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Table 1 Summary of the important studies on the effects of cerebrospinal fluid on stem cells

From: Cerebrospinal fluid-stem cell interactions may pave the path for cell-based therapy in neurological diseases

Study

Source of CSF

Primitive cell type

Cell type after induction

Changes after induced by CSF

Cell identification markers

Transplantation (Yes or No)

Pandamooz et al., 2013 [15]

Allogeneic-rats

Endogenous neural stem cell (allogeneic-rat)

Neuron-like cells

CSF promoted the differentiation of NSCs into neuron-like cells, with the majority to be glial cells and less neurons

Nestin, β-tubulin, GAFP, genes

No

Yan et al., 2013 [17]

Autologous-human (total hip arthroplasty patients)

BM-derived MSCs (autologous-human: total hip arthroplasty patients)

NSCs

Nestin expression from 6 h, peaked at 24 h; NSE expression from 12 h, peaked at 48 h

Nestin, NSE, NF, GFAP

No

Ren et al., 2015 [18]

Autologous-human (neurodegenerative disease patients)

BM-derived (autologous-human: neurodegenerative disease patients) and umbilical (allogeneic-human: full-term healthy neonate by eutocia) MSCs

NSCs

N/A

N/A

Yes, clinical trial

Ye et al., 2009 [19]

Autologous-human (healthy voluntary donors)

BM-derived (autologous-human: healthy voluntary donor) and umbilical (allogeneic-human: full-term healthy neonate by eutocia) MSCs

NSCs

BM-MSCs semiadhered by 24 h, completely or loosely adhered by 48 h with budding, formed spindle-shaped cells with pseudo-foot by 72 h, formed large colonies by 1 week, whorled arrangement by 10 days; umbilical MSCs semiadhered by 24 h, loosely adhered with little budding by 48 h, spindle-like change by 72 h, formed small colonies by 14 days, whorled arrangement by 21 days

CD34, CD44, CD45, CD90, β-tubulin, NSE, NF, GFAP

No

Ye et al., 2015 [20]

Allogeneic-human (healthy voluntary donors)

BM-MSCs (allogeneic-rat)

Neuron-like cells

N/A

N/A

Yes, animal experiments (rats)

Feng et al., 2015 [21]

Allogeneic-human (healthy voluntary donors)

BM-MSCs (allogeneic-rat)

Neuron-like cells

N/A

N/A

Yes, animal experiments (rats)

Ye et al., 2011 [22]

Allogeneic-human (healthy voluntary donors)

BM-MSCs (allogeneic-human: healthy voluntary donor)

Neuron-like cells

After 24 h of induction cells exhibited a significant morphological change including soma retraction and transparency. After 3 days, a number of neurites were formed. The soma of 4-day cultures gradually formed a tapered, triangular and irregular shape. The soma of 7-day cultures was similar to the dendrite and axon-like structure of astrocytes

β-Tubulin, GFAP

No

Ren et al., 2013 [23]

Allogeneic-human (healthy voluntary donors)

BM-derived (allogeneic-human: patients with written informed consent for special treatment) and umbilical (allogeneic-human: full-term healthy neonate by eutocia) MSCs

NSCs

Low β-tubulin positive rates in IHC and IF by 6 h, highest β-tubulin fluorescence and positive rates at 72 h; high GAFP positive rates in IHC and IF that peaked at 48 h, and eventually dropped afterwards, positive double fluorescence staining by 72 h

CD34, CD44, CD45, CD90, β-tubulin, GAFP,

No

Chen et al., 2016 [24]

Allogeneic-human (healthy voluntary adult donors)

BM-derived (allogeneic-rat)

Neuron-like cells

Adherence from 12 h, most cells adhered after 24 h with long spindle shape, apparent colonies formed by 72 h, typical fibroblast-like cells appeared after 6 days

CD29, CD45, CD54, CD90, GAFP, NSE

No

Ye et al., 2016 [25]

Allogeneic-human (healthy voluntary adult donors)

BM-derived (allogeneic-rat)

Neuron-like cells

At day 4 postinduction by CSF, cells were digested with 0.25% trypsin and resuspended to a concentration of 1 × 107 cells/ml

NSE, GFAP, BRDU,

Yes, animal experiments

Farivar et al., 2015 [26]

Allogeneic-human (normal children)

Umbilical (allogeneic-fresh human umbilical cords)

Neuron-like cells

No significant cell death after CSF treatment; a remarkable increase in Nestin expression over 21 days; MAP2 showed a delayed expression on day 21; GFAP is expressed before MAP2, GFAP expression is higher than MAP2 expression on day 14

Nestin, MAP2, GFAP

No

Shen et al., 2011 [27]

Allogeneic-human (healthy voluntary donors)

BM-derived (allogeneic-rat)

