Department of Surgery, Indiana University School of Medicine, Indianapolis, USA.
Am J Physiol Regul Integr Comp Physiol. 2011 Jun;300(6):R1506-14. doi: 10.1152/ajpregu.00518.2010. Epub 2011 Mar 30.
Mesenchymal stem cells (MSCs) may offer therapeutic benefit in the setting of sepsis and endotoxemia. Previous studies suggest that MSCs from female donors may possess better protective capabilities than their male counterparts. The present study examined whether female MSCs may offer a greater protective advantage in the setting of endotoxemic cardiac dysfunction compared with male MSCs. Adult male Sprague-Dawley rats were injected intraperitoneally with LPS and then treated with intraperitoneal injections of either saline, female MSCs, or male MSCs. Hearts and serum were then collected for analysis of myocardial function, myocardial protein, and myocardial and serum cytokines. Compared with male MSC or vehicle-treated animals, female MSC treatment resulted in greater preservation of myocardial function (P < 0.001). Serum and myocardial levels of all measured cytokines were comparable between rats given MSCs from male or female donors but substantially improved over rats given vehicle (P < 0.05). Reduced myocardial inflammation correlated with reduced levels of phosphorylated p38 MAPK expression in the myocardium of animals injected with MSCs of either sex (P < 0.05). The Bcl-xL/Bax ratio was increased to a greater extent following treatment with female MSCs vs. male MSCs (P < 0.05). Intraperitoneal administration of MSCs is effective in limiting myocardial inflammation and dysfunction in the rat endotoxemia model. Compared with treatment with their male counterparts, MSC treatment from female donors is associated with greater cardiac protection against acute endotoxemic injury.
间充质干细胞(MSCs)可能在脓毒症和内毒素血症的情况下提供治疗益处。先前的研究表明,来自女性供体的 MSCs 可能具有比男性供体更好的保护能力。本研究检查了在内毒素性心功能障碍的情况下,雌性 MSCs 是否比雄性 MSCs 具有更大的保护优势。成年雄性 Sprague-Dawley 大鼠腹腔内注射 LPS,然后用腹腔注射生理盐水、雌性 MSCs 或雄性 MSCs 进行治疗。然后收集心脏和血清,用于分析心肌功能、心肌蛋白以及心肌和血清细胞因子。与雄性 MSC 或载体处理的动物相比,雌性 MSC 治疗导致心肌功能更好的保留(P < 0.001)。来自雄性或雌性供体的 MSC 治疗的大鼠的血清和心肌中所有测量的细胞因子水平与接受载体的大鼠相比相当,但显着改善(P < 0.05)。心肌炎症减少与注射 MSC 的动物心肌中磷酸化 p38 MAPK 表达减少相关(P < 0.05)。与雄性 MSCs 相比,雌性 MSCs 治疗后 Bcl-xL/Bax 比值增加幅度更大(P < 0.05)。腹腔内给予 MSC 可有效限制大鼠内毒素血症模型中的心肌炎症和功能障碍。与治疗雄性供体相比,来自雌性供体的 MSC 治疗与更大的急性内毒素性损伤的心脏保护作用相关。