脂肪间充质干细胞通过调节 Th1/Th17 反应和扩增 Th2/Treg 反应改善实验性自身免疫性脑脊髓炎。
Adipose-derived mesenchymal stem cells ameliorates experimental autoimmune encephalomyelitis via modulation of Th1/Th17 and expansion of Th2/Treg responses.
机构信息
Department of Immunology, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
Cell Biol Int. 2024 Aug;48(8):1124-1137. doi: 10.1002/cbin.12171. Epub 2024 May 14.
The most common central nervous system (CNS) inflammatory disease is multiple sclerosis (MS), modeled using experimental autoimmune encephalomyelitis (EAE). Mesenchymal stem cells (MSCs) exhibit potent immunomodulatory capabilities, including the suppression of immune cell functions and anti-inflammatory cytokine production. Female C57BL/6 mice (8-10 weeks old) were divided into three groups: 1. Control, 2. Allogeneic MSCs (ALO) treatment, and 3. Syngeneic MSCs (SYN) treatment. To induce EAE, myelin oligodendrocyte glycoprotein was injected subcutaneously with complete Freund's adjuvant, followed by intraperitoneal pertussis toxin. On Days 6 and 12 postimmunization, the treatment groups received intraperitoneal injections of 2 × 10 MSCs. Daily clinical and weight assessments were performed, and on Day 25, the mice were euthanized. At the end of the period, brain histological analysis was conducted to quantify lymphocyte infiltration. T-cell characteristics were determined using enzyme-linked immunosorbent assay and Real-time polymerase chain reaction (RT-PCR). The assessment of transcription factor expression levels in the CNS was also performed using RT-PCR. Compared to the control group, both the allogeneic (ALO) and syngeneic (SYN) groups demonstrated significantly reduced disease progression. The maximum clinical scores for the control, ALO, and SYN groups were 4.4 ± 0.1, 2.4 ± 0.2, and 2.1 ± 0.2, respectively (ALO and SYN vs. Control: p < .001). In comparison to the control group, histological studies demonstrated that the allogeneic and syngeneic groups had less lymphocytic infiltration (ALO: 1.4 ± 0.1, SYN: 1.2 ± 0.2, and control: 2.8 ± 0.15; p < .001) and demyelination (ALO: 1.2 ± 0.15, SYN: 1.1 ± 0.1 and control: 2.9 ± 0.1, p < .001). ALO and SYN groups had lower expression of Th1 and Th17 cytokines and transcription factors (IFN-γ: 0.067, 0.051; STAT4: 0.189, 0.162; T-bet: 0.175, 0.163; IL-17: 0.074, 0.061; STAT3: 0.271, 0.253; ROR-γt: 0.163, 0.149, respectively) compared to the control group on Day 25 following EAE induction. Additionally, ALO and SYN groups compared to the control group, expressed more Th2 and Treg cytokines and transcription factors (IL-4: 4.25, 4.63; STAT6: 2.78, 2.96; GATA3: 2.91, 3.08; IL-27: 2.32, 2.46, IL-33: 2.71, 2.85; TGF-β: 4.8, 5.05; IL-10: 4.71, 4.93; CTLA-4: 7.72, 7.95; PD1: 4.12,4.35; Foxp3: 3.82,4.08, respectively). This research demonstrated that MSCs possess the potential to be a therapeutic option for MS and related CNS inflammatory disorders. Their immunomodulatory properties, coupled with the observed reductions in disease severity, lymphocytic infiltration, and demyelination, indicate that MSCs could play a crucial role in altering the course of MS by mitigating inflammatory immune responses and promoting regulatory immune processes. These findings open up new possibilities for the development of MSC-based therapies for MS, and further investigation and clinical trials may be warranted to explore their efficacy and safety in human patients.
最常见的中枢神经系统(CNS)炎症性疾病是多发性硬化症(MS),采用实验性自身免疫性脑脊髓炎(EAE)模型进行研究。间充质干细胞(MSCs)具有强大的免疫调节能力,包括抑制免疫细胞功能和产生抗炎细胞因子。将 8-10 周龄的雌性 C57BL/6 小鼠分为三组:1. 对照组,2. 同种异体 MSC(ALO)治疗组,和 3. 同基因 MSC(SYN)治疗组。为了诱导 EAE,髓鞘少突胶质细胞糖蛋白经皮下注射完全弗氏佐剂,然后腹腔内注射百日咳毒素。在免疫后第 6 天和第 12 天,治疗组接受腹腔内注射 2×10 MSCs。每天进行临床和体重评估,在第 25 天,处死小鼠。在实验结束时,进行大脑组织学分析以量化淋巴细胞浸润。使用酶联免疫吸附试验和实时聚合酶链反应(RT-PCR)测定 T 细胞特征。还使用 RT-PCR 测定中枢神经系统转录因子表达水平。与对照组相比,同种异体(ALO)和同基因(SYN)组的疾病进展均明显减轻。对照组、ALO 组和 SYN 组的最大临床评分分别为 4.4±0.1、2.4±0.2 和 2.1±0.2(ALO 和 SYN 与对照组相比:p<0.001)。与对照组相比,组织学研究表明,同种异体和同基因组的淋巴细胞浸润较少(ALO:1.4±0.1,SYN:1.2±0.2,对照组:2.8±0.15;p<0.001)和脱髓鞘(ALO:1.2±0.15,SYN:1.1±0.1,对照组:2.9±0.1,p<0.001)。ALO 和 SYN 组 Th1 和 Th17 细胞因子和转录因子的表达水平较低(IFN-γ:0.067,0.051;STAT4:0.189,0.162;T-bet:0.175,0.163;IL-17:0.074,0.061;STAT3:0.271,0.253;ROR-γt:0.163,0.149)与 EAE 诱导后第 25 天的对照组相比。此外,与对照组相比,ALO 和 SYN 组表达更多的 Th2 和 Treg 细胞因子和转录因子(IL-4:4.25,4.63;STAT6:2.78,2.96;GATA3:2.91,3.08;IL-27:2.32,2.46,IL-33:2.71,2.85;TGF-β:4.8,5.05;IL-10:4.71,4.93;CTLA-4:7.72,7.95;PD1:4.12,4.35;Foxp3:3.82,4.08)。这项研究表明,MSCs 具有成为 MS 及相关中枢神经系统炎症性疾病治疗选择的潜力。它们的免疫调节特性,加上观察到的疾病严重程度、淋巴细胞浸润和脱髓鞘的降低,表明 MSCs 通过减轻炎症免疫反应和促进调节性免疫过程,在改变 MS 病程方面可能发挥关键作用。这些发现为基于 MSC 的 MS 治疗方法的发展开辟了新的可能性,可能需要进一步的研究和临床试验来探索它们在人类患者中的疗效和安全性。