MESENCHYMAL STROMAL CELLS PROTECT FROM ACUTE RADIATION SYNDROMES: INSIGHTS INTO POSSIBLE MECHANISMS
https://doi.org/10.25016/2541-7487-2015-0-1-58-70
Abstract
Successful treatment of acute radiation syndromes relies on immediate supportive care. In patients with limited hematopoietic recovery potential, hematopoietic stem cell (HSC) transplantation is the only curative treatment option. We propose MSC treatment as an alternative treatment for severely radiation-affected individuals. In vitro differentiation of human MSC (hMSC) into progenitors for hematopoietic and endothelial cells revealed that MSC changed their morphology and gene expression profile, suggesting that investigated cells possess hematapoietic capacity in vitro. Mouse mesenchymal stromal cells (mMSCs) were expanded from bone marrow, retrovirally labeled with eGFP (bulk cultures) and cloned. Lethally irradiated recipients were i.v. transplanted with bulk or clonal mMSCs. We found a long-term survival of recipients with fast hematopoietic recovery after the transplantation of MSCs exclusively without support by HSCs. Quantitative PCR based chimerism analysis detected eGFP-positive donor cells in peripheral blood immediately after injection and in lungs within 24 hours. However, no donor cells in any investigated tissue remained long-term. Despite the rapidly disappearing donor cells, microarray and quantitative RT-PCR gene expression analysis in the bone marrow of MSC-transplanted animals displayed enhanced regenerative features characterized by decreased proinflammatory, ECM formation and adhesion properties and boosted anti-inflammation, detoxification, cell cycle and anti-oxidative stress control as compared to HSC transplanted animals. We could show that injection of MSC-derived microvesicles resulted in a similar protection as MSC transplantation. Our results suggest that MSCs, their release of trophic factors and their HSC-niche modulating activity rescue endogenous hematopoiesis thereby serving as fast and effective first-line treatment to combat radiation-induced hematopoietic failure.
Keywords
About the Author
C. LangeGermany
PhD, Clinic for Stem Cell Transplantation, Dept. Cell and Gene Therapy, University Hospital Hamburg–Eppendorf (Germany, 20246, Hamburg, Martini str., 52)
References
1. Anderson D.J., Gage F.H., Weissman I.L. Can stem cells cross lineage boundaries? // Nature Med. 2001. Vol. 7, N 4. Pp. 393–395.
2. Caplan A.I., Dennis J.E. Mesenchymal stem cells as trophic mediators // J. Cell. Biochem. 2006. Vol. 98, N 5. Pp. 1076–1084.
3. Chao N.J. Accidental or intentional exposure to ionizing radiation: biodosimetry and treatment options // Exp. Hematol. 2007. Vol. 35, Suppl. 4. Pp. 24–27.
4. Da Silva Meirelles L, Fontes A.M., Covas D.T., Caplan A.I. Mechanisms involved in the therapeutic properties of mesenchymal stem cells // Cytokine Growth Factor Rev. 2009. Vol. 20, N 5/6. Pp. 419–427.
5. Dominici M. [et al.]. Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement // Cytotherapy. 2006. Vol. 8, N 4. Pp. 315–317.
6. Ferrara J.L.M., Levy R., Chao N.J. Pathophysiologic mechanisms of acute graft-vs.-host disease // Biol. Blood Marrow Transplant. 1999. Vol. 5, N 6. Pp. 347–356.
7. Fliedner T.M., Chao N.J., Bader J.L. [et al.]. Stem cells, multiorgan failure in radiation emergency medical preparedness: a U.S. // European Consultation Workshop. Stem. Cells. 2009. Vol. 27, N 5. Pp. 1205–1211.
8. Friedenstein A.J., Chailakhyan R.K., Latsinik N.V. [et al.]. Stromal cells responsible for transferring the microenvironment of the hemopoietic tissues. Cloning in vitro and retransplantation in vivo // Transplantation. 1974. Vol. 17, N 4. Pp. 331–340.
9. Graf T., Enver T. Forcing cells to change lineages // Nature. 2009. Vol. 462, N 7273. Pp. 587–594.
10. Hayashi T., Morishita Y., Kubo Y. [et al.]. Long-term effects of radiation dose on inflammatory markers in atomic bomb survivors // Am. J. Med. 2005. Vol. 118, N 1. Pp. 83–86.
