Efficacy and safety of mesenchymal stem cell-derived microvesicles in mouse inflammatory arthritis

Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved..

OBJECTIVE: To determine the effective and safe intravenous doses of mesenchymal stem cells (MSCs)-derived microvesicles (MVs) and to elucidate the possible causes of death in mice receiving high-dose MVs.

METHODS: MVs were isolated from human MSCs by gradient centrifugation. Mice with collagen-induced arthritis were treated with different doses of intravenous MVs or MSCs. Arthritis severity, white blood cell count, and serum C-reactive protein levels were measured. To assess the safety profile of MSCs and MVs, mice were treated with different doses of MSCs and MVs, and LD50 was calculated. Mouse lungs and heart were assessed by live fluorescence imaging, histopathological measurements, and immunohistochemistry to explore the possible causes of death. Serum concentrations of cTnT, cTnI, and CK-MB were determined by ELISA. With the H9C2 cardiomyocyte cell line,  cellular uptake of MVs was observed using confocal microscopy and cell toxicity was assessed by CCK-8 and flow cytometry.

RESULTS: Intravenous treatment with MSCs and MVs alleviated inflammatory arthritis, while high doses of MSCs and MVs were lethal. Mice receiving a maximum dose of MSCs (0.1 mL of MSCs at 109/mL) died immediately, while mice receiving a maximum dose of MVs (0.1 mL of MVs at 1012/mL) exhibited tears, drooling, tachycardia, shortness of breath, unbalanced rollover, bouncing, circular crawling, mania, and death. Some mice died after exhibiting convulsions and other symptoms. All mice died shortly after injecting the maximum dose of MSCs. Histologically, mice receiving high doses of MSCs frequently developed pulmonary embolism, while those receiving high doses of MVs died of myocardial infarction. Consistently, the serum levels of cTnT, cTnI, and CK-MB were significantly increased in the MVs-treated group (P < 0.05). The LD50 of intravenous MVs was 1.60 × 1012/kg. Further, MVs could enter the cell. High doses of MVs induced cell apoptosis, though low concentrations of MVs induced cell proliferation.

CONCLUSIONS: Appropriate dosages of MVs and MSCs are effective treatments for inflammatory arthritis while MVs and MSCs overdose is unsafe by causing cardiopulmonary complications.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:131

Enthalten in:

International immunopharmacology - 131(2024) vom: 20. Apr., Seite 111845

Sprache:

Englisch

Beteiligte Personen:

Wei, Shixiong [VerfasserIn]
Lu, Chenyang [VerfasserIn]
Li, Sujia [VerfasserIn]
Zhang, Qiuping [VerfasserIn]
Cheng, Ruijuan [VerfasserIn]
Pan, ShuYue [VerfasserIn]
Wu, QiuHong [VerfasserIn]
Zhao, Xueting [VerfasserIn]
Tian, Xinping [VerfasserIn]
Zeng, Xiaofeng [VerfasserIn]
Liu, Yi [VerfasserIn]

Links:

Volltext

Themen:

Efficacy
Journal Article
Mesenchymal stem cells
Microvesicles
Safety
Sudden cardiac death

Anmerkungen:

Date Completed 10.04.2024

Date Revised 10.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.intimp.2024.111845

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370207181