Abstract

We hypothesized that infusion of bone marrow mononuclear cells (BMMCs) in the late stages of silica-induced damage would reduce the remodelling process in a murine model of silicosis. C57BL/6 mice were assigned to 2 groups. In the SIL group, mice were instilled with a silica particle suspension intratracheally. Control (C) mice received saline under the same protocol. On the 40th day, some of the animals from both groups were killed. The others were treated with either saline or BMMCs (1×106cells) intravenously (C+BMMC and SIL+BMMC), and the mice were killed 70 days after the start of the protocol. In the mice in the SIL+BMMC group, collagen deposition, the presence of silica particles inside nodules, the presence of macrophages and cells reactive for inducible nitric oxide synthase were reduced. Lung parameters also improved. Beyond that, the total and differential cellularity of bronchoalveolar lavage fluid, immunoexpression of transforming growth factor-β, the number of T regulatory cells and apoptosis were increased. However, the presence of male donor cells in lung tissue was not observed using GFP+ cells (40d) or Y chromosome DNA (70d). Therefore, BMMC therapy in the late stages of experimental silicosis improved lung function by diminishing fibrosis but inflammatory cells persisted, which could be related to expansion of T regulatory cells, responsible for the beneficial effects of cell therapy.

Highlights

  • Silicosis is an occupational lung disease resulting from chronic inhalation of dust containing silica dioxide

  • Lung function The values for DP1,L, DP2,L and Est,L were similar for the mice in the C40d, C70d and C+bone marrow mononuclear cells (BMMCs) groups

  • No available curative therapy exists for silicosis [6], cell therapy based on stem cell infusion seems to be a sensible approach

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Summary

Introduction

Silicosis is an occupational lung disease resulting from chronic inhalation of dust containing silica dioxide. It is characterized by persistent inflammation, fibroblast proliferation and excessive collagen deposition, resulting in interstitial fibrosis [1]. The uptake of silica particles by macrophages triggers the production of reactive oxygen species (ROS) via the oxidative stress pathway, which in turn contributes to pulmonary damage and macrophage death by apoptosis [2,3]. Sustained ROS generation perpetuates the continuum of phagocytosis, cell death, inflammatory cell recruitment and silica deposition, and is responsible for progressive and irreversible lung injury [4,5]. Clinical management is directed at controlling symptoms and preventing complications [6]

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