Department of Anesthesiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung.
Department of Cardiology, The First Affiliated Hospital, Jinan University, Guangzhou, China.
Cell Transplant. 2020 Jan-Dec;29:963689720954140. doi: 10.1177/0963689720954140.
This study tested the hypothesis that both allogenic adipose-derived mesenchymal stem cells (ADMSCs) and human inducible pluripotent stem cell-derived MSCs (iPS-MSCs) offered a comparable effect for protecting the lung against ischemia-reperfusion (IR) injury in rodent through downregulating the inflammatory, oxidative stress, and autophagic signaling pathways. Adult male Sprague-Dawley rats ( = 32) were categorized into group 1 (sham-operated control), group 2 (IRI), group 3 [IRI + ADMSCs (1.0 × 10 cells)/tail-vein administration at 0.5/18/36 h after IR], and group 4 [IRI + iPS-MSCs (1.0 × 10 cells)/tail-vein administration at 0.5/18/36 h after IR], and lungs were harvested at 72 h after IR procedure. study demonstrated that protein expressions of three signaling pathways in inflammation (TLR4/MyD88/TAK1/IKK/I-κB/NF-κB/Cox-2/TNF-α/IL-1ß), mitochondrial damage/cell apoptosis (cytochrome C/cyclophilin D/DRP1/ASK1/APAF-1/mitochondrial-Bax/caspase3/8/9), and autophagy/cell death (ULK1/beclin-1/Atg5,7,12, ratio of LCB3-II/LC3B-I, p-AKT/m-TOR) were significantly higher in lung epithelial cells + 6h hypoxia as compared with the control, and those were significantly reversed by iPS-MSC treatment (all < 0.001). Flow cytometric analysis revealed that percentages of the inflammatory cells in bronchioalveolar lavage fluid and circulation, and immune cells in circulation/spleen as well as circulatory early and late apoptotic cells were highest in group 2, lowest in group 1, and significantly higher in group 3 than in group 4 (all < 0.0001). Microscopy showed the lung injury score and numbers of inflammatory cells and Western blot analysis showed the signaling pathways of inflammation, mitochondrial damage/cell apoptosis, autophagy, and oxidative stress exhibited an identical pattern of flow cytometric results among the four groups (all < 0.0001). Both xenogeneic and allogenic MSCs protected the lung against IRI via suppressing the inflammatory, oxidative stress, and autophagic signaling.
本研究旨在验证以下假设,即同种异体脂肪间充质干细胞(ADMSCs)和人诱导多能干细胞衍生的间充质干细胞(iPS-MSCs)通过下调炎症、氧化应激和自噬信号通路,对防止啮齿动物肺缺血再灌注(IR)损伤具有相似的作用。成年雄性 Sprague-Dawley 大鼠(n=32)分为以下 4 组:1 组(假手术对照)、2 组(IR)、3 组[IR+ADMSCs(1.0×10 细胞)/尾静脉注射,IR 后 0.5/18/36 小时]和 4 组[IR+iPS-MSCs(1.0×10 细胞)/尾静脉注射,IR 后 0.5/18/36 小时],在 IR 程序后 72 小时采集肺组织。研究表明,与对照组相比,肺上皮细胞+6h 缺氧时炎症(TLR4/MyD88/TAK1/IKK/I-κB/NF-κB/Cox-2/TNF-α/IL-1β)、线粒体损伤/细胞凋亡(细胞色素 C/环孢素 D/DRP1/ASK1/APAF-1/线粒体-Bax/caspase3/8/9)和自噬/细胞死亡(ULK1/Beclin-1/Atg5、7、12、LCB3-II/LC3B-I 比值、p-AKT/mTOR)的三种信号通路的蛋白表达显著升高,而 iPS-MSC 治疗可显著逆转这些改变(均<0.001)。流式细胞术分析显示,支气管肺泡灌洗液和循环中的炎症细胞百分比、循环和脾脏中的免疫细胞以及循环中的早期和晚期凋亡细胞在 2 组中最高,在 1 组中最低,在 3 组中明显高于 4 组(均<0.0001)。显微镜下观察到肺损伤评分、炎症细胞数以及 Western blot 分析显示炎症、线粒体损伤/细胞凋亡、自噬和氧化应激信号通路在四组中呈现出相同的流式细胞术结果模式(均<0.0001)。异种和同种异体 MSC 通过抑制炎症、氧化应激和自噬信号通路来保护肺免受 IRI。