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Systemic transplantation of allogenic fetal membrane-derived mesenchymal stem cells suppresses Th1 and Th17 T cell responses in experimental autoimmune myocarditis.

Abstract
We have reported that systemic administration of autologous bone marrow or allogenic fetal membrane (FM)-derived mesenchymal stem cells (MSCs) similarly attenuated myocardial injury in rats with experimental autoimmune myocarditis (EAM). Since rat EAM is a T-helper (Th) cell-mediated autoimmune disease, and recent evidence has indicated that both autologous and allogenic MSCs exert an immunosuppressive effect on Th cell activity, we focused on Th cell differentiation in allogenic FM-MSC administered EAM rats. EAM was induced in Lewis rats by injecting porcine cardiac myosin (day 0). Allogenic FM-MSCs, obtained from major histocompatibility complex mismatched ACI rats, were intravenously injected (5 × 10(5)cells/rat) on days 7, 10, or 14 (MSCd7, MSCd10, or MSCd14 groups, respectively). At day 21, echocardiography confirmed that reduced ejection fraction in the untreated EAM group (63 ± 2%) was significantly improved in the MSCd10 and MSCd14 groups (74 ± 1 and 75 ± 2%, respectively, P<0.01). CD68 immunostaining revealed that prominent macrophage infiltration in the myocardium of the EAM group (1466 ± 93 cells/mm(2)) was significantly decreased in the MSCd10 group (958 ± 139 cells/mm(2), P<0.05). To evaluate Th cell differentiation, we used flow cytometry to determine the percentage of interferon (IFN)-γ positive Th1 and interleukin (IL)-17 positive Th17 cells in peripheral CD4-positive Th cells. The percentage of Th1 cells at day 16 was significantly lower in the MSCd10 (1.3 ± 0.2%) and MSCd14 (1.6 ± 0.3%) groups compared to the EAM group (2.4 ± 0.3%, P<0.05), as was the percentage of Th17 cells in the MSCd10 group (1.9 ± 0.5%) compared to the EAM group (2.2 ± 0.9%, P<0.05). At day 21, infiltrating Th17 cells in myocardium were significantly decreased in the MSCd10 group (501 ± 132 cells/mm(2), P<0.05) compared to EAM (921 ± 109 cells/mm(2)). In addition, human CD4+ Th cells co-cultured with human FM-MSCs exhibited reduced Th1 and Th17 cell-differentiation and proliferation, with increased expression of immunosuppressive molecules including indoleamine 2,3-dioxygenase 2 and IL-6 in co-cultured FM-MSCs. These results suggest that intravenous administration of allogenic FM-MSCs ameliorates EAM via the suppression of Th1/Th17 immunity.
AuthorsMakiko Ohshima, Kenichi Yamahara, Shin Ishikane, Kazuhiko Harada, Hidetoshi Tsuda, Kentaro Otani, Akihiko Taguchi, Mikiya Miyazato, Shinji Katsuragi, Jun Yoshimatsu, Makoto Kodama, Kenji Kangawa, Tomoaki Ikeda
JournalJournal of molecular and cellular cardiology (J Mol Cell Cardiol) Vol. 53 Issue 3 Pg. 420-8 (Sep 2012) ISSN: 1095-8584 [Electronic] England
PMID22796574 (Publication Type: Journal Article)
CopyrightCopyright © 2012 Elsevier Ltd. All rights reserved.
Chemical References
  • Interleukin-17
  • Interferon-gamma
Topics
  • Animals
  • Autoimmune Diseases (immunology, pathology)
  • CD4-Positive T-Lymphocytes (immunology)
  • Coculture Techniques
  • Disease Models, Animal
  • Echocardiography
  • Heart (physiopathology)
  • Immunosuppression Therapy
  • Interferon-gamma (immunology)
  • Interleukin-17 (immunology)
  • Mesenchymal Stem Cell Transplantation
  • Mesenchymal Stem Cells (immunology)
  • Myocarditis (immunology, pathology, therapy)
  • Myocardium (immunology, pathology)
  • Rats
  • Rats, Inbred ACI
  • Th1 Cells (immunology)
  • Th17 Cells (immunology)
  • Transplantation, Homologous

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