC6131549
7. Vonk LA, van Dooremalen SFJ, Liv N, Klumperman J, Coffer PJ, Saris DBF, et al. Mesenchymal stromal/stem cell-derived extracellular vesicles promote human cartilage regeneration in vitro. Theranostics. 2018; 8(4):906-920.
https://doi.org/10.7150/thno.20746
PMid:29463990 PMCid:PMC5817101
8. Bobis-Wozowicz S, Kmiotek K, Kania K, Karnas E, Labedz-Maslowska A, Sekula M, et al. Diverse impact of xeno-free conditions on biological and regenerative properties of hUC-MSCs and their extracellular vesicles. J. Mol. Med. (Berl). 2017, 95(2), 205-220.
https://doi.org/10.1007/s00109-016-1471-7
PMid:27638341 PMCid:PMC5239805
9. Martins LF, Costa RO, Pedro JR, Aguiar P, Serra SC et al. Mesenchymal stem cells secretome-induced axonal outgrowth is mediated by BDNF. Sci Rep. 2017; 7:4153.
https://doi.org/10.1038/s41598-017-03592-1
PMid:28646200 PMCid:PMC5482809
10. Choudhary P, Gupta A, Gupta SK, Dwivedi S, Singh S. Comparative evaluation of divergent concoction of NGF, BDNF, EGF, and FGF growth factor’s role in enhancing neuronal differentiation of adipose-derived mesenchymal stem cells. Int J Biol Macromol. 2024; 260(Pt 2):129561.
https://doi.org/10.1016/j.ijbiomac.2024.129561
PMid:38246449
11. Sawada R, Nakano-Doi A, Matsuyama T, Nakagomi N, Nakagomi T. CD44 expression in stem cells and niche microglia/macrophages following ischemic stroke. Stem Cell Investig. 2020;7:4.
https://doi.org/10.21037/sci.2020.02.02
PMid:32309418 PMCid:PMC7154319
12. Lee HJ, Jung H, Kim DK. IDO and CD40 May Be Key Molecules for Immunomodulatory Capacity of the Primed Tonsil-Derived Mesenchymal Stem Cells. Int J Mol Sci. 2021; 22(11):5772.
https://doi.org/10.3390/ijms22115772
PMid:34071285 PMCid:PMC8198434
13. Lapierre V, Rossi JF, Heshmati F, Azar N, Vekhof A, Makowski C, et al. Ancestim (r-metHuSCF) plus filgrastim and/or chemotherapy for mobilization of blood progenitors in 513 poorly mobilizing cancer patients: the French compassionate experience. Bone Marrow Transplant. 2011, 46:936-942.
https://doi.org/10.1038/bmt.2010.231
PMid:20956952
14. Lee S, Im SA, Yoo ES, Nam EM, Lee MA, Ahn JY, et al. Mobilization kinetics of CD34(+) cells in association with modulation of CD44 and CD31 expression during continuous intravenous administration of G-CSF in normal donors. Stem Cells. 2000, 18(4):281-286.
https://doi.org/10.1634/stemcells.18-4-281
PMid:10924094
15. Deng S, Feng S, Xin Y, He Y, Wang Y, Tian M, Gong Y. Establishment of a rat model of severe spontaneous intracerebral hemorrhage. J Intensive Med. 2023; 4(1):108-117.
https://doi.org/10.1016/j.jointm.2023.08.007
PMid:38263974 PMCid:PMC10800770
16. Gars E, Yousry SM, Babu D, Kurzer JH, George TI, Gratzinger D. A replicable CD271+ mesenchymal stromal cell density score: bringing the dysfunctional myelodysplastic syndrome niche to the diagnostic laboratory. Leuk Lymphoma. 2017; 58(7):1730-1732.
https://doi.org/10.1080/10428194.2016.1251590
PMid:27808583
17. Choi BY, Kim OJ, Min SH, Jeong JH, Suh SW, Chung TN. Human Placenta-Derived Mesenchymal Stem Cells Reduce Mortality and Hematoma Size in a Rat Intracerebral Hemorrhage Model in an Acute Phase. Stem Cells Int. 2018; 2018:1658195.
https://doi.org/10.1155/2018/1658195
PMid:29853907 PMCid:PMC5954892
18. Wang H, Zhan Y, Xu L, Feuerstein GZ, Wang X. Use of suppression subtractive hybridization for differential gene expression in stroke: discovery of CD44 gene expression and localization in permanent focal stroke in rats. Stroke. 2001; 32(4):1020-1027.
https://doi.org/10.1161/01.STR.32.4.1020
PMid:11283406
19. Chen Y, Rudolph KL. Granulocyte colony-stimulating factor acts on lymphoid-biased, short-term hematopoietic stem cells. Haematologica. 2021, 106(6):1516-1518.
