Faculty of Dentistry and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada.
Liver Transpl. 2012 Nov;18(11):1384-94. doi: 10.1002/lt.23500.
The inflammatory response to liver injury plays an important role in the onset of liver fibrosis, which may ultimately lead to liver failure. The attenuation of inflammation and hepatocyte rescue are, therefore, of the utmost importance for recovery. Mesenchymal stromal cells (MSCs) from adult bone marrow have been shown to rescue hepatocyte function. Here we explore a more plentiful source of neonatal MSCs: human umbilical cord perivascular cells (HUCPVCs). We cocultured HUCPVCs or bone marrow-derived mesenchymal stromal cells (BM-MSCs) with rat hepatocytes or human peripheral blood mononuclear cells in order to identify their effects on hepatocyte functionality and the proliferation of phytohemagglutinin-stimulated peripheral blood mononuclear cells (phaPBMCs). The expression of hepatotrophic factors by both types of MSCs in the presence of hepatocytes and the functional implications of blocking putative MSC anti-inflammatory factors were compared. Both types of MSCs improved albumin secretion, ureagenesis, hepatospecific gene expression, cytochrome P450 (CYP) activity, and functional hepatocyte mass maintenance. However, although HUCPVCs had an improved effect on the maintenance of ureagenesis, BM-MSCs had a strong effect on hepatocyte CYP activity. Additionally, each MSC type differentially expressed putative hepatotrophic factors, whereas phaPBMC proliferation was significantly decreased. Indoleamine 2,3-dioxygenase (IDO) was the main immunosuppressive mechanism used by both types of MSCs, but HUCPVCs exhibited higher expression of programmed death 1 ligands. However, the functional significance of the difference in anti-inflammatory factor expression still remains to be elucidated. Thus, both MSC types can serve as hepatocyte stromal cells and mitigate inflammation with IDO, but they present differences in the manner in which they affect hepatocytes and in the expression of both hepatotrophic and anti-inflammatory factors.
肝损伤的炎症反应在肝纤维化的发病机制中起着重要作用,这可能最终导致肝衰竭。因此,减轻炎症和肝细胞拯救对于恢复至关重要。来自成人骨髓的间充质基质细胞(MSCs)已被证明可以挽救肝细胞功能。在这里,我们探索了一种更丰富的新生儿 MSC 来源:人脐带血管周细胞(HUCPVCs)。我们将 HUCPVCs 或骨髓来源的间充质基质细胞(BM-MSCs)与大鼠肝细胞或人外周血单个核细胞共培养,以确定它们对肝细胞功能和植物血凝素刺激的外周血单个核细胞(phaPBMCs)增殖的影响。比较了这两种 MSC 在存在肝细胞的情况下对肝营养因子表达的影响及其对 MSC 抗炎因子的阻断的功能意义。这两种类型的 MSC 均改善了白蛋白分泌、尿素生成、肝特异性基因表达、细胞色素 P450(CYP)活性和功能性肝细胞质量维持。然而,尽管 HUCPVCs 对尿素生成的维持具有改善作用,但 BM-MSCs 对肝细胞 CYP 活性具有很强的影响。此外,每种 MSC 类型均差异表达潜在的肝营养因子,而 phaPBMC 增殖显著降低。吲哚胺 2,3-双加氧酶(IDO)是两种 MSC 类型均使用的主要免疫抑制机制,但 HUCPVCs 表现出更高的程序性死亡配体 1 表达。然而,抗炎因子表达差异的功能意义仍有待阐明。因此,两种 MSC 类型均可作为肝细胞基质细胞,并通过 IDO 减轻炎症,但它们在影响肝细胞的方式以及肝营养因子和抗炎因子的表达方面存在差异。