Chromaffin cell survival and host dopaminergic fiber recovery in a patient with Parkinson's disease treated by cografts of adrenal medulla and pretransected peripheral nerve

Isao Date, Takashi Imaoka, Yasuvuki Miyoshi, Takeshi Ono, Shoji Asari, Takashi Ohmoto

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

A 55-year-old woman with severe Parkinson's disease was treated by cografting adrenal medulla with pretransected peripheral nerve into the bilateral caudate nuclei. The patient showed modest improvement of her akinesia: this effect persisted for 1 year after transplantation, when she suddenly died from upper gastrointestinal bleeding unrelated to the grafting procedure. At autopsy, a large number of tyrosine hydroxylase-immunoreactive chromaffin cells were observed within the caudate graft sites and a dense network of host dopaminergic fibers was visualized. This autopsy finding is very important for the field of experimental and clinical chromaffin cell grafting because it is the first evidence that cografts using pretransected peripheral nerve might enhance the survival of chromaffin cells and the recovery of host dopaminergic fibers in humans suffering from Parkinson's disease.

Original languageEnglish
Pages (from-to)685-689
Number of pages5
JournalJournal of neurosurgery
Volume84
Issue number4
DOIs
Publication statusPublished - Apr 1996

Keywords

  • Autopsy
  • Chromaffin cell
  • Cograft
  • Nerve transplantation
  • Parkinson's disease
  • Peripheral nerve

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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