11. Hérodin F., Drouet M. Cytokine-based treatment of accidentally irradiated victims and new approaches // Exp. Hematol. 2005. Vol. 33, N 10. Pp. 1071–1080.
12. Koç O.N., Gerson S.L., Cooper B.W. [et al.]. Rapid hematopoietic recovery after coinfusion of autologousblood stem cells and culture-expanded marrow mesenchymal stem cells in advanced breast cancer patients receiving high-dose chemotherapy // J. Clin. Oncol. 2000. Vol. 18, N 2. Pp. 307–316.
13. Krause D.S., Theise N.D., Collector M.I. [et al.]. Multi-organ, multilineage engraftment by a single bone marrow-derived stem cell // Cell. 2001. Vol. 105, N 3. Pp. 369–377.
14. Lange C., Schroeder J., Lioznov M.V, Zander A.R. High-potential human mesenchymal stem cells // Stem Cells Dev. 2005. Vol. 14, N 1. Pp. 70–80.
15. Lange C., Tögel F., Ittrich H. [et al.]. Administered mesenchymal stem cells are renoprotective in ischemia / reperfusion acute renal failures in rats // Kidney Int. 2005. Vol. 68, N 4. Pp. 1613–1617.
16. Lange C., Brunswig-Spickenheier B., Cappallo-Obermann H. [et al.]. Radiation rescue: mesenchymal stromal cells protect from lethal irradiation // PLoS One. 2011. Vol. 6, N 1. e14486.
17. Le Blanc K., Frassoni F., Ball L. [et al.]. Developmental Committee of the European Group for Blood and Marrow Transplantation. Mesenchymal stem cells for treatment of steroid-resistant, severe, acute graft-versushost disease: a phase II study // Lancet. 2008. Vol. 371, N 9624. Pp. 1579–1586.
18. Lee R.H., Pulin A.A., Seo M.J. [et al.]. Intravenous hMSC improve myocardial infarction in mice because cells embolized in lung are activated to secrete the anti-inflammatory protein TSG-6 // Cell Stem Cell. 2009. Vol. 5, N 1. Pp. 54–63.
19. Morikawa S., Mabuchi Y., Kubota Y. [et al.]. Prospective identification, isolation, and systemic transplantation of multipotent mesenchymal stem cells in murine bone marrow // J. Exp. Med. 2009, N 11. Vol. 206. Pp. 2483–2496.
20. Nauta A.J., Fibbe W.E. Immunomodulatory properties of mesenchymal stromal cells // Blood. 2007. Vol. 110, N 10. Pp. 3499–3506.
21. Phinney D.G., Prockop D.J. Concise review: mesenchymal stem / multipotent stromal cells: the state of transdifferentiation and modes of tissue repair current views // Stem Cells. 2007. Vol. 25, N 11. Pp. 2896–2902.
22. Remberger M., Sundberg B. Cytokine production during myeloablative and reduced intensity therapy before allogeneic stem cell transplantation // Haematologica. 2004. Vol. 89, N 6. Pp. 710–716.
23. Théry C., Ostrowski M., Segura E. Membrane vesicles as conveyors of immune responses // Nat. Rev. Immunol. 2009. Vol. 9, N 8. Pp. 581–593.
24. Tögel F., Hu Z., Weiss K. [et al.]. Administered mesenchymal stem cells protect against ischemic acute renal failure through differentiation-independent mechanisms // Am. J. Physiol. Renal Physiol. 2005. Vol. 289. F31–F42.
25. Uccelli A., Moretta L., Pistoia V. Mesenchymal stem cells in health and disease // Nat. Rev. Immunol. 2008. Vol. 8, N 9. Pp. 726–736.
Review
For citations:
Lange C. MESENCHYMAL STROMAL CELLS PROTECT FROM ACUTE RADIATION SYNDROMES: INSIGHTS INTO POSSIBLE MECHANISMS. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2015;(1):58-70. (In Russ.) https://doi.org/10.25016/2541-7487-2015-0-1-58-70