Cited by 39Mesenchymal stem cell researchLiver physiology and pathologyLiver Disease and Transplantation

Transplantation of human bone marrow mesenchymal stromal cells reduces liver fibrosis more effectively than Wharton’s jelly mesenchymal stromal cells

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Rengasamy, Mathiyazhagan, Singh, Gurbind, Fakharuzi, Noor Atiqah, Siddikuzzaman, Balasubramanian, Sudha, Swamynathan, Priyanka, Thej, Charan, Sasidharan, Gopinath +7 more·2017·Stem Cell Research & Therapy

Abstract

Mesenchymal stromal cells (MSCs) from various tissues have shown moderate therapeutic efficacy in reversing liver fibrosis in preclinical models. Here, we compared the relative therapeutic potential of pooled, adult human bone marrow (BM)- and neonatal Wharton’s jelly (WJ)-derived MSCs to treat CCl 4 -induced liver fibrosis in rats. Sprague-Dawley rats were injected with CCl 4 for 8 weeks to induce irreversible liver fibrosis. Ex-vivo expanded, pooled human MSCs obtained from BM and WJ were intravenously administered into rats with liver fibrosis at a dose of 10 × 10 6 cells/animal. Sham control and vehicle-treated animals served as negative and disease controls, respectively. The animals were sacrificed at 30 and 70 days after cell transplantation and hepatic-hydroxyproline content, histopathological, and immunohistochemical analyses were performed. BM-MSCs treatment showed a marked reduction in liver fibrosis as determined by Masson’s trichrome and Sirius red staining as compared to those treated with the vehicle. Furthermore, hepatic-hydroxyproline content and percentage collagen proportionate area were found to be significantly lower in the BM-MSCs-treated group. In contrast, WJ-MSCs treatment showed less reduction of fibrosis at both time points. Immunohistochemical analysis of BM-MSCs-treated liver samples showed a reduction in α-SMA + myofibroblasts and increased number of EpCAM + hepatic progenitor cells, along with Ki-67 + and human matrix metalloprotease-1 + (MMP-1 + ) cells as compared to WJ-MSCs-treated rat livers. Our findings suggest that BM-MSCs are more effective than WJ-MSCs in treating liver fibrosis in a CCl 4 -induced model in rats. The superior therapeutic activity of BM-MSCs may be attributed to their expression of certain MMPs and angiogenic factors.

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Research works printed but not linked: 39

