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Testicles and transplants
Cells from the testes could help the brains of stroke patients recover

Transplanting cells from the testes to the brain might one day help
patients recover from stroke, say researchers in the US.

Sertoli cells isolated from the testes release growth factors that could
protect certain types of neurons in the hours following a stroke,
reports Cesar Borlongan from the National Institute on Drug Abuse
in Baltimore.

The growth factors seem to specifically prevent dopamine-producing
neurons from dying, says Borlongan. Last year his group showed that
 Sertoli cells could protect dopamine-producing cells in animals with
 Parkinson's disease.

Now they believe that Sertoli cell transplants could one day help the
five per cent of stroke patients whose damage is limited to the basal
ganglia, a region rich in dopamine cells.

Sertoli cells are also ignored by the immune system in the same way
that sperm are not attacked. This means these cells should be a safe
and effective way to limit the damage in these patients, Borlongan says.
Because patients can tolerate a transplant of other people's Sertoli cells,
women could receive transplants too.

Chain reaction

During a stroke, the loss of the blood supply rapidly kills a core group of cells.
But in the hours afterwards, the damage becomes worse as dead cells in the
core trigger neighbouring cells to commit suicide.

Borlongan mimicked the conditions of a stroke using rat cells in a culture dish
Experiments showed that Sertoli cells protected dopamine-producing cells,
reducing the number of neurons that committed suicide.

Borlongan's colleague Paul Sandberg from the University of South Florida
College of Medicine in Tampa has now just completed the first tests in rats.
By injecting Sertoli cells into the penumbra region of rat brains within a day
of a stroke, the rats suffered less severe motor deficits. This suggests that
many of the vulnerable cells were saved.

Borlongan knocked out various growth factors produced by Sertoli cells and
found that the most likely protective substance is a peptide called glial-derived
neurotrophic factor, or GDNF.

The advantage of using Sertoli cells to deliver GDNF is that they can keep up
production for long periods of time.

Correspondence about this story should be directed to
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1157 GMT, 8 November 2000
Helen Phillips, New Orleans

http://www.newscientist.com/dailynews/news.jsp?id=ns9999146
http://www.newscientist.com/dailynews/news.jsp?id=ns9999146