Djouad Farida, Plence Pascale, Bony Claire, Tropel Philippe, Apparailly Florence, Sany Jacques, Noël Danièle, Jorgensen Christian
INSERM U475, 99 rue Puech Villa, 34197 Montpellier cedex 5, France.
Blood. 2003 Nov 15;102(10):3837-44. doi: 10.1182/blood-2003-04-1193. Epub 2003 Jul 24.
Mesenchymal stem cells (MSCs) are largely studied for their potential clinical use. Recently, they have gained further interest after demonstration of an immunosuppressive role. In this study, we investigated whether in vivo injection of MSCs could display side effects related to systemic immunosuppression favoring tumor growth. We first showed in vitro that the murine C3H10T1/2 (C3) MSC line and primary MSCs exhibit immunosuppressive properties in mixed lymphocyte reaction. We demonstrated that this effect is mediated by soluble factors, secreted only on "activation" of MSCs in the presence of splenocytes. Moreover, the immunosuppression is mediated by CD8+ regulatory cells responsible for the inhibition of allogeneic lymphocyte proliferation. We then demonstrated that the C3 MSCs expressing the human bone morphogenetic protein 2 (hBMP-2) differentiation factor were not rejected when implanted in various allogeneic immunocompetent mice and were still able to differentiate into bone. Importantly, using a murine melanoma tumor model, we showed that the subcutaneous injection of B16 melanoma cells led to tumor growth in allogeneic recipients only when MSCs were coinjected. Although the potential side effects of immunosuppression induced by MSCs have to be considered in further clinical studies, the usefulness of MSCs for various therapeutic applications still remains of great interest.
间充质干细胞(MSCs)因其潜在的临床应用价值而受到广泛研究。最近,在其免疫抑制作用得到证实后,它们引发了更多关注。在本研究中,我们调查了体内注射MSCs是否会表现出与全身免疫抑制相关的副作用,从而促进肿瘤生长。我们首先在体外表明,小鼠C3H10T1/2(C3)MSC系和原代MSCs在混合淋巴细胞反应中具有免疫抑制特性。我们证明这种效应是由可溶性因子介导的,这些因子仅在脾细胞存在的情况下MSCs“激活”时分泌。此外,免疫抑制是由负责抑制同种异体淋巴细胞增殖的CD8 +调节细胞介导的。然后我们证明,表达人骨形态发生蛋白2(hBMP-2)分化因子的C3 MSCs植入各种同种异体免疫活性小鼠后不会被排斥,并且仍然能够分化为骨。重要的是,使用小鼠黑色素瘤肿瘤模型,我们表明只有在同时注射MSCs时,皮下注射B16黑色素瘤细胞才会导致同种异体受体中的肿瘤生长。尽管在进一步的临床研究中必须考虑MSCs诱导的免疫抑制的潜在副作用,但MSCs在各种治疗应用中的有用性仍然备受关注。