  1. [1]Poynard T Yuen MF Ratziu V Viral hepatitis C Lancet 2003 362 2095 100 10.1016/S0140-6736(03)15109-4 14697814 · DOI
  2. [2]Bataller R Brenner D Liver fibrosis J Clin Invest 2005 115 209 18 10.1172/JCI24282 15690074 PMC546435 · DOI · Paper page
  3. [3]Mokdad AA Alan DL Saied S Liver cirrhosis mortality in 187 countries between 1980 and 2010: a systematic analysis BMC Med 2014 12 145 10.1186/s12916-014-0145-y 25242656 PMC4169640 · DOI · Paper page
  4. [4]Fox IJ Chowdhury JR Kaufman SS Treatment of the Crigler-Najjar syndrome type I with hepatocyte transplantation N Engl J Med 1998 338 20 1422 6 10.1056/NEJM199805143382004 9580649 · DOI
  5. [5]Muraca M Gerunda G Neri D Hepatocyte transplantation as a treatment for glycogen storage disease type 1a Lancet 2002 359 9303 317 8 10.1016/S0140-6736(02)07529-3 11830200 · DOI
  6. [6]Strom SC Fisher RA Thompson MT Hepatocyte transplantation as a bridge to orthotopic liver transplantation in terminal liver failure Transplantation 1997 63 4 559 69 10.1097/00007890-199702270-00014 9047152 · DOI
  7. [7]Pittenger MF Mackay AM Beck SC Multilineage potential of adult human mesenchymal stem cells Science 1999 284 5411 143 7 10.1126/science.284.5411.143 10102814 · DOI · Paper page
  8. [8]Lee KD Kuo TK Whang-Peng J In-vitro differentiation of human mesenchymal stem cells Hepatology 2004 40 6 1275 84 10.1002/hep.20469 15562440 · DOI · Paper page
  9. [9]Fang B Shi M Liao L Systemic infusion of FLK1+ mesenchymal stem cells ameliorate carbon tetrachloride-induced liver fibrosis in mice Transplantation 2004 78 1 83 8 10.1097/01.TP.0000128326.95294.14 15257043 · DOI
  10. [10]Kinnaird T Stabile E Burnett MS Local delivery of marrow-derived stromal cells augments collateral perfusion through paracrine mechanisms Circulation 2004 109 1543 9 10.1161/01.CIR.0000124062.31102.57 15023891 · DOI
  11. [11]Aggarwal S Pittenger MF Human mesenchymal stem cells modulate allogeneic immune cell responses Blood 2005 105 4 1815 22 10.1182/blood-2004-04-1559 15494428 · DOI · Paper page
  12. [12]Thomas JK Paul L Caplan AI MSC: delivery routes and engraftment, cell-targeting strategies, and immune modulation Stem Cell International 2013 2013 1 13 PMC3755386 24000286
  13. [13]Caplan AI Sorrell JM The MSC curtain that stops the immune system Immunol Lett 2015 168 2 136 9 10.1016/j.imlet.2015.06.005 26079607 · DOI
  14. [14]Eom YW Kim G Baik SK Mesenchymal stem cell therapy for cirrhosis: present and future perspectives World J Gastroenterol 2015 21 36 10253 61 10.3748/wjg.v21.i36.10253 26420953 PMC4579873 · DOI
  15. [15]Jang YO Kim YJ Baik SK Kim MY Eom YW Cho MY Park HJ Park SY Kim BR Kim JW Soo Kim H Kwon SO Choi EH Kim YM Histological improvement following administration of autologous bone marrow-derived mesenchymal stem cells for alcoholic cirrhosis: a pilot study Liver Int 2014 34 33 41 10.1111/liv.12218 23782511 · DOI
  16. [16]Liang J, Zhang H, Zhao C, Wang D, Ma X, Zhao S, Wang S, Niu L, Sun L.Effects of allogeneic mesenchymal stem cell transplantation in the treatment of liver cirrhosis caused by autoimmune diseases. Int J Rheum Dis. 2017. doi:10.1111/1756-185X13015. [Epub ahead of print]. 28217916 · DOI
  17. [17]Esrefoglu M Role of stem cells in repair of liver injury: experimental and clinical benefit of transferred stem cells on liver failure World J Gastroenterol 2013 19 40 6757 73 10.3748/wjg.v19.i40.6757 24187451 PMC3812475 · DOI
  18. [18]Lin SZ Chang YJ Liu JW Transplantation of human Wharton’s jelly-derived stem cells alleviates chemically induced liver fibrosis in rats Cell Transplant 2010 19 11 1451 63 10.3727/096368910X514198 20587139 · DOI
  19. [19]Sakaida I Terai S Yamamoto N Transplantation of bone marrow cells reduces CCl4-induced liver fibrosis in mice Hepatology 2004 40 6 1304 11 10.1002/hep.20452 15565662 · DOI
  20. [20]Pal R Hanwate M Jan M Totey S Phenotypic and functional comparison of optimum culture conditions for upscaling of bone marrow-derived mesenchymal stem cells J Tissue Eng Regen Med 2009 3 3 163 74 10.1002/term.143 19229888 · DOI
  21. [21]Mamidi MK Nathan KG Singh G Comparative cellular and molecular analyses of pooled bone marrow multipotent mesenchymal stromal cells during continuous passaging and after successive cryopreservation J Cell Biochem 2012 113 10 3153 64 10.1002/jcb.24193 22615164 · DOI
  22. [22]Swamynathan P Venugopal P Kannan S Thej C Kolkundar U Bhagwat S Ta M Majumdar AS Balasubramanian S Are serum-free and xeno-free culture conditions ideal for large scale clinical grade expansion of Wharton’s jelly derived mesenchymal stem cells? A comparative study Stem Cell Res Ther 2014 5 4 88 10.1186/scrt477 25069491 PMC4247668 · DOI
  23. [23]Nekanti U Mohanty L Venugopal P Optimization and scale-up of Wharton’s jelly-derived mesenchymal stem cells for clinical applications Stem Cell Res 2010 5 3 244 54 10.1016/j.scr.2010.08.005 20880767 · DOI
  24. [24]Issa R Zhou X Constandinou CM Spontaneous recovery from micronodular cirrhosis: evidence for incomplete resolution associated with matrix cross-linking Gastroenterology 2004 126 7 1795 808 10.1053/j.gastro.2004.03.009 15188175 · DOI
  25. [25]Constandinou C Henderson N Iredale JP Modeling liver fibrosis in rodents Methods Mol Med 2005 117 237 50 16118456
  26. [26]Ishak K Baptista A Bianchi L Histological grading and staging of chronic hepatitis J Hepatol 1995 22 6 696 9 10.1016/0168-8278(95)80226-6 7560864 · DOI
  27. [27]Kang XQ Zang WJ Bao LJ Fibroblast growth factor-4 and hepatocyte growth factor induce differentiation of human umbilical cord blood-derived mesenchymal stem cells into hepatocytes World J Gastroenterol 2005 11 47 7461 5 10.3748/wjg.v11.i47.7391 16437717 PMC4725161 · DOI
  28. [28]Usunier B Benderitter M Tamarat R Management of fibrosis: the mesenchymal stromal cells breakthrough Stem Cells Int 2014 2014 340257 10.1155/2014/340257 25132856 PMC4123563 · DOI
  29. [29]Iredale JP Thompson A Henderson NC Extracellular matrix degradation in liver fibrosis: biochemistry and regulation Biochim Biophys Acta 2013 1832 7 876 83 10.1016/j.bbadis.2012.11.002 23149387 · DOI
  30. [30]Zhao DC Lei JX Chen R Yu WH Zhang XM Li SN Xiang P Bone marrow-derived mesenchymal stem cells protect against experimental liver fibrosis in rats World J Gastroenterol 2005 11 22 3431 40 10.3748/wjg.v11.i22.3431 15948250 PMC4315999 · DOI
  31. [31]Madrigal M Rao KS Riordan NH A review of therapeutic effects of mesenchymal stem cell secretions and induction of secretory modification by different culture methods J Transl Med 2014 12 260 10.1186/s12967-014-0260-8 25304688 PMC4197270 · DOI
  32. [32]Amable PR Teixeira MV Carias RB Protein synthesis and secretion in human mesenchymal cells derived from bone marrow, adipose tissue and Wharton’s jelly Stem Cell Res Ther 2014 5 2 53 10.1186/scrt442 24739658 PMC4055160 · DOI
  33. [33]Eto H Suga H Aoi N Kato H Doi K Kuno S Tabata Y Yoshimura K Therapeutic potential of fibroblast growth factor-2 for hypertrophic scars: upregulation of MMP-1 and HGF expression Lab Invest 2012 92 2 214 23 10.1038/labinvest.2011.127 21946856 · DOI
  34. [34]Xie J Bian H Qi S Xu Y Tang J Li T Liu X Effects of basic fibroblast growth factor on the expression of extracellular matrix and matrix metalloproteinase-1 in wound healing Clin Exp Dermatol 2008 33 2 176 82 10.1111/j.1365-2230.2007.02573.x 18257838 · DOI
  35. [35]De Becker A Van Hummelen P Bakkus M Vande BI De Wever J De Waele M Migration of culture-expanded human mesenchymal stem cells through bone marrow endothelium is regulated by matrix metalloproteinase-2 and tissue inhibitor of metalloproteinase-3 Haematologica 2007 92 440 9 10.3324/haematol.10475 17488654 · DOI
  36. [36]Bhoopathi P Chetty C Gogineni VR Gujrati M Dinh DH Rao JS MMP-2 mediates mesenchymal stem cell tropism towards medulloblastoma tumors Gene Ther 2011 18 692 701 10.1038/gt.2011.14 21368903 PMC3123681 · DOI
  37. [37]Kim MD Kim SS Cha HY Therapeutic effect of hepatocyte growth factor-secreting mesenchymal stem cells in a rat model of liver fibrosis Exp Mol Med 2014 46 e110 10.1038/emm.2014.49 25145391 PMC4150933 · DOI
  38. [38]Yang L Kwon J Popov Y Vascular endothelial growth factor promotes fibrosis resolution and repair in mice Gastroenterology 2014 146 5 1339 50 10.1053/j.gastro.2014.01.061 24503129 PMC4001704 · DOI
  39. [39]Zhao W Li JJ Cao DY Intravenous injection of mesenchymal stem cells is effective in treating liver fibrosis World J Gastroenterol 2012 18 10 1048 58 10.3748/wjg.v18.i10.1048 22416179 PMC3296978 · DOI · Paper page

