人羊膜上皮细胞可预防博来霉素诱导的肺损伤并维持肺功能。

Human amnion epithelial cells prevent bleomycin-induced lung injury and preserve lung function.

机构信息

The Ritchie Centre, Monash Institute of Medical Research, Monash University, Clayton, Australia.

出版信息

Cell Transplant. 2011;20(6):909-23. doi: 10.3727/096368910X543385. Epub 2010 Nov 19.

Abstract

Human amnion epithelial cells (hAECs) have attracted recent attention as a promising source of cells for regenerative therapies, with reports that cells derived from human term amnion possess multipotent differentiation ability, low immunogenicity, and anti-inflammatory properties. Specifically, in animal models of lung disease characterized by significant loss of lung tissue secondary to chronic inflammation and fibrosis, the transplantation of hAECs has been shown to reduce both inflammation and subsequent fibrosis. To further explore the mechanisms by which hAECs reduce pulmonary fibrosis and enhance lung regeneration, we utilized a bleomycin-induced model of pulmonary fibrosis and investigated the ability of hAECs to reduce fibrosis and thereby improve pulmonary function. We aimed to determine if hAECs, injected into the peritoneal cavity could migrate to the lung, engraft, and form functional lung epithelium, and whether hAECs could modulate the inflammatory environment in the bleomycin-injured lung. We demonstrated that, compared to bleomycin alone, IP administration of hAECs 24 h after bleomcyin, decreased gene expression of the proinflammatory cytokines TNF-α, TGF-β, IFN-γ, and IL-6 and decreased subsequent pulmonary fibrosis with less pulmonary collagen deposition, reduced levels of α-smooth muscle actin and decreased inflammatory cell infiltrate. We also showed that hAECs are able to prevent a decline in pulmonary function associated with bleomycin-induced lung damage. We were unable to detect any significant engraftment of hAECs in injured, or uninjured, lung after administration. The findings from this study support the further investigation of hAECs as a potential cell therapy for inflammatory and fibrogenic diseases.

摘要

人羊膜上皮细胞(hAECs)作为再生治疗有前途的细胞来源,近年来受到关注,有报道称,源自人足月羊膜的细胞具有多能分化能力、低免疫原性和抗炎特性。具体来说,在以慢性炎症和纤维化导致肺组织大量丧失为特征的肺部疾病动物模型中,hAECs 的移植已被证明可减少炎症和随后的纤维化。为了进一步探讨 hAECs 减少肺纤维化和增强肺再生的机制,我们利用博来霉素诱导的肺纤维化模型,研究了 hAECs 减少纤维化从而改善肺功能的能力。我们旨在确定 hAECs 是否可以注射到腹腔中迁移到肺部、植入并形成功能性肺上皮,以及 hAECs 是否可以调节博来霉素损伤肺部的炎症环境。我们证明,与博来霉素单独治疗相比,博来霉素后 24 小时腹腔内注射 hAECs 可降低促炎细胞因子 TNF-α、TGF-β、IFN-γ 和 IL-6 的基因表达,并减少随后的肺纤维化,肺胶原沉积减少,α-平滑肌肌动蛋白水平降低,炎症细胞浸润减少。我们还表明,hAECs 能够预防博来霉素诱导的肺损伤相关的肺功能下降。我们在给药后无法检测到 hAECs 在受损或未受损的肺部中有任何明显的植入。这项研究的结果支持进一步研究 hAECs 作为炎症和纤维变性疾病的潜在细胞治疗方法。

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