CNS Disease Diminishes the Therapeutic Functionality of Mesenchymal Stem Cells
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Case Western Reserve University School of Graduate Studies / OhioLINK
2018
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ndltd-OhioLink-oai-etd.ohiolink.edu-case15109139881949562021-08-03T07:04:34Z CNS Disease Diminishes the Therapeutic Functionality of Mesenchymal Stem Cells Sargent, Alex Neurosciences mesenchymal stem cells multiple sclerosis experimental autoimmune encephalomyelitis Mesenchymal stem cells (MSCs) have recently emerged as a potentially powerful cellular therapy for both inflammatory and neurological diseases such as multiple sclerosis (MS). Studies in animal models of MS, particularly experimental autoimmune encephalomyelitis (EAE), have demonstrated a remarkable ability of systemically delivered MSCs to suppress inflammation and improve neurological and functional recovery. Based on these preclinical studies, over twenty clinical trials have been initiated to evaluate the potential of MSCs to treat MS. Most of these trials use autologous MSCs (from the MS patients), in contrast to previous work done in the EAE model that used MSCs from healthy animals or donors. This raises a serious and unresolved issue about whether autologous MSCs are equivalent to healthy MSCs in their potential to treat diseases like MS. To determine if and how inflammatory diseases like MS affect MSC functionality, we cultured MSCs from the bone marrow of MOG35-55 induced EAE mice at different phases of disease and compared them to naive MSCs derived from healthy donors in their therapeutic potential. We found that EAE-MSCs have less therapeutic efficacy compared to naive MSCs in their ability to ameliorate EAE. The lack of therapeutic efficacy in EAE-MSCs reflected changes in their secretion of paracrine inflammatory cytokines, which EAE-MSCs up regulate at both the protein and gene level. Co-culture studies showed that conditioned medium from EAE-MSCs has differential effects on immune cell activation and neural cell development compared to naive MSCs. Furthermore, we found that bone marrow MSCs derived from MS patients show similar changes to EAE-MSCs and also lack therapeutic efficacy in treating EAE. Collectively, our data shows that disease diminishes the therapeutic functionality of MSCs, raising concern about the continued use of autologous MSCs as a potential therapy for MS. 2018-02-02 English text Case Western Reserve University School of Graduate Studies / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=case1510913988194956 http://rave.ohiolink.edu/etdc/view?acc_num=case1510913988194956 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
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language |
English |
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topic |
Neurosciences mesenchymal stem cells multiple sclerosis experimental autoimmune encephalomyelitis |
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Neurosciences mesenchymal stem cells multiple sclerosis experimental autoimmune encephalomyelitis Sargent, Alex CNS Disease Diminishes the Therapeutic Functionality of Mesenchymal Stem Cells |
author |
Sargent, Alex |
author_facet |
Sargent, Alex |
author_sort |
Sargent, Alex |
title |
CNS Disease Diminishes the Therapeutic Functionality of Mesenchymal Stem Cells |
title_short |
CNS Disease Diminishes the Therapeutic Functionality of Mesenchymal Stem Cells |
title_full |
CNS Disease Diminishes the Therapeutic Functionality of Mesenchymal Stem Cells |
title_fullStr |
CNS Disease Diminishes the Therapeutic Functionality of Mesenchymal Stem Cells |
title_full_unstemmed |
CNS Disease Diminishes the Therapeutic Functionality of Mesenchymal Stem Cells |
title_sort |
cns disease diminishes the therapeutic functionality of mesenchymal stem cells |
publisher |
Case Western Reserve University School of Graduate Studies / OhioLINK |
publishDate |
2018 |
url |
http://rave.ohiolink.edu/etdc/view?acc_num=case1510913988194956 |
work_keys_str_mv |
AT sargentalex cnsdiseasediminishesthetherapeuticfunctionalityofmesenchymalstemcells |
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1719453019988295680 |