Features of synergism between mesenchymal stem cells and immunosuppressive drugs in a murine heart transplantation model

Eggenhofer, Elke and Renner, Philipp and Soeder, Yorick and Popp, Felix C. and Hoogduijn, Martin J. and Geissler, Edward K. and Schlitt, Hans J. and Dahlke, Marc H. (2011) Features of synergism between mesenchymal stem cells and immunosuppressive drugs in a murine heart transplantation model. TRANSPLANT IMMUNOLOGY, 25 (2-3). pp. 141-147. ISSN 0966-3274,

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Abstract

Background: Mesenchymal stem cells (MSCs) can be used for immunomodulation therapy after solid organ transplantation. Here, we focus on the immunoregulatory potential of combination therapies of MSCs and classic pharmacotherapy to mediate acceptance of solid organ grafts. Methods: To determine which drugs influence the immunosuppressive effect of MSCs, we assessed the interaction of MSCs and common clinical immunosuppresants (MMF, sirolimus [Srl], and ciclosporin A[CiA]) in a parent-into-F1 cell transfer model. In this model, the transfer of parental strain T cells into semi-allogeneic F1 recipients induces a graft-versus-host reaction (GvHR). Re-isolated CFSE-labelled T lymphocytes were analyzed by flow cytometry. These findings were compared to a fully allogeneic heart transplantation model. Results: We found that MSC treatment alone had no significant effect on allograft survival of heterotopic heart grafts. However, MSCs combined with short-term mycophenolate mofetil (MMF) significantly prolonged graft survival. Quantitative analysis of three different MSC - drug combinations in the F1 model revealed, that only the MSC-MMF combination led to a super-additive immunosuppressive effect. We also investigated the effect of MMF and CiA on IFN gamma production of stimulated lymphocytes and found that MMF left the expression of IFN gamma unaffected, whereas CIA completely abolished the production of IFN gamma. Conclusion: Our data show that the type of concurrent immunosuppression strongly influences the immunosuppressive effect of MSC, most likely through differential secretion of IFN-gamma. A regimen combining MSCs and MMF was most immunosuppressive. (C) 2011 Elsevier B.V. All rights reserved.

Item Type: Article
Uncontrolled Keywords: RENAL-ALLOGRAFT SURVIVAL; LIVER-TRANSPLANTATION; MIXED CHIMERISM; CARDIAC TRANSPLANTATION; MYCOPHENOLATE-MOFETIL; NONHUMAN-PRIMATES; TOLERANCE; ACCEPTANCE; INDUCTION; INFUSION; Allogeneic heart transplantation; Concurrent immunosuppression; Mesenchymal stern cells
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Chirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 02 Jun 2020 08:43
Last Modified: 02 Jun 2020 08:43
URI: https://pred.uni-regensburg.de/id/eprint/20242

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