Department of Infectious Diseases, Hunan Provincial People's Hospital & First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.
Department of Hepatopathy, Hunan Provincial People's Hospital & First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.
J Gene Med. 2021 Oct;23(10):e3369. doi: 10.1002/jgm.3369. Epub 2021 Jun 14.
Human umbilical cord blood mesenchymal stem cells (HUCB-MSCs) can exert a protective effect in rat models of acute liver failure (ALF). Vascular endothelial growth factor 165 (VEGF ) is the predominant VEGF isoform and possesses a strong pro-angiogenic function. In the present study, HUCB-MSC served as the gene delivery vehicle for the VEGF gene, and we explored the therapeutic effects of this system on ALF.
HUCB-MSCs were infected with an adenovirus expressing green fluorescent protein (GFP)-VEFG fusion protein (Ad-VEGF ) to overexpress VEGF or an adenovirus expressing GFP (Ad-GFP) as control. The control and modified HUCB-MSCs were then transplanted into ALF model rats. Liver function and liver pathological changes were assessed by biochemical tests and liver histology. Immunohistochemistry was carried out to determine the expression of, CD34, Ki67 and VEGF.
VEGF overexpression enhanced the multipotency of HUCB-MSCs and promoted the homing and colonization of HUCB-MSC in the liver tissues of ALF rats. Furthermore, although HUCB-MSC transplantation ameliorated liver damage and promoted liver regeneration to some extent in ALF rats, Ad-VEGF -HUCB-MSC transplantation showed stronger therapeutic effects on ALF.
In summary, transplantation of VEGF -modified HUCB-MSCs exert stronger therapeutic effects on ALF than HUCB-MSCs. The present study provides a novel therapeutic approach for ALF.
人脐带血间充质干细胞(HUCB-MSCs)可在急性肝衰竭(ALF)大鼠模型中发挥保护作用。血管内皮生长因子 165(VEGF)是主要的 VEGF 同工型,具有很强的促血管生成功能。在本研究中,HUCB-MSC 作为 VEGF 基因的基因传递载体,我们探讨了该系统对 ALF 的治疗作用。
用表达绿色荧光蛋白(GFP)-VEGF 融合蛋白的腺病毒(Ad-VEGF)感染 HUCB-MSC 以过表达 VEGF 或表达 GFP 的腺病毒(Ad-GFP)作为对照。然后将对照和修饰的 HUCB-MSC 移植到 ALF 模型大鼠中。通过生化试验和肝组织学评估肝功能和肝病理变化。免疫组织化学检测 CD34、Ki67 和 VEGF 的表达。
VEGF 的过表达增强了 HUCB-MSCs 的多能性,并促进了 HUCB-MSC 在 ALF 大鼠肝组织中的归巢和定植。此外,尽管 HUCB-MSC 移植在一定程度上改善了 ALF 大鼠的肝损伤并促进了肝再生,但 Ad-VEGF-HUCB-MSC 移植对 ALF 的治疗效果更强。
综上所述,移植 VEGF 修饰的 HUCB-MSC 对 ALF 的治疗效果强于 HUCB-MSC。本研究为 ALF 提供了一种新的治疗方法。