Abstract

The immunomodulatory potential of cell therapies using adipose-derived stem cells (ASCs) and bone marrow-derived mesenchymal stem cells (BM-MSCs) has been studied in vascularized composite allotransplantation (VCA). Most cell therapy-based experimental and clinical protocols integrate some degree of recipient conditioning/induction with antibodies or other immunosuppressive agents. We investigated the susceptibility of ASCs and BM-MSCs to anti-lymphocyte serum (ALS) and tacrolimus. Rat ASCs and BM-MSCs were exposed to varying concentrations of tacrolimus and ALS in vitro. Serum from ALS-treated animals was added to cell cultures. Viability, susceptibility, and cytotoxicity parameters were evaluated. ALS inhibited ASC and BM-MSC viability and susceptibility in vitro in a dose-dependent manner. ASCs were more susceptible to both ALS and tacrolimus than BM-MSCs. Trypsinized and adherent ASCs were significantly smaller than BM-MSCs. This is the first report on the viability and susceptibility characteristics of BM-MSCs or ASCs to collateral effects of ALS and tacrolimus. These in vitro insights may impact choice of cell type as well as concomitant conditioning agents and the logistical coordination of the timing, dosing, and frequency of drug or cell therapy in solid organ transplantation or VCA protocols.

Highlights

  • Vascularized composite allotransplantation (VCA) is an emerging clinical realm of solid organ transplantation (SOT), that deals with the restoration of devastating tissue defects secondary to trauma, congenital malformations, or oncological surgery

  • We investigated the susceptibility of Adipose-derived stem cells (ASCs) and bone marrow-derived mesenchymal stem cells (BM-Mesenchymal stem cells (MSCs)) to anti-lymphocyte serum (ALS) and tacrolimus

  • ALS is analogous to anti-thymocyte globulin (ATG) and has been evaluated in experimental models of SOT as well as VCA [19]

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Summary

Introduction

Vascularized composite allotransplantation (VCA) is an emerging clinical realm of solid organ transplantation (SOT), that deals with the restoration of devastating tissue defects secondary to trauma, congenital malformations, or oncological surgery. Some soluble factors are constitutively secreted by MSCs, whereas others are induced when MSCs are exposed to appropriate inflammatory environments [5]. These factors can promote angiogenesis, tissue regeneration, extracellular matrix remodeling, cellular recruitment, and immune cell activation or suppression acting via local or paracrine mechanisms. Endothelial cells, and pericytes are components of MSCs [6]. These cells respond and home to sites of injury [7]

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