Chae Dong-Sik, Han Seongho, Kim Sung-Whan
Department of Orthopedic Surgery, Catholic Kwandong University College of Medicine, International St. Mary's Hospital, Incheon 22711, Republic of Korea.
Department of Family Medicine, Dong-A University College of Medicine, Dong-A University Medical Center, Busan 49236, Republic of Korea.
Int J Mol Sci. 2024 Apr 18;25(8):4442. doi: 10.3390/ijms25084442.
Stem cell therapy stands out as a promising avenue for addressing arthritis treatment. However, its therapeutic efficacy requires further enhancement. In this study, we investigated the anti-arthritogenic potential of human amniotic mesenchymal stem cells (AMM) overexpressing insulin-like growth factor 1 (IGF-1) in a collagen-induced mouse model. The gene was introduced into the genome of AMM through transcription activator-like effector nucleases (TALENs). We assessed the in vitro immunomodulatory properties and in vivo anti-arthritogenic effects of IGF-1-overexpressing AMM (AMM/I). Co-culture of AMM/I with interleukin (IL)-1β-treated synovial fibroblasts significantly suppressed NF-kB levels. Transplantation of AMM/I into mice with collagen-induced arthritis (CIA) led to significant attenuation of CIA progression. Furthermore, AMM/I administration resulted in the expansion of regulatory T-cell populations and suppression of T-helper-17 cell activation in CIA mice. In addition, AMM/I transplantation led to an increase in proteoglycan expression within cartilage and reduced infiltration by inflammatory cells and also levels of pro-inflammatory factors including cyclooxygenase-2 (COX-2), IL-1β, NF-kB, and tumor necrosis factor (TNF)-α. In conclusion, our findings suggest that gene-edited human AMM represent a novel alternative therapeutic strategy for the treatment of arthritis.
干细胞疗法是治疗关节炎的一条有前景的途径。然而,其治疗效果需要进一步提高。在本研究中,我们在胶原诱导的小鼠模型中研究了过表达胰岛素样生长因子1(IGF-1)的人羊膜间充质干细胞(AMM)的抗关节炎潜力。通过转录激活样效应核酸酶(TALENs)将该基因导入AMM的基因组。我们评估了过表达IGF-1的AMM(AMM/I)的体外免疫调节特性和体内抗关节炎作用。AMM/I与白细胞介素(IL)-1β处理的滑膜成纤维细胞共培养可显著抑制NF-κB水平。将AMM/I移植到胶原诱导性关节炎(CIA)小鼠体内可显著减轻CIA的进展。此外,给予AMM/I可导致CIA小鼠体内调节性T细胞群体扩增并抑制辅助性T细胞17的激活。另外,AMM/I移植导致软骨内蛋白聚糖表达增加,炎症细胞浸润减少,同时包括环氧合酶-2(COX-2)、IL-1β、NF-κB和肿瘤坏死因子(TNF)-α在内的促炎因子水平降低。总之,我们的研究结果表明,基因编辑的人AMM代表了一种治疗关节炎的新型替代治疗策略。