University of Alberta, HMRC 407, Edmonton, AB, Canada.
Am J Respir Cell Mol Biol. 2012 Feb;46(2):207-16. doi: 10.1165/rcmb.2010-0391OC. Epub 2011 Sep 8.
Asthma affects an estimated 300 million people worldwide and accounts for 1 of 250 deaths and 15 million disability-adjusted life years lost annually. Plastic-adherent bone marrow-derived cell (BMC) administration holds therapeutic promise in regenerative medicine. However, given the low cell engraftment in target organs, including the lung, cell replacement cannot solely account for the reported therapeutic benefits. This suggests that BMCs may act by secreting soluble factors. BMCs also possess antiinflammatory and immunomodulatory properties and may therefore be beneficial for asthma. Our objective was to investigate the therapeutic potential of BMC-secreted factors in murine asthma. In a model of acute and chronic asthma, intranasal instillation of BMC conditioned medium (CdM) prevented airway hyperresponsiveness (AHR) and inflammation. In the chronic asthma model, CdM prevented airway smooth muscle thickening and peribronchial inflammation while restoring blunted salbutamol-induced bronchodilation. CdM reduced lung levels of the T(H)2 inflammatory cytokines IL-4 and IL-13 and increased levels of IL-10. CdM up-regulated an IL-10-induced and IL-10-secreting subset of T regulatory lymphocytes and promoted IL-10 expression by lung macrophages. Adiponectin (APN), an antiinflammatory adipokine found in CdM, prevented AHR, airway smooth muscle thickening, and peribronchial inflammation, whereas the effect of CdM in which APN was neutralized or from APN knock-out mice was attenuated compared with wild-type CdM. Our study provides evidence that BMC-derived soluble factors prevent murine asthma and suggests APN as one of the protective factors. Further identification of BMC-derived factors may hold promise for novel approaches in the treatment of asthma.
哮喘影响全球约 3 亿人,每年占全球 250 例死亡和 1500 万伤残调整生命年的 1 例。黏附性塑料的骨髓源性细胞(BMC)给药在再生医学中具有治疗潜力。然而,鉴于包括肺在内的靶器官中的细胞植入率低,细胞替代不能完全解释报道的治疗益处。这表明 BMC 可能通过分泌可溶性因子发挥作用。BMC 还具有抗炎和免疫调节特性,因此可能对哮喘有益。我们的目的是研究 BMC 分泌因子在哮喘中的治疗潜力。在急性和慢性哮喘模型中,鼻腔内滴注 BMC 条件培养基(CdM)可预防气道高反应性(AHR)和炎症。在慢性哮喘模型中,CdM 可预防气道平滑肌增厚和支气管周围炎症,同时恢复沙丁胺醇诱导的支气管扩张作用减弱。CdM 降低了肺中 T(H)2 炎症细胞因子 IL-4 和 IL-13 的水平,增加了 IL-10 的水平。CdM 上调了 IL-10 诱导和分泌的 T 调节淋巴细胞亚群,并促进了肺巨噬细胞中 IL-10 的表达。在 CdM 中发现的抗炎脂肪因子脂联素(APN)可预防 AHR、气道平滑肌增厚和支气管周围炎症,而中和 APN 或 APN 敲除小鼠的 CdM 作用则比野生型 CdM 减弱。我们的研究提供了证据,表明 BMC 衍生的可溶性因子可预防哮喘,并表明 APN 是保护性因子之一。进一步鉴定 BMC 衍生的因子可能为哮喘的治疗提供新方法。