Wolski Marek, Ciesielski Tomasz, Buczma Kasper, Fus Łukasz, Girstun Agnieszka, Trzcińska-Danielewicz Joanna, Cudnoch-Jędrzejewska Agnieszka
Department of Pediatric Surgery, Medical University of Warsaw, Zwirki i Wigury 63a, 02-091 Warsaw, Poland.
Laboratory of Centre for Preclinical Research, 1st Chair and Department of Experimental and Clinical Physiology, Medical University of Warsaw, Banacha 1B, 02-097 Warsaw, Poland.
Int J Mol Sci. 2025 Jul 8;26(14):6555. doi: 10.3390/ijms26146555.
Research in the field of stem cells in necrotizing enterocolitis has primarily focused on the curative role of specific cells-mostly bone marrow and amniotic fluid stem cells. The impact of stem cells on reducing inflammatory cytokine levels in the necrotizing enterocolitis (NEC) model has been studied in accordance with the effects they pose on histopathology. Taking into consideration the possible paracrine mechanism of action of stem cells, our group hypothesized that lowering the initial levels of proinflammatory cytokines may be one of the mechanisms affecting the clinical outcome. A self-modified rat NEC model was used to show the effect of intraperitoneal administration of adipose derived stem cells on the initial levels of interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-alfa) in comparison with the interleukin levels in NEC animals and control animals without adipose-derived stem cells (ADSCs) injection. We showed a statistically significant difference in the levels of interleukins when comparing an ADSC injected group and an NEC group. This suggests that one of the mechanisms in which stem cells impact the clinical outcomes in NEC may be by alleviating the initial levels of proinflammatory cytokines.
坏死性小肠结肠炎领域的干细胞研究主要集中在特定细胞(主要是骨髓和羊水干细胞)的治疗作用上。根据干细胞对组织病理学的影响,研究了其对坏死性小肠结肠炎(NEC)模型中炎症细胞因子水平降低的影响。考虑到干细胞可能的旁分泌作用机制,我们的研究小组推测,降低促炎细胞因子的初始水平可能是影响临床结果的机制之一。使用自行改良的大鼠NEC模型,与未注射脂肪来源干细胞(ADSCs)的NEC动物和对照动物的白细胞介素水平相比,显示腹腔注射脂肪来源干细胞对白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)初始水平的影响。在比较注射ADSC的组和NEC组时,我们发现白细胞介素水平存在统计学上的显著差异。这表明干细胞影响NEC临床结果的机制之一可能是减轻促炎细胞因子的初始水平。