Authors
Rengasamy, M., Singh, G., Fakharuzi, N. A., Siddikuzzaman, Balasubramanian, S., Swamynathan, P., Thej, C., Sasidharan, G., Gupta, P. K., Das, A. K., Rahman, A. Z. A., Fakiruddin, K. S., Nian, L. M., Zakaria, Z., & Majumdar, A. S.
Affiliations
  • Stempeutics (India) (IN)
  • Institute for Medical Research (MY)
  • Manipal Academy of Higher Education (IN)
Corresponding author
Majumdar, Anish S.
Venue
Stem Cell Research & Therapy
Published
2017-06-13
Volume
8
Issue
1
Pages
143-143
ISSN
1757-6512 (ISSN-L)
OpenAlex
W2626328768
Cited by
39
References
0
Citations by year
2025: 4 · 2024: 2 · 2023: 6 · 2022: 2 · 2021: 7 · 2020: 7 · 2019: 8 · 2018: 1 · 2017: 2
FWCI
2.83
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Stem Cell Research & Therapy (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Greater South Information System
Funders
Institute for Medical Research (IMR), Ministry of Health, Kuala Lumpur, Malaysia and by Stempeutics Research Pvt Ltd, Bangalore. (NMRR-13-1063-18209)
Topics
  • Health Sciences › Medicine › Genetics › Mesenchymal stem cell research
  • Health Sciences › Medicine › Hepatology › Liver physiology and pathology
  • Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
Keywords
mesenchymal stem cells, liver fibrosis, bone marrow-derived MSCs, cell transplantation, carbon tetrachloride-induced liver injury, collagen deposition, myofibroblasts, hepatic progenitor cells, MMP-1, angiogenic factors, regenerative therapy
MeSH terms
Epithelial Cell Adhesion Molecule, Animals, Carbon Tetrachloride, Disease Models, Animal, Humans, Liver Cirrhosis, Bone Marrow Transplantation, Mesenchymal Stem Cell Transplantation, Rats, Myofibroblasts, Mesenchymal Stem Cells, Wharton Jelly

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