Document Detail


Airway delivery of mesenchymal stem cells prevents arrested alveolar growth in neonatal lung injury in rats.
MedLine Citation:
PMID:  19713449     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
RATIONALE: Bronchopulmonary dysplasia (BPD) and emphysema are characterized by arrested alveolar development or loss of alveoli; both are significant global health problems and currently lack effective therapy. Bone marrow-derived mesenchymal stem cells (BMSCs) prevent adult lung injury, but their therapeutic potential in neonatal lung disease is unknown.
OBJECTIVES: We hypothesized that intratracheal delivery of BMSCs would prevent alveolar destruction in experimental BPD.
METHODS: In vitro, BMSC differentiation and migration were assessed using co-culture assays and a modified Boyden chamber. In vivo, the therapeutic potential of BMSCs was assessed in a chronic hyperoxia-induced model of BPD in newborn rats.
MEASUREMENTS AND MAIN RESULTS: In vitro, BMSCs developed immunophenotypic and ultrastructural characteristics of type II alveolar epithelial cells (AEC2) (surfactant protein C expression and lamellar bodies) when co-cultured with lung tissue, but not with culture medium alone or liver. Migration assays revealed preferential attraction of BMSCs toward oxygen-damaged lung versus normal lung. In vivo, chronic hyperoxia in newborn rats led to air space enlargement and loss of lung capillaries, and this was associated with a decrease in circulating and resident lung BMSCs. Intratracheal delivery of BMSCs on Postnatal Day 4 improved survival and exercise tolerance while attenuating alveolar and lung vascular injury and pulmonary hypertension. Engrafted BMSCs coexpressed the AEC2-specific marker surfactant protein C. However, engraftment was disproportionately low for cell replacement to account for the therapeutic benefit, suggesting a paracrine-mediated mechanism. In vitro, BMSC-derived conditioned medium prevented O(2)-induced AEC2 apoptosis, accelerated AEC2 wound healing, and enhanced endothelial cord formation.
CONCLUSIONS: BMSCs prevent arrested alveolar and vascular growth in part through paracrine activity. Stem cell-based therapies may offer new therapeutic avenues for lung diseases that currently lack efficient treatments.
Authors:
Timothy van Haaften; Roisin Byrne; Sebastien Bonnet; Gael Y Rochefort; John Akabutu; Manaf Bouchentouf; Gloria J Rey-Parra; Jacques Galipeau; Alois Haromy; Farah Eaton; Ming Chen; Kyoko Hashimoto; Doris Abley; Greg Korbutt; Stephen L Archer; Bernard Thébaud
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2009-08-27
Journal Detail:
Title:  American journal of respiratory and critical care medicine     Volume:  180     ISSN:  1535-4970     ISO Abbreviation:  Am. J. Respir. Crit. Care Med.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-20     Completed Date:  2009-12-07     Revised Date:  2012-02-01    
Medline Journal Info:
Nlm Unique ID:  9421642     Medline TA:  Am J Respir Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1131-42     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, Women and Children Health Research Institute, University of Alberta, Edmonton, Alberta, Canada.
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MeSH Terms
Descriptor/Qualifier:
Animals
Animals, Newborn
Bone Marrow
Cell Culture Techniques
Disease Models, Animal
Exercise Tolerance
Hyperoxia
Hypertension, Pulmonary / prevention & control
Lung Injury / prevention & control*
Mesenchymal Stem Cells*
Pulmonary Alveoli / growth & development*,  ultrastructure
Rats
Rats, Sprague-Dawley
Reverse Transcriptase Polymerase Chain Reaction
Survival Analysis
Grant Support
ID/Acronym/Agency:
R01-HL071115/HL/NHLBI NIH HHS; //Canadian Institutes of Health Research
Comments/Corrections
Comment In:
Am J Respir Crit Care Med. 2009 Dec 1;180(11):1039-41   [PMID:  19923401 ]

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