Stem Cell Res Ther. 2013 Oct 17;4(5):126. doi: 10.1186/scrt337.
The application of mesenchymal stem cells (MSCs) in treating rheumatoid arthritis (RA) has been made possible by the immunosuppressive and differentiation abilities of these cells. A non-invasive means of assessing cell integration and bio-distribution is fundamental in evaluating the risks and success of this therapy, thereby enabling clinical translation. This paper defines the use of superparamagnetic iron oxide nanoparticles (SPIONs) in conjunction with magnetic resonance imaging (MRI) to image and track MSCs in vivo within a murine model of RA.
Murine MSCs (mMSCs) were isolated, expanded and labelled with SiMAG, a commercially available particle. In vitro MRI visibility thresholds were investigated by labelling mMSCs with SiMAG with concentrations ranging from 0 to 10 μg/ml and resuspending varying cell doses (10930 to 5 × 10950 cells) in 2 mg/ml collagen prior to MR-imaging. Similarly, in vivo detection thresholds were identified by implanting 3 × 10950 mMSCs labelled with 0 to 10 μg/ml SiMAG within the synovial cavity of a mouse and MR-imaging. Upon RA induction, 300,000 mMSCs labelled with SiMAG (10 μg/ml) were implanted via intra-articular injection and joint swelling monitored as an indication of RA development over seven days. Furthermore, the effect of SiMAG on cell viability, proliferation and differentiation was investigated.
A minimum particle concentration of 1 μg/ml (300,000 cells) and cell dose of 100,000 cells (5 and 10 μg/ml) were identified as the in vitro MRI detection threshold. Cell viability, proliferation and differentiation capabilities were not affected, with labelled populations undergoing successful differentiation down osteogenic and adipogenic lineages. A significant decrease (P < 0.01) in joint swelling was measured in groups containing SiMAG-labelled and unlabelled mMSCs implying that the presence of SPIONs does not affect the immunomodulating properties of the cells. In vivo MRI scans demonstrated good contrast and the identification of SiMAG-labelled populations within the synovial joint up to 7 days post implantation. This was further confirmed using histological analysis.
We have been able to monitor and track the migration of stem cell populations within the rheumatic joint in a non-invasive manner. This manuscript goes further to highlight the key characteristics (biocompatible and the ability to create significant contrast at realistic doses within a clinical relevant system) demonstrated by SiMAG that should be incorporated into the design of a new clinically approved tracking agent.
间充质干细胞(MSCs)具有免疫抑制和分化能力,因此在治疗类风湿关节炎(RA)方面的应用成为可能。评估这种治疗方法的风险和成功的关键是寻找一种非侵入性的方法来评估细胞的整合和生物分布,从而实现临床转化。本文定义了使用超顺磁氧化铁纳米粒子(SPIONs)与磁共振成像(MRI)结合,在 RA 小鼠模型中体内成像和跟踪 MSC。
分离、扩增鼠间充质干细胞(mMSCs),并用市售的 SiMAG 进行标记。通过将 mMSCs 用 SiMAG 标记,浓度范围为 0 至 10 μg/ml,并在 2 mg/ml 胶原中重悬不同的细胞剂量(10930 至 5 × 10950 个细胞),然后进行 MRI 成像,研究体外 MRI 可见性阈值。同样,通过在滑膜腔中植入 3 × 10950 个用 0 至 10 μg/ml SiMAG 标记的 mMSCs,并进行 MRI 成像,确定体内检测阈值。在诱导 RA 后,通过关节内注射将 300,000 个用 SiMAG 标记(10 μg/ml)的 mMSCs 植入关节,监测关节肿胀作为 RA 发展的指标,为期 7 天。此外,还研究了 SiMAG 对细胞活力、增殖和分化的影响。
鉴定出的体外 MRI 检测阈值为最小粒子浓度 1 μg/ml(300,000 个细胞)和细胞剂量 100,000 个细胞(5 和 10 μg/ml)。标记的细胞群没有影响细胞活力、增殖和分化能力,标记的细胞群能够成功地向成骨细胞和脂肪细胞分化。在含有 SiMAG 标记和未标记 mMSCs 的组中,关节肿胀明显减少(P < 0.01),这意味着 SPIONs 的存在并不影响细胞的免疫调节特性。体内 MRI 扫描显示良好的对比,在植入后 7 天内可以在滑膜关节中识别出 SiMAG 标记的细胞群。这一点通过组织学分析进一步得到证实。
我们已经能够以非侵入性的方式监测和跟踪风湿性关节内干细胞群体的迁移。本研究进一步强调了 SiMAG 所具有的关键特性(生物相容性和在临床相关系统中以实际剂量产生显著对比的能力),这些特性应该被纳入新的临床批准的跟踪剂的设计中。