TY - JOUR KW - Astrocytes KW - Blood-Brain Barrier KW - Coculture Techniques KW - Endothelial Cells KW - Humans KW - Ischemic Stroke KW - Lab-On-A-Chip Devices KW - Microglia KW - Microvessels KW - Models, Biological KW - Neurons KW - Pericytes KW - Stem Cell Transplantation KW - Stem cells AU - Zhonglin Lyu AU - Jon Park AU - Kwang-Min Kim AU - Hye-Jin Jin AU - Haodi Wu AU - Jayakumar Rajadas AU - Deok-Ho Kim AU - Gary K. Steinberg AU - Wonjae Lee AB - The therapeutic efficacy of stem cells transplanted into an ischaemic brain depends primarily on the responses of the neurovascular unit. Here, we report the development and applicability of a functional neurovascular unit on a microfluidic chip as a microphysiological model of ischaemic stroke that recapitulates the function of the blood-brain barrier as well as interactions between therapeutic stem cells and host cells (human brain microvascular endothelial cells, pericytes, astrocytes, microglia and neurons). We used the model to track the infiltration of a number of candidate stem cells and to characterize the expression levels of genes associated with post-stroke pathologies. We observed that each type of stem cell showed unique neurorestorative effects, primarily by supporting endogenous recovery rather than through direct cell replacement, and that the recovery of synaptic activities is correlated with the recovery of the structural and functional integrity of the neurovascular unit rather than with the regeneration of neurons. BT - Nature Biomedical Engineering DA - 2021-08 DO - 10.1038/s41551-021-00744-7 IS - 8 LA - eng N2 - The therapeutic efficacy of stem cells transplanted into an ischaemic brain depends primarily on the responses of the neurovascular unit. Here, we report the development and applicability of a functional neurovascular unit on a microfluidic chip as a microphysiological model of ischaemic stroke that recapitulates the function of the blood-brain barrier as well as interactions between therapeutic stem cells and host cells (human brain microvascular endothelial cells, pericytes, astrocytes, microglia and neurons). We used the model to track the infiltration of a number of candidate stem cells and to characterize the expression levels of genes associated with post-stroke pathologies. We observed that each type of stem cell showed unique neurorestorative effects, primarily by supporting endogenous recovery rather than through direct cell replacement, and that the recovery of synaptic activities is correlated with the recovery of the structural and functional integrity of the neurovascular unit rather than with the regeneration of neurons. PY - 2021 SP - 847 EP - 863 T2 - Nature Biomedical Engineering TI - A neurovascular-unit-on-a-chip for the evaluation of the restorative potential of stem cell therapies for ischaemic stroke VL - 5 SN - 2157-846X ER -