Mitochondrial Transfer via Tunneling Nanotubes is an Important Mechanism by Which Mesenchymal Stem Cells Enhance Macrophage Phagocytosis in the In Vitro and In Vivo Models of ARDS
Open accessAbstract
Mesenchymal stromal cells (MSC) have been reported to improve bacterial clearance in preclinical models of Acute Respiratory Distress Syndrome (ARDS) and sepsis. The mechanism of this effect is not fully elucidated yet. The primary objective of this study was to investigate the hypothesis that the antimicrobial effect of MSC in vivo depends on their modulation of macrophage phagocytic activity which occurs through mitochondrial transfer. We established that selective depletion of alveolar macrophages (AM) with intranasal (IN) administration of liposomal clodronate resulted in complete abrogation of MSC antimicrobial effect in the in vivo model of Escherichia coli pneumonia. Furthermore, we showed that MSC administration was associated with enhanced AM phagocytosis in vivo. We showed that direct coculture of MSC with monocyte-derived macrophages enhanced their phagocytic capacity. By fluorescent imaging and flow cytometry we demonstrated extensive mitochondrial transfer from MSC to macrophages which occurred at least partially through tunneling nanotubes (TNT)-like structures. We also detected that lung macrophages readily acquire MSC mitochondria in vivo, and macrophages which are positive for MSC mitochondria display more pronounced phagocytic activity. Finally, partial inhibition of mitochondrial transfer through blockage of TNT formation by MSC resulted in failure to improve macrophage bioenergetics and complete abrogation of the MSC effect on macrophage phagocytosis in vitro and the antimicrobial effect of MSC in vivo. Collectively, this work for the first time demonstrates that mitochondrial transfer from MSC to innate immune cells leads to enhancement in phagocytic activity and reveals an important novel mechanism for the antimicrobial effect of MSC in ARDS.
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Aberrant mitochondrial exchange between cells is implicated in the pathogenesis of several neurological diseases including stroke and acute respiratory distress syndrome.
“The aberrant mitochondrial exchange between cells has been implicated in the pathogenesis of several neurological diseases including stroke and acute respiratory distress syndrome [9, 10, 11].”
From Aerobic exercise improves astrocyte mitochondrial quality and transfer to neurons in a mouse model of Alzheimer's disease (2025) · cites this paper as [11]
The Results and Conclusion (pages unavailable in our copy) link mitochondrial transfer to an ARDS-related infection model, but describe it as enhancing macrophage phagocytosis and antimicrobial activity—not as aberrant exchange contributing to disease pathogenesis. The paper does not address stroke or classify ARDS as a neurological disease. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIn a direct co-culture model, MSCs transferred mitochondria to monocyte-derived macrophages partly through TNTs, enhancing the phagocytic capacity of macrophages.
“In a direct co-culture model, MSCs transferred Mt to monocyte-derived macrophages partly through TNTs, enhancing the phagocytic capacity of macrophages [127].”
From Mechanisms, efficacy, and future perspectives of cellular-based therapies for liver fibrosis/cirrhosis: focusing on mesenchymal stromal cells (2025) · cites this paper as [127]
MSCs can also transfer mitochondria to immune cells.
“MSCs can also transfer Mt to immune cells [126, 127].”
From Mechanisms, efficacy, and future perspectives of cellular-based therapies for liver fibrosis/cirrhosis: focusing on mesenchymal stromal cells (2025) · cites this paper as [127]
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“MSCs can also transfer Mt to immune cells [126, 127].”
- Authors
- Jackson, M. V., Morrison, T. J., Doherty, D. F., McAuley, D. F., Matthay, M. A., Kissenpfennig, A., O'Kane, C. M., & Krasnodembskaya, A. D.
- Affiliations
- Queen's University Belfast (GB)
- University of California, San Francisco (US)
- Centre for Experimental Medicine, School of Medicine Dentistry & Biomedical Sciences, Queen's University Belfast, Northern Ireland, UK
- Corresponding author
- Krasnodembskaya, Anna D.
- ORCID
- Venue
- Stem Cells
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-04-29
- Volume
- 34
- Issue
- 8
- Pages
- 2210-2223
- ISSN
- 1066-5099 (ISSN-L)
- 1549-4918
- PMC
- PMC4982045
- OpenAlex
- W2336025467
- Cited by
- 582
- References
- 4
- Citations by year
- 2026: 54 · 2025: 43 · 2024: 58 · 2023: 66 · 2022: 68 · 2021: 86 · 2020: 91 · 2019: 43 · 2018: 29 · 2017: 33 · 2016: 9 · 2014: 1
- FWCI
- 27.57
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Stem Cells (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Research Portal (Queen's University Belfast) (submittedVersion, cc-by)
- Funders
- Texas A&M Health Science Center College of Medicine Institute for Regenerative Medicine at Scott & White (MRC MR/L017229/1, NHLBI HL51854 (MAM). Some of the materials employed in this work were provided by the)
- NCRR (through a grant from)
- NIH (of the, Grant # P40RR017447)
- Topics
- Health Sciences › Medicine › Genetics › Mesenchymal stem cell research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Keywords
- mesenchymal stem cells, acute respiratory distress syndrome, tunneling nanotubes, mitochondrial transfer, macrophage phagocytosis, alveolar macrophages, Escherichia coli pneumonia, clodronate liposomes, macrophage depletion, antimicrobial activity, sepsis, innate immunity
- MeSH terms
- Animals, Anti-Infective Agents, Cell Communication, Cells, Cultured, Disease Models, Animal, Escherichia coli, Humans, Macrophages, Mitochondria, Neutrophils, Phagocytosis, Pneumonia, Respiratory Distress Syndrome, Macrophages, Alveolar, Coculture Techniques, Nanotubes, Mice, Mesenchymal Stem Cells
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