Neuron-like cells (small round cell)

After adherence by 24 h, the number of adherent cells continually increased, with long spindle shapes, exhibited typical fibroblast morphology after ~ 6 days

CD29, CD45, CD71, CD90, CD106, NSE

No

Zhu et al., 2015 [28]

Allogeneic-human

Adipose MSCs (allogeneic-human), fetal neural progenitor cells (allogeneic-human)

Stem cells

Human CSF promoted proliferation, inhibited apoptosis, increased the migration speed and distance of hAMSCs and hfNPCs, enhanced their migration capacity to GBM conditioned media; IGF-1 in human CSF affected the apoptosis and proliferation of hAMSCs and hfNPCs, enhanced the migration capacity and affect the expression of CXCR4 in hAMSCs and hfNPCs

CD31, CD34, CD45, CD73, CD90 and CD105 via flow cytometry. NPCs were stained with Nestin, GFAP and Tuj-1.GBM

No

Glage et al., 2011 [29]

Allogeneic-human

BM-derived MSCs (allogeneic-human)

Stem cells

GLP-1 CSF concentrations can improve stem cell viability

N/A

Yes, animal experiments (cats)

Yang et al., 2009 [30]

Autologous-rat

BM-derived (allogeneic-rat)

NSCs

After transplantation of BM-MSCs, CSF stimulated the differentiation into NSCs, the effect of which was more significant when transplanted earlier, cells generally adhered to the bottom of the plates by 72 h, with cell synapses

NF, Nestin

Yes, animal experiments (rats)

Wang et al., 2012 [36]

Allogeneic-human (amyotrophic lateral sclerosis patients)

BM-derived (allogeneic-rat)

Neuron-like cells

No change on day 1, cells started to shrink from day 4 and cell synapses appeared, synapses increased on day 7

CD29, CD34, CD44, CDE45, NSE, Nestin

No

Kim et al., 2015 [37]

Allogeneic-human

UCB (allogeneic-human)

NSCs

After CSF induction, UCB-MSCs enhanced the synaptic regeneration of NSCs in the hippocampus and promoted the clearance of Aβ42

N/A

Yes, animal experiments (rats)

Bian et al., 2003 [38]

Allogeneic-human: (healthy voluntary donors)

Embryo (allogeneic-human)

Neuron-like cells

Adhered after 24–48 h, proliferated and differentiated after 2 days, stabilized after 3 weeks

NF, GFAP, Galc

No

Chen et al., 2011 [39]

Allogeneic-human (healthy voluntary donors), allogeneic-human (closed brain contusion patients)

Embryo (allogeneic-human)

Neuron-like cells

Adhered and differentiated after 2–3 h, adherence peaked by 10 h with increased differentiation

GFAP, MAPR, Nestin

No

Yin et al., 2010 [40]

Allogeneic-human (cerebral palsy children)

Embryo (allogeneic-human)

Neuron-like cells

Cell migrated from 6 hrs, cell clusters formed after 4 days

GFAP, NF, Nestin

No

Xu et al., 2013 [41]

Allogeneic-human (healthy voluntary donors)

Embryo (allogeneic-human)

Dopaminergic neurons

Differentiation was first induced with a certain concentration of ascorbic acid, followed by normal human CSF treatment for inducing the differentiation of stem cells from the embryonic mesencephalon to dopaminergic neurons in order to obtain the maximum proportion of dopaminergic neurons

TH

No

Zappaterra et al., 2013 [42]

Allogeneic-rat

Embryo (allogeneic-rat)

Neuron-like cells

CSF from varying ages or conditions to investigate the biological activity of the CSF proteome on target cells

PH3, Tuj1, BRDU

Yes-animal experiments (rats)

Martín et al., 2006 [43]

Allogeneic-chicken

Embryo (allogeneic-chicken)

NSCs

FGF2 contained within chick E-CSF was involved in regulating the behavior of neuroepithelial stem cells

Genes

No

Parada et al., 2005 [44]

Allogeneic-chicken

Embryo (allogeneic-chicken)

NSCs

The expression of neuroepithelial genes in ESCs was affected by CSF

BRDU, genes

No

Kiiski et al., 2013 [45]

Allogeneic-human (healthy voluntary donors)

Embryo (allogeneic-human)

Neuron-like cells

Human CSF supported neural cell growth whereas artificial CSF was detrimental to the cells; human CSF promoted glial differentiation over neuronal differentiation

Nestin, MAP2, GFAP

No

Ma et al., 2013 [46]

Allogeneic-human (patients)

Embryo (allogeneic-rat)

NSCs

Adult CSF did not support neurogenesis from fetal rat NSCs

Nestin, NSE, GFAP

No

Buddensiek et al., 2009 [47]

Allogeneic-human (patients)

