Department of Pathology, Faculty of Veterinary Medicine, Cairo University, ElGamaa street, Giza, 12211, Egypt.
Department of Surgery, Anesthesiology and Radiology Department, Faculty of Veterinary Medicine, Cairo University, Giza, Egypt.
Stem Cell Res Ther. 2022 Jul 30;13(1):387. doi: 10.1186/s13287-022-03076-8.
Chronic kidney disease (CKD) is a worldwide health problem that its incidence increases nowadays with the increase in the risk of environmental pollution. CKD can progress to end-stage renal disease (ESRD) which usually ends fatally. This study aimed to examine the therapeutic potential of Camel Wharton jelly-mesenchymal stem cells (CWJ-MSCs) in chronic kidney disease model induced in dogs.
CWJ-MSCs were injected directed to the kidney with ultrasonographic guidance in dogs with 5/6 nephrectomy to evaluate its therapeutic potency in such cases. Analysis of variance was applied in normally distributed quantitative variables while a non-parametric Mann-Whitney test was used for non-normally distributed quantitative variables.
The serum urea and creatinine in the treated group were significantly decreased transferring dogs in the treated group from stage 3 to stage 2 CKD according to the IRIS staging system. Histopathology of renal tissue revealed improving CKD lesions by increasing regeneration of degenerated tubules, maintaining the integrity of glomeruli. New vascularization with blood vessels remodeling were common findings. Periodic acid Schiff stain of renal tissue showed the integrity of renal tubules and thickness of the glomerular basement membrane. Fibrosis of cortex and medulla was lower in the treated group than in the CKD model as monitored by Mallory's trichrome stain (MTC). NGAL and KIM-1 genes expression were decreased while VEGF and EGF genes expression were increased indicating renal tissue repair.
CWJ-MSCs have a therapeutic potential in the CKD model induced in dogs.
慢性肾脏病(CKD)是一个全球性的健康问题,随着环境污染风险的增加,其发病率正在上升。CKD 可进展为终末期肾病(ESRD),通常导致死亡。本研究旨在探讨骆驼华通氏胶间充质干细胞(CWJ-MSCs)在犬 5/6 肾切除诱导的慢性肾脏病模型中的治疗潜力。
通过超声引导将 CWJ-MSCs 直接注射到接受 5/6 肾切除术的犬的肾脏中,以评估其在这种情况下的治疗效果。正态分布的定量变量采用方差分析,非正态分布的定量变量采用非参数曼-惠特尼检验。
与根据 IRIS 分期系统从 CKD 第 3 期转为第 2 期的治疗组相比,治疗组的血清尿素和肌酐明显降低。肾组织的组织病理学显示,通过增加退化小管的再生,维持肾小球的完整性,改善 CKD 病变。新生血管形成和血管重塑是常见的发现。肾组织过碘酸希夫染色显示肾小管的完整性和肾小球基底膜的厚度。与 CKD 模型相比,治疗组的皮质和髓质纤维化程度较低,马氏三色染色(MTC)监测显示。NGAL 和 KIM-1 基因的表达降低,而 VEGF 和 EGF 基因的表达增加,表明肾脏组织修复。
CWJ-MSCs 对犬诱导的 CKD 模型具有治疗潜力。