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脐带间充质干细胞在炎症性肠病中的作用机制及治疗效果。

Mechanism and therapeutic effect of umbilical cord mesenchymal stem cells in inflammatory bowel disease.

机构信息

Kunming Key Laboratory of Stem Cell and Regenerative Medicine, 920th Hospital of the PLA Joint Logistics Support Force, Kunming, Yunnan Province, 650032, China.

Stem Cells and Immune Cells Biomedical Techniques Integrated Engineering Laboratory of State and Regions, Kunming, Yunnan Province, China.

出版信息

Sci Rep. 2019 Nov 27;9(1):17646. doi: 10.1038/s41598-019-54194-y.

Abstract

Inflammatory bowel disease (IBD) is a persistent and chronic disease that is characterized by destructive gastrointestinal (GI) inflammation. Researchers are trying to identify and develop new and more effective treatments with no side effects. Acute and chronic mouse models of IBD were established using dextran sulfate sodium (DSS) solution. To evaluate the efficacy and mechanism, umbilical cord mesenchymal stem cells (UCMSCs) were obtained from Kunming (KM) mice and humans. In the chronic IBD study, the survival rates of the normal control, model, mouse UCMSC (mUCMSC) and human UCMSC (hUCMSC) groups were 100%, 40%, 86.7%, and 100%, respectively. The histopathological scores of the normal control, intraperitoneal injection, intravenous treatment, and model groups were 0.5 ± 0.30, 5.9 ± 1.10, 8.7 ± 1.39, and 8.8 ± 1.33 (p = 0.021). UCMSCs promoted the expression of the intestinal tight junction protein occludin, downregulated the protein expression of the autophagy marker LC3A/B in colon tissue, and upregulated the expression of VEGF-A and VEGFR-1 at the injured site. This study provides an experimental model for elucidating the therapeutic effects of UCMSCs in IBD. We provide a theoretical basis and method for the clinical treatment of IBD using UCMSCs.

摘要

炎症性肠病(IBD)是一种持续的慢性疾病,其特征是胃肠道(GI)炎症的破坏。研究人员正在努力寻找和开发新的、更有效的、无副作用的治疗方法。使用葡聚糖硫酸钠(DSS)溶液建立了急性和慢性的 IBD 小鼠模型。为了评估疗效和机制,从昆明(KM)小鼠和人类中获得了脐带间充质干细胞(UCMSCs)。在慢性 IBD 研究中,正常对照组、模型组、小鼠 UCMSC(mUCMSC)组和人 UCMSC(hUCMSC)组的存活率分别为 100%、40%、86.7%和 100%。正常对照组、腹腔注射组、静脉治疗组和模型组的组织病理学评分分别为 0.5±0.30、5.9±1.10、8.7±1.39 和 8.8±1.33(p=0.021)。UCMSCs 促进了肠道紧密连接蛋白 occludin 的表达,下调了结肠组织中自噬标志物 LC3A/B 的蛋白表达,并上调了损伤部位 VEGF-A 和 VEGFR-1 的表达。本研究为阐明 UCMSCs 在 IBD 中的治疗作用提供了实验模型。为使用 UCMSCs 治疗 IBD 提供了理论依据和方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1f2/6881332/96130989b931/41598_2019_54194_Fig1_HTML.jpg

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