Abstract

Adult stem cell-based therapy is a promising novel approach for treatment of acute lung injury. Here we investigated the therapeutic potential of freshly isolated human umbilical cord blood CD34+ progenitor cells (fCB-CD34+ cells) in a mouse model of acute lung injury. At 3 h post-lipopolysaccharide (LPS) challenge, fCB-CD34+ cells were transplanted i.v. to mice while CD34− cells or PBS were administered as controls in separate cohorts of mice. We observed that fCB-CD34+ cell treatment inhibited lung vascular injury evident by decreased lung vascular permeability. In contrast, CD34− cells had no effects on lung vascular injury. Lung inflammation determined by myeloperoxidase activity, neutrophil sequestration and expression of pro-inflammatory mediators was attenuated in fCB-CD34+ cell-treated mice at 26 h post-LPS challenge compared to PBS or CD34− cell-treated controls. Importantly, lung inflammation in fCB-CD34+ cell-treated mice was returned to normal levels as seen in basal mice at 52 h post-LPS challenge whereas PBS or CD34− cell-treated control mice exhibited persistent lung inflammation. Accordingly, fCB-CD34+ cell-treated mice exhibited a marked increase of survival rate. Employing in vivo 5-bromo-2′-deoxyuridine incorporation assay, we found a drastic induction of lung endothelial proliferation in fCB-CD34+ cell-treated mice at 52 h post-LPS compared to PBS or CD34− cell-treated controls, which contributed to restoration of vascular integrity and thereby inhibition of lung inflammation. Taken together, these data have demonstrated the protective effects of fCB-CD34+ cell on acute lung injury induced by LPS challenge, suggesting fCB-CD34+ cells are an important source of stem cells for the treatment of acute lung injury.

Highlights

  • Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) remain one of the most common causes of acute respiratory failure in critically ill patients [1]

  • Isolated human CD34+ progenitor cells inhibit lung vascular injury following LPS challenge Human CD34+ progenitor cells were isolated from human umbilical cord blood using the immunomagnetic beads with purity of routinely greater than 95% (Fig. 1A)

  • We have investigated the effects of intravenous administration of freshly isolated human umbilical cord blood CD34+ progenitor cells on LPS-induced lung injury in mice

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Summary

Introduction

Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) remain one of the most common causes of acute respiratory failure in critically ill patients [1]. Human mesenchymal stem or stromal cells (MSC) are shown to be protective in animal models of ALI induced by lipopolysaccharide (LPS) [5,6,7,8], live bacteria [9,10], polymicrobial sepsis [8,11], and pneumonia [10] as well as in an ex vivo perfused human lung injury model challenged with E. coli [12,13] These studies suggest that human adult stem cells is a potential therapeutic approach for the treatment of ALI and ARDS [14,15].

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