Department of Colorectal and Anal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, 26 Yuancun Erheng Rd, Guangzhou, 510655, Guangdong Province, People's Republic of China.
Dig Dis Sci. 2012 Dec;57(12):3136-44. doi: 10.1007/s10620-012-2290-5. Epub 2012 Jun 30.
The anti-inflammatory and reparative properties of mesenchymal stem cells (MSCs) make them a promising tool for treating immune-mediated and inflammatory disorders. However, whether MSCs can be used for treatment of inflammatory bowel disease (IBD) still remains unclear. In this study, a dextran sulfate sodium (DSS)-induced mouse colitis model was used to test the hypothesis that infused bone marrow-derived MSCs could exert anti-inflammatory effects against experimental colitis.
DSS-induced colitis mice were injected with 1 × 10(6) MSCs [in phosphate-buffered saline (PBS)] via the tail vein. Control colitis mice received PBS alone. To trace the injected cells in vivo, MSCs were labeled with chloromethyl-benzamidodialkylcarbocyanine (CM-DiI). On day 15 of the experiment, the colon was sectioned and examined for histopathological changes. Pro-inflammatory cytokines [tumor necrosis factor-alpha (TNF-α), interleukin (IL)-1β] in the inflamed colon were analyzed by real-time reverse-transcription polymerase chain reaction (RT-PCR). Serum values of TNF-α in mice were evaluated quantitatively by enzyme-linked immunosorbent assay (ELISA) analysis.
DSS-induced colitis showed symptoms similar to ulcerative colitis in humans, including body weight loss, bloody diarrhea, mucosal ulceration, and shortening of the colon. Bone marrow-derived MSCs significantly ameliorated the clinical and histopathologic severity of DSS colitis compared with non-MSC control. Pro-inflammatory cytokines in both the inflamed colon (TNF-α, IL-1β) and serum (TNF-α) were downregulated in MSC-treated mice in contrast to control. CM-DiI-labeled MSCs accumulated in inflamed regions of the colon, mainly in the submucosa.
Systemic infusion of bone marrow-derived MSCs may exert therapeutic efficacy on acute DSS-induced colitis in mice through their anti-inflammatory effects, which demonstrates the feasibility of using bone marrow-derived MSCs to treat IBD.
间充质干细胞(MSCs)具有抗炎和修复作用,因此成为治疗免疫介导和炎症性疾病的有前途的工具。然而,MSCs 是否可用于治疗炎症性肠病(IBD)仍不清楚。在这项研究中,我们使用葡聚糖硫酸钠(DSS)诱导的小鼠结肠炎模型来检验以下假说,即输注的骨髓来源的 MSCs 可对实验性结肠炎发挥抗炎作用。
通过尾静脉向 DSS 诱导的结肠炎小鼠注射 1×10(6)个 MSCs [在磷酸盐缓冲盐水(PBS)中]。对照结肠炎小鼠仅接受 PBS。为了在体内追踪注射的细胞,将 MSCs 用氯甲基苯甲酰胺二烷基碳氰(CM-DiI)标记。在实验的第 15 天,对结肠进行切片并检查组织病理学变化。通过实时逆转录聚合酶链反应(RT-PCR)分析炎症结肠中的促炎细胞因子[肿瘤坏死因子-α(TNF-α),白细胞介素(IL)-1β]。通过酶联免疫吸附测定(ELISA)分析定量评估小鼠血清中 TNF-α 的含量。
DSS 诱导的结肠炎表现出类似于人类溃疡性结肠炎的症状,包括体重减轻、血性腹泻、粘膜溃疡和结肠缩短。与非 MSC 对照相比,骨髓来源的 MSCs 显著改善了 DSS 结肠炎的临床和组织病理学严重程度。与对照相比,在 MSC 治疗的小鼠中,炎症结肠(TNF-α、IL-1β)和血清(TNF-α)中的促炎细胞因子均下调。CM-DiI 标记的 MSCs 聚集在结肠的炎症区域,主要在黏膜下层。
骨髓来源的 MSCs 的系统输注可能通过其抗炎作用对急性 DSS 诱导的小鼠结肠炎发挥治疗作用,这证明了使用骨髓来源的 MSCs 治疗 IBD 的可行性。