Chen Huanjie, Luo Yulong, Zhu Yiping, Ye Yongshun, Chen Difei, Song Xinyu, Xiao Zhulin, Liu Ming, Li Shiyue
State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
Innovation Centre for Advanced Interdisciplinary Medicine, Key Laboratory of Biological Targeting Diagnosis, Therapy and Rehabilitation of Guangdong Higher Education Institutes, The Fifth Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
Front Pharmacol. 2023 Jan 6;13:1070736. doi: 10.3389/fphar.2022.1070736. eCollection 2022.
Umbilical cord mesenchymal stem cells (UCMSCs) are a reportedly promising choice in the treatment of irreversible pulmonary fibrosis and lethal interstitial lung disease with limited drug treatment options. In this study, we investigated the therapeutic efficacy of UCMSCs overexpressing hepatocyte growth factor (HGF), which is considered one of the main anti-fibrotic factors secreted by MSCs. Adenovirus vector carrying the HGF gene was transfected into UCMSCs to produce HGF-modified UCMSCs (HGF-UCMSCs). Transfection promoted the proliferation of UCMSCs and did not change the morphology, and differentiation ability, or biomarkers. Rats were injected with HGF-UCMSCs on days 7 and 11 after intratracheal administration of bleomycin (10 mg/kg). We performed an analysis of histopathology and lung function to evaluate the anti-fibrotic effect. The results showed that HGF-UCMSCs decreased the Ashcroft scores in hematoxylin and eosin-stained sections, the percentage positive area in Masson trichrome-stained sections, and the hydroxyproline level in lungs. Forced expiratory volume in the first 300 m/forced vital capacity was also improved by HGF-UCMSCs. To explore the possible therapeutic mechanism of HGF-UCMSCs, we detected inflammatory factors in the lungs and performed mRNA sequencing in UCMSCs and HGF-UCMSCs. The data indicated that inhibition of interleukin-17 in the lung may be related to the anti-fibrosis of HGF-UCMSCs, and overexpressed HGF probably played a primary role in the treatment. Collectively, our study findings suggested that the overexpression of HGF may improve the anti-fibrotic effect of UCMSCs through directly or indirectly interacting with interleukin-17-producing cells in fibrotic lungs.
据报道,脐带间充质干细胞(UCMSCs)是治疗不可逆性肺纤维化和致死性间质性肺病的一个有前景的选择,而针对这些疾病的药物治疗选择有限。在本研究中,我们调查了过表达肝细胞生长因子(HGF)的脐带间充质干细胞的治疗效果,HGF被认为是间充质干细胞分泌的主要抗纤维化因子之一。将携带HGF基因的腺病毒载体转染到脐带间充质干细胞中,以产生HGF修饰的脐带间充质干细胞(HGF-UCMSCs)。转染促进了脐带间充质干细胞的增殖,且未改变其形态、分化能力或生物标志物。在气管内给予博来霉素(10mg/kg)后的第7天和第11天,给大鼠注射HGF-UCMSCs。我们进行了组织病理学分析和肺功能评估以评价抗纤维化效果。结果显示,HGF-UCMSCs降低了苏木精-伊红染色切片中的阿什克罗夫特评分、Masson三色染色切片中的阳性面积百分比以及肺中的羟脯氨酸水平。HGF-UCMSCs还改善了第1秒用力呼气容积/用力肺活量。为了探究HGF-UCMSCs可能的治疗机制,我们检测了肺中的炎性因子,并对脐带间充质干细胞和HGF-UCMSCs进行了mRNA测序。数据表明,肺中白细胞介素-17的抑制可能与HGF-UCMSCs的抗纤维化作用有关,而过表达的HGF可能在治疗中起主要作用。总体而言,我们的研究结果表明,HGF的过表达可能通过直接或间接与纤维化肺中产生白细胞介素-17的细胞相互作用来改善脐带间充质干细胞的抗纤维化作用。