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Editorial Cellular and Molecular Mechanisms of Mesenchymal Stem Cell Actions Bruno Christ, 1 Marcella Franquesa, 2 Mustapha Najimi, 3 Luc J. W. van der Laan, 4 and Marc Hendrik Dahlke 5 1 University Hospital Leipzig, Leipzig, Germany 2 REMAR Group, Health Science Research Institute Germans Trias i Pujol (IGTP), Badalona, Spain 3 Université Catholique de Louvain, Brussels, Belgium 4 Erasmus MC-University Medical Center Rotterdam, Rotterdam, Netherlands 5 University Hospital Regensburg, Regensburg, Germany Correspondence should be addressed to Bruno Christ; [email protected] Received 25 September 2017; Accepted 26 September 2017; Published 6 December 2017 Copyright © 2017 Bruno Christ et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The clinical interest in the therapeutic use of mesenchymal stromal/stem cells (MSC) is further increasing as their versa- tility in animal trial settings becomes more and more obvi- ous. Indeed, screening the ocial review site for clinical trials (http://www.clinicaltrials.gov) using the search term Mesenchymal Stem Cellsreveals 611 records (September, 2017). The large diversity of medical indications for treat- ment with MSC comprises hematological malignancies, dia- betes type 1, neurologic diseases, joint and bone diseases, organ transplantation, or liver diseases, just to mention a small selection. This indicates the big potential of MSC to act benecially both on chronic and acute diseases of either local or systemic origin. However, albeit we are only starting to understand the mode of action of MSC in certain disease conditions, there is still hesitation on the safety, upscale feasibility and, eectiveness of clinical MSC application. MSC from dierent tissues and organs feature rather similar phenotypic characteristics when put in culture. These include the capacity of plastic adherence, multiple dierenti- ation potential, and surface marker proles, which comprise the minimal denition criteria for MSC [1]. But gaining knowledge of molecular signatures by global gene expression analyses currently reveals that heterogeneity exists between dierent MSC populations depending on their origin, isola- tion and propagation procedures, and on their status of dierentiation [25]. The actions mediated by MSC may comprise two principally dierent mechanisms. The one is based on the functional integration of dierentiated MSC into diseased host tissue after transplantation as has been shown for liver regeneration after partial hepatectomy or toxic injury [6, 7]. The second mechanism comprises para- crine or cellular support of self-restoration of the diseased tissue or organ [8, 9]. The impact of MSC on the regulation of both the innate and the acquired immune system was intensively investigated and sparked the application in the setting of organ transplantation, where immunosuppression of alloreactivity is essential to prevent rejection [10, 11]. It is mainly the involvement of key molecules like prostaglan- din E2 (PGE2), indoleamine 2,3-dioxygenase, cytokines, and other growth factors, which act on cells of the immune system to activate or modulate their activity state and thus to impact on the immune status of the organ or organism as a whole. Knowledge on the cellular targets of MSC actions is emerging. Yet, gain of knowledge still remains limited. Especially, eects on cell cycle and metabolism remain elu- sive which however are essential to predict potential adverse eects in the treatment of tumorigenic diseases like hepatitis [12] or diseases associated with the metabolic syndrome like diabetes type 2. Facing the pleiotropic prop- erties of MSC like modulation of immune responses and alleviation of inammation and tissue damage, as well as Hindawi Stem Cells International Volume 2017, Article ID 2489041, 2 pages https://doi.org/10.1155/2017/2489041

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Page 1: Cellular and Molecular Mechanisms of Mesenchymal Stem Cell ...downloads.hindawi.com/journals/sci/2017/2489041.pdf · Editorial Cellular and Molecular Mechanisms of Mesenchymal Stem

EditorialCellular and Molecular Mechanisms of Mesenchymal StemCell Actions

Bruno Christ,1 Marcella Franquesa,2 Mustapha Najimi,3 Luc J. W. van der Laan,4 andMarc Hendrik Dahlke5

1University Hospital Leipzig, Leipzig, Germany2REMAR Group, Health Science Research Institute Germans Trias i Pujol (IGTP), Badalona, Spain3Université Catholique de Louvain, Brussels, Belgium4Erasmus MC-University Medical Center Rotterdam, Rotterdam, Netherlands5University Hospital Regensburg, Regensburg, Germany

Correspondence should be addressed to Bruno Christ; [email protected]

Received 25 September 2017; Accepted 26 September 2017; Published 6 December 2017

Copyright © 2017 Bruno Christ et al. This is an open access article distributed under the Creative Commons Attribution License,which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

The clinical interest in the therapeutic use of mesenchymalstromal/stem cells (MSC) is further increasing as their versa-tility in animal trial settings becomes more and more obvi-ous. Indeed, screening the official review site for clinicaltrials (http://www.clinicaltrials.gov) using the search term“Mesenchymal Stem Cells” reveals 611 records (September,2017). The large diversity of medical indications for treat-ment with MSC comprises hematological malignancies, dia-betes type 1, neurologic diseases, joint and bone diseases,organ transplantation, or liver diseases, just to mention asmall selection. This indicates the big potential of MSC toact beneficially both on chronic and acute diseases of eitherlocal or systemic origin. However, albeit we are only startingto understand the mode of action of MSC in certain diseaseconditions, there is still hesitation on the safety, upscalefeasibility and, effectiveness of clinical MSC application.

