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Mesenchymal Stem Cell Secretion of SDF-1? Modulates Endothelial Function in Dilated Cardiomyopathy.


ABSTRACT: Background:Endothelial dysfunction contributes to the pathophysiology of dilated cardiomyopathy (DCM). Allogeneic but not autologous mesenchymal stem cells (MSCs) improve endothelial function in DCM patients. We hypothesized that these effects are modulated by release of stromal derived factor-1? (SDF-1?). Methods:Plasma TNF? and endothelial progenitor cell-colony forming units (EPC-CFUs) were assessed at baseline and 3-months post-injection in a subset of POSEIDON-DCM patients that received autologous (n = 11) or allogeneic (n = 10) MSCs. SDF-1? secretion by MSCs, endothelial cell (EC) TNF? mRNA expression, and levels of reactive oxygen species (ROS) in response to SDF-1? were measured in vitro. Results:As previously shown, DCM patients (n = 21) had reduced EPC-CFUs at baseline (3 ± 3), which were restored to normal by allogeneic MSCs 3-months post-treatment (?10 ± 4). DCM patients had elevated baseline plasma TNF? (n = 15, 22 ± 9.4 pg/mL). Allogeneic MSCs (n = 8) decreased, and autologous MSCs (n = 7) increased, plasma TNF? (-7.1 ± 3.1 vs. 22.2 ± 17.1 pg/mL, respectively; P = 0.0005). In culture, autologous MSCs (n = 11) secreted higher levels of SDF-1? than allogeneic MSCs (n = 6) [76.0 (63.7, 100.9) vs. 22.8 (7.2, 43.5) pg/mL, P = 0.0002]. SDF-1? and plasma TNF? negatively correlated with EPC-CFUs in both treatment groups (R = -0.7, P = 0.0004). ECs treated with 20 ng SDF-1? expressed lower levels of TNF? mRNA than cells treated with 100 ng (0.7 ± 0.2 vs. 2.1 ± 0.3, P = 0.0008). SDF-1? at low but not high concentration inhibited the generation of ROS. Conclusion:MSC secretion of SDF-1? inversely correlates with EPC-CFU production in DCM patients and therefore may be a modulator of MSC therapeutic effect in this clinical setting. Clinical Trial Registration:https://clinicaltrials.gov/ct2/show/NCT01392625, identifier NCT01392625.

SUBMITTER: Premer C 

PROVIDER: S-EPMC6769040 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Mesenchymal Stem Cell Secretion of SDF-1α Modulates Endothelial Function in Dilated Cardiomyopathy.

Premer Courtney C   Wanschel Amarylis A   Porras Valeria V   Balkan Wayne W   Legendre-Hyldig Tatiana T   Saltzman Russell G RG   Dong Chunming C   Schulman Ivonne Hernandez IH   Hare Joshua M JM  

Frontiers in physiology 20190924


<h4>Background</h4>Endothelial dysfunction contributes to the pathophysiology of dilated cardiomyopathy (DCM). Allogeneic but not autologous mesenchymal stem cells (MSCs) improve endothelial function in DCM patients. We hypothesized that these effects are modulated by release of stromal derived factor-1α (SDF-1α).<h4>Methods</h4>Plasma TNFα and endothelial progenitor cell-colony forming units (EPC-CFUs) were assessed at baseline and 3-months post-injection in a subset of POSEIDON-DCM patients th  ...[more]

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