https://doi.org/10.3324/haematol.2020.271205
PMid:34060296 PMCid:PMC8168489
20. Christ O, Kronenwett R, Haas R, Zöller M. Combining G-CSF with a blockade of adhesion strongly improves the reconstitutive capacity of mobilized hematopoietic progenitor cells. Exp Hematol. 2001; 29(3):380-390.
https://doi.org/10.1016/S0301-472X(00)00674-3
PMid:11274767
21. Mickiene G, Dalgėdienė I, Zvirblis G, Dapkunas Z, Plikusiene I, Buzavaite-Verteliene E, et al. Human granulocyte-colony stimulating factor (G-CSF)/stem cell factor (SCF) fusion proteins: design, characterization and activity. PeerJ. 2020, 8, e9788.
https://doi.org/10.7717/peerj.9788
PMid:32884863 PMCid:PMC7444511
22. Al-Dalahmah O, Sosunov AA, Sun Y, Liu Y, Madden N, Connolly E, et al. The Matrix Receptor CD44 Is Present in Astrocytes throughout the Human Central Nervous System and Accumulates in Hypoxia and Seizures. Cells. 2024; 13(2):129.
https://doi.org/10.3390/cells13020129
PMid:38247821 PMCid:PMC10814649
23. Naruse M, Shibasaki K, Yokoyama S, Kurachi M, Ishizaki Y. Dynamic changes of CD44 expression from progenitors to subpopulations of astrocytes and neurons in developing cerebellum. PLoS One. 2013; 8(1):e53109.
https://doi.org/10.1371/journal.pone.0053109
PMid:23308146 PMCid:PMC3537769
24. Cai N, Kurachi M, Shibasaki K, Okano-Uchida T, Ishizaki Y. CD44-positive cells are candidates for astrocyte precursor cells in developing mouse cerebellum. Cerebellum. 2012; 11(1):181-193.
https://doi.org/10.1007/s12311-011-0294-x
PMid:21732075
25. Haegel H, Tölg C, Hofmann M, Ceredig R. Activated mouse astrocytes and T cells express similar CD44 variants. Role of CD44 in astrocyte/T cell binding. J Cell Biol. 1993; 122(5):1067-1077.
https://doi.org/10.1083/jcb.122.5.1067
PMid:8354694 PMCid:PMC2119630
26. Guo J, Yang T, Zhang W, Yu K, Xu X, Li W, et al. Inhibition of CD44 suppresses the formation of fibrotic scar after spinal cord injury via the JAK2/STAT3 signaling pathway. iScience. 2024; 27(2):108935.
https://doi.org/10.1016/j.isci.2024.108935
PMid:38323002 PMCid:PMC10846335
27. Luo W, Li Y, Zhao J, Niu R, Xiang C, Zhang M, et al. CD44-targeting hyaluronic acid-selenium nanoparticles boost functional recovery following spinal cord injury. J Nanobiotechnol. 2024; 22:37.
https://doi.org/10.1186/s12951-024-02302-0
PMid:38263204 PMCid:PMC10804833
28. Sakuma R, Kawahara M, Nakano-Doi A, Takahashi A, Tanaka Y, Narita A, et al. Brain pericytes serve as microglia-generating multipotent vascular stem cells following ischemic stroke. J Neuroinflammation. 2016; 13(1):57.
https://doi.org/10.1186/s12974-016-0523-9
PMid:26952098 PMCid:PMC4782566
29. Zhou ZL, Xie H, Tian XB, Xu H-L, Li W, Yao S, et al. Microglial depletion impairs glial scar formation and aggravates inflammation partly by inhibiting STAT3 phosphorylation in astrocytes after spinal cord injury. Neural Regen Res. 2023; 18(6):1325-1331.
https://doi.org/10.4103/1673-5374.357912
PMid:36453419 PMCid:PMC9838173
30. Graboviy OM, Mervinsky TS, Savosko SI, Yaremenko LM. Dynamics of changes in the representation of mesenchymal cells in the forming glial scar during dexamethasone application. Reports of Morphology. 2024; 30(3); 25-32.
https://doi.org/10.31393/morphology-journal-2024-30(3)-03

Grabovoy A, Mervinsky T, Savosko S, Kondaurova H, Konovalova L, Yaremenko L. Granulocyte colony-stimulating factor modulates glial scar formation after hemorrhagic stroke in rats by mobilizing mesenchymal cells . Cell Organ Transpl. 2025; 13(1):54-61 (e2025131177). doi: https://doi.org/10.22494/cot.v13i1.177

 

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.