MSC from different tissues and organs feature rathersimilar phenotypic characteristics when put in culture. Theseinclude the capacity of plastic adherence, multiple differenti-ation potential, and surface marker profiles, which comprisethe minimal definition criteria for MSC [1]. But gainingknowledge of molecular signatures by global gene expressionanalyses currently reveals that heterogeneity exists betweendifferent MSC populations depending on their origin, isola-tion and propagation procedures, and on their status ofdifferentiation [2–5]. The actions mediated by MSC may

comprise two principally different mechanisms. The one isbased on the functional integration of differentiated MSCinto diseased host tissue after transplantation as has beenshown for liver regeneration after partial hepatectomy ortoxic injury [6, 7]. The second mechanism comprises para-crine or cellular support of self-restoration of the diseasedtissue or organ [8, 9]. The impact of MSC on the regulationof both the innate and the acquired immune system wasintensively investigated and sparked the application in thesetting of organ transplantation, where immunosuppressionof alloreactivity is essential to prevent rejection [10, 11]. Itis mainly the involvement of key molecules like prostaglan-din E2 (PGE2), indoleamine 2,3-dioxygenase, cytokines,and other growth factors, which act on cells of the immunesystem to activate or modulate their activity state and thusto impact on the immune status of the organ or organismas a whole.

Knowledge on the cellular targets of MSC actions isemerging. Yet, gain of knowledge still remains limited.Especially, effects on cell cycle and metabolism remain elu-sive which however are essential to predict potentialadverse effects in the treatment of tumorigenic diseaseslike hepatitis [12] or diseases associated with the metabolicsyndrome like diabetes type 2. Facing the pleiotropic prop-erties of MSC like modulation of immune responses andalleviation of inflammation and tissue damage, as well as

HindawiStem Cells InternationalVolume 2017, Article ID 2489041, 2 pageshttps://doi.org/10.1155/2017/2489041

Page 2: Cellular and Molecular Mechanisms of Mesenchymal Stem Cell ...downloads.hindawi.com/journals/sci/2017/2489041.pdf · Editorial Cellular and Molecular Mechanisms of Mesenchymal Stem

stimulation of tissue regeneration, it will be the goal offuture efforts using relevant cell or animal model systemsto unequivocally elucidate the molecular and cellularimpact of a defined MSC population on a specified diseaseenvironment before their clinical application. In this spe-cial issue of Stem Cells International on the cellular andmolecular mechanisms of MSC actions (CMMM), we pro-vide a collection of work stepping towards this goal inorder to complement gaps of knowledge before unequivo-cal use of MSC in clinical settings

Bruno ChristMarcella FranquesaMustapha Najimi

Luc J. W. van der LaanMarc Hendrik Dahlke

References

[1] M. Dominici, K. Le Blanc, I. Mueller et al., “Minimal criteriafor defining multipotent mesenchymal stromal cells. TheInternational Society for Cellular Therapy position statement,”Cytotherapy, vol. 8, pp. 315–317, 2006.

[2] N. Saidi, M. Ghalavand, M. S. Hashemzadeh, R. Dorostkar,H. Mohammadi, and A. Mahdian-Shakib, “Dynamic changesof epigenetic signatures during chondrogenic and adipogenicdifferentiation of mesenchymal stem cells,” Biomed & Phar-macotherapy, vol. 89, pp. 719–731, 2017.

[3] F. Collino, M. Pomatto, S. Bruno et al., “Exosome andmicrovesicle-enriched fractions isolated from mesenchymalstem cells by gradient separation showed different molecularsignatures and functions on renal tubular epithelial cells,” StemCell Reviews and Reports, vol. 13, pp. 226–243, 2017.

[4] B. Roson-Burgo, F. Sanchez-Guijo, C. Del Canizo, and J. DeLas Rivas, “Insights into the human mesenchymal stromal/stem cell identity through integrative transcriptomic profil-ing,” BMC Genomics, vol. 17, p. 944, 2016.

[5] R. M. Samsonraj, B. Rai, P. Sathiyanathan et al., “Establishingcriteria for human mesenchymal stem cell potency,” StemCells, vol. 33, pp. 1878–1891, 2015.

[6] H. Aurich, M. Sgodda, P. Kaltwasser et al., “Hepatocyte differ-entiation of mesenchymal stem cells from human adiposetissue in vitro promotes hepatic integration in vivo,” Gut,vol. 58, pp. 570–581, 2009.

[7] T. K. Kuo, S. P. Hung, C. H. Chuang et al., “Stem cell therapyfor liver disease: parameters governing the success of usingbone marrow mesenchymal stem cells,” Gastroenterology,vol. 134, pp. 2111–2121.e3, 2008.

[8] S. Bruno, M. C. Deregibus, and G. Camussi, “The secretome ofmesenchymal stromal cells: role of extracellular vesicles inimmunomodulation,” Immunology Letters, vol. 168, pp. 154–158, 2015.

[9] V. B. Konala, M. K. Mamidi, R. Bhonde, A. K. Das,R. Pochampally, and R. Pal, “The current landscape of themesenchymal stromal cell secretome: A new paradigm forcell-free regeneration,” Cytotherapy, vol. 18, pp. 13–24, 2016.

[10] M. J. Hoogduijn, F. C. Popp, A. Grohnert et al., “Advance-ment of mesenchymal stem cell therapy in solid organtransplantation (MISOT),” Transplantation Journal, vol. 90,pp. 124–126, 2010.

[11] E. L. de Mare-Bredemeijer, S. Mancham, M. M. Verstegenet al., “Human graft-derived mesenchymal stromal cellspotently suppress alloreactive T-cell responses,” Stem CellsDevelopment, vol. 24, pp. 1436–1447, 2015.

[12] P. Y. Hernanda, A. Pedroza-Gonzalez, L. J. van der Laan et al.,“Tumor promotion through the mesenchymal stem cell com-partment in human hepatocellular carcinoma,” Carcinogene-sis, vol. 34, pp. 2330–2340, 2013.

2 Stem Cells International

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