Potent paracrine effects of human induced pluripotent stem cell-derived mesenchymal stem cells attenuate doxorubicin-induced cardiomyopathy

Y Zhang, X Liang, S Liao, W Wang, J Wang, X Li… - Scientific reports, 2015 - nature.com
Y Zhang, X Liang, S Liao, W Wang, J Wang, X Li, Y Ding, Y Liang, F Gao, M Yang, Q Fu…
Scientific reports, 2015nature.com
Transplantation of bone marrow mesenchymal stem cells (BM-MSCs) can protect
cardiomyocytes against anthracycline-induced cardiomyopathy (AIC) through paracrine
effects. Nonetheless the paracrine effects of human induced pluripotent stem cell-derived
MSCs (iPSC-MSCs) on AIC are poorly understood. In vitro studies reveal that doxorubicin
(Dox)-induced reactive oxidative stress (ROS) generation and cell apoptosis in neonatal rat
cardiomyocytes (NRCMs) are significantly reduced when treated with conditioned medium …
Abstract
Transplantation of bone marrow mesenchymal stem cells (BM-MSCs) can protect cardiomyocytes against anthracycline-induced cardiomyopathy (AIC) through paracrine effects. Nonetheless the paracrine effects of human induced pluripotent stem cell-derived MSCs (iPSC-MSCs) on AIC are poorly understood. In vitro studies reveal that doxorubicin (Dox)-induced reactive oxidative stress (ROS) generation and cell apoptosis in neonatal rat cardiomyocytes (NRCMs) are significantly reduced when treated with conditioned medium harvested from BM-MSCs (BM-MSCs-CdM) or iPSC-MSCs (iPSC-MSCs-CdM). Compared with BM-MSCs-CdM, NRCMs treated with iPSC-MSCs-CdM exhibit significantly less ROS and cell apoptosis in a dose-dependent manner. Transplantation of BM-MSCs-CdM or iPSC-MSCs-CdM into mice with AIC remarkably attenuated left ventricular (LV) dysfunction and dilatation. Compared with BM-MSCs-CdM, iPSC-MSCs-CdM treatment showed better alleviation of heart failure, less cardiomyocyte apoptosis and fibrosis. Analysis of common and distinct cytokines revealed that macrophage migration inhibitory factor (MIF) and growth differentiation factor-15 (GDF-15) were uniquely overpresented in iPSC-MSC-CdM. Immunodepletion of MIF and GDF-15 in iPSC-MSCs-CdM dramatically decreased cardioprotection. Injection of GDF-15/MIF cytokines could partially reverse Dox-induced heart dysfunction. We suggest that the potent paracrine effects of iPSC-MSCs provide novel “cell-free” therapeutic cardioprotection against AIC and that MIF and GDF-15 in iPSC-MSCs-CdM are critical for these enhanced cardioprotective effects.
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