Embryo (allogeneic-rat)

Neuron-like cells

CSF inhibited the differentiation of ESCs into neurons but promoted their differentiation into glial cells

Nestin, GFAP, β-tubulin

No

Li, 2012 [48]

Allogeneic-rat

Endogenous neural stem cell (Allogeneic-Rat)

NSCs

After spinal cord injury, changes of the CSF components affected the proliferation and differentiation of endogenous NSCs

BRDU, Nestin

No

Liu, 2007 [49]

Allogeneic-human (traumatic brain injury patients), allogeneic-human (hydrocephalus patients)

Endogenous neural stem cell (Allogeneic-Rat)

NSCs

1) NSC could survive, proliferate and differentiate in both the traumatic bloody CSF and hydrocephalic clear CSF. 2) There was faster and higher percentage of adherent differentiation of NSC in traumatic bloody CSF than in hydrocephalic clear CSF. 3) The NSC differentiation types were different when induced by the traumatic bloody CSF and hydrocephalic clear CSF. NSC tended to differentiate into glial cells in traumatic bloody CSF, and into neurons in hydrocephalic clear CSF.

Nestin, NSE, GFAP

No

Teng et al., 2003 [50]

Allogeneic-rat (cerebral ischemia), allogeneic-rat (normal)

Endogenous neural stem cell (allogeneic-rat)

NSCs

CSF of cerebral ischemia rats promoted the survival of NSCs in vitro, and promoted the differentiation of NSCs into neurons and astrocytes

Nestin, NSE, GFAP

No

Nozaki et al., 1992 [51]

Allogeneic-human (subarachnoid hemorrhage patients)

Endogenous neural stem cell (allogeneic-human)

NSCs

The bloody CSF from subarachnoid hemorrhage patients was an effective stimulant for activating and promoting the proliferation and differentiation of endogenous NSCs

Genes

No

Haines et al., 2015 [52]

Allogeneic-human (multiple sclerosis patients)

Endogenous neural stem cell (allogeneic-rat)

NSCs

CSF from multiple sclerosis patients could affect the transcription in oligodendrocyte progenitor cells of NSCs

Genes

No

Peirouvi et al., 2015 [53]

Allogeneic-rat

Embryo (allogeneic-rat), endogenous stem cell (allogeneic-rat)

Neuron-like cells

The proportion of neurons and glial cells differentiated under different pathophysiological states from ESCs at different stages and hippocampal NSCs at different locations was different

Nestin, β-tubulin, GAFP, MAP-2, Genes

No

Delgado et al., 2014 [54]

Allogeneic-rat

Endogenous neural stem cell (allogeneic-rat)

Neuron-like cells

NO-preconditioned rat CSF promoted the proliferation and differentiation of the subependymal nerve cells

Nestin, BRDU, GAFP, genes

No

Cristofanilli et al., 2013 [55]

Allogeneic-human (multiple sclerosis patients)

Endogenous neural stem cell (allogeneic-human)

Neuron-like cells

CSF of patients with progressive multiple sclerosis promoted the differentiation of human NSCs into neurons and oligodendrocytes, but the ratio was different

MAPR, TUJ1, GFAP, genes

No

Buddensiek et al., 2010 [56]

Allogeneic-human

Endogenous neural stem cell (allogeneic-human)

Neuron-like cells

Under different conditions, CSF mainly promoted NSC gliosis, occasionally neuron-like differentiation was mainly observed

BRDU, GFAP, genes

No

Wang et al., 2016 [57]

Allogeneic-rats

Endogenous neural stem cell (allogeneic-rat)

Neuron-like cells

CSF containing traditional Chinese medicine induced the increment and differentiation of endogenous nerve cells, and the cell vitality and the disease resistance were stronger

Tubulin, GFAP, genes

No

  1. Aβ amyloid beta-peptide, BM bone marrow, BRDU bromodeoxyuridine, CSF cerebrospinal fluid, E-CSF embryonic cerebrospinal fluid, ESC embryonic stem cell, FGF2 basic fibroblast growth factor2, Galc galactocerebrosidase, GBM glioblastoma multiforme, GFAP glial fibrillary acidic protein, GLP-1 glucagon-like peptide-1, hAMSC human amniotic mesenchymalstem cells, hfNPC human fetal neural progenitor cell, IF immunofluorescence, IGF-1 insulin-like growth factor-1, IHC immunohistochemistry, MAP2 microtubule-associated protein 2, MAPR membrane-associated progesterone receptor, MSC mesenchymal stromal cell, N/A not available, NF neurotrophic factor, NSC neural stem cell, No No transplantation, NSE neuron-specific enolase, PH3 phosphorylated histone H3, TH Tyrosine hydroxylase, Tuj1 neuronal class III β-Tubulin, UCB umbilical cord blood