RT Journal Article T1 Blood glutamate EAAT2-cell grabbing therapy in cerebral ischemia A1 Pérez Mato, María A1 Iglesias Rey, Ramón A1 Vieites Prado, Alba A1 Dopico López, Antonio A1 Argibay González, Bárbara A1 Fernández Susavila, Héctor A1 Silva Candal, Andrés da A1 Pérez Díaz, Amparo A1 Correa Paz, Clara A1 Günther, Anne A1 Ávila Gómez, Paulo A1 Loza García, María Isabel A1 Baumann, Arnd A1 Castillo Sánchez, José Antonio A1 Sobrino Moreiras, Tomás A1 Campos Pérez, Francisco K1 Cell therapy K1 Cell therapyCerebral ischemia K1 Excitatory amino acid transporter 2 K1 Excitotoxic injury K1 Excitotoxic protection K1 Glutamate K1 Mesenchymal stem cells AB BackgroundExcitatory amino acid transporter 2 (EAAT2) plays a pivotal role in glutamate clearance in the adult brain, thereby preventing excitotoxic effects. Considering the high efficacy of EAAT2 for glutamate uptake, we hypothesized that the expression of this transporter in mesenchymal stem cells (MSCs) for systemic administration could yield a cell-based glutamate-grabbing therapy, combining the intrinsic properties of these cells with excitotoxic protection.MethodsTo address this hypothesis, EAAT2-encoding cDNA was introduced into MSCs and human embryonic kidney 293 cells (HEK cells) as the control cell line. EAAT2 expression and functionality were evaluated by in vitro assays. Blood glutamate-grabbing activity was tested in healthy and ischemic rat models treated with 3 × 106 and 9 × 106 cells/animal.FindingsThe expression of EAAT2 in both cell types conferred the expected glutamate-grabbing activity in in vitro and in vivo studies. The functional improvement observed in ischemic rats treated with EAAT2–HEK at low dose, confirmed that this effect was indeed mediated by the glutamate-grabbing activity associated with EAAT2 functionality. Unexpectedly, both cell doses of non-transfected MSCs induced higher protection than transfected EAAT2–MSCs by another mechanism independent of the glutamate-grabbing capacity.InterpretationAlthough the transfection procedure most likely interferes with some of the intrinsic protective mechanisms of mesenchymal cells, the results show that the induced expression of EAAT2 in cells represents a novel alternative to mitigate the excitotoxic effects of glutamate and paves the way to combine this strategy with current cell therapies for cerebral ischemia. PB Elsevier SN 2352-3964 YR 2019 FD 2019-01 LK http://hdl.handle.net/10347/21593 UL http://hdl.handle.net/10347/21593 LA eng NO Pérez-Mato, M., Iglesias-Rey, R., Vieites-Prado, A., Dopico-López, A., Argibay, B., Fernández-Susavila, H., da Silva-Candal, A., Pérez-Díaz, A., Correa-Paz, C., Günther, A., Ávila-Gómez, P., Isabel Loza, M., Baumann, A., Castillo, J., Sobrino, T., & Campos, F. (2019). Blood glutamate EAAT2-cell grabbing therapy in cerebral ischemia. EBioMedicine, 39, 118-131. https://doi.org/10.1016/j.ebiom.2018.11.024 NO This study was partially supported by grants from Instituto de Salud Carlos III (PI13/00292 and PI17/0054), Spanish Research Network on Cerebrovascular Diseases RETICS-INVICTUS (RD12/0014), Fundación Mutua Madrileña; the Ministry of Economy and Competitiveness of Spain (SAF2014-56336-R), Xunta de Galicia (Programa de Desarrollo Precomercial de los resultados de investigación del Sistema Público de Salud de Galicia_ PRIS); and the European Union program FEDER. Furthermore, F. Campos (CP14/00154) and T. Sobrino (CP12/03121 and CPII17/00027) are recipients of a research contract from Miguel Servet Program of Instituto de Salud Carlos III DS Minerva RD 23 abr 2026