Abstract
BackgroundMesenchymal stromal cells (MSC) demonstrate innate and regulatory immunologic functions and have been widely explored for cell therapy applications. Mechanisms by which MSCs achieve therapeutic effects are theorized, though appropriate dosing and duration of these mechanisms in vivo warrant deeper investigation. One, rapid immunosuppressive function of MSCs is through ectoenzyme expression of CD73 and CD39 which cooperatively hydrolyze inflammatory, extracellular adenosine triphosphate (ATP) to anti-inflammatory adenosine. Extracellular ATP has a key role in autoimmune and inflammatory diseases, which administered MSCs have the potential to modulate in a timescale that is befitting of shorter acting therapeutic function.MethodsIn vitro experiments were performed to determine the hydrolysis rates of ATP by MSCs. Through kinetic modeling from experimental results, the rate at which a single cell can metabolize ATP was determined. Based on these rates, the ability of MSCs to downregulate inflammatory signaling pathways was prospectively validated using model system parameters with respect to two different mechanisms: extracellular ATP stimulates lymphocytes to suppress proliferation and induce apoptosis and with co-stimulation, it stimulates monocytes to release pro-inflammatory IL-1β. MSCs were co-cultured with immune cells using transwell inserts and compared to immune cell only groups.ResultsHydrolysis of ATP was efficiently modeled by first-order enzyme kinetics. For in vitro culture, the rate at which a single cell can hydrolyize ATP is 8.9 nmol/min. In the presence of extracellular ATP, cocultures of MSCs reduced cytotoxicity and allows for proliferation of lymphocytes while limiting IL-1β secretion from monocytes.ConclusionsSuch use of these models may allow for better dosing predictions for MSCs to be used therapeutically for chronic inflammatory diseases such as rheumatoid arthritis, diabetes, pancreatitis, and other systemic inflammatory response syndromes. For the first time, the effect of MSCs on ATP hydrolysis in immune cell response is quantitatively analyzed on a cell-molecule basis by modeling the hydrolysis as an enzyme–substrate reaction. The results also give insight into MSCs’ dynamic response mechanisms to ameliorate effects of extracellular ATP whether it be through positive or negative regulation.
Highlights
Mesenchymal stromal cells (MSC) demonstrate innate and regulatory immunologic functions and have been widely explored for cell therapy applications
Purinergic receptors respond to extracellular adenosine triphosphate (ATP) depending on the concentration where responses to low concentrations are mediated by purinergic receptor (P2R), intermediate concentrations by purinoreceptor 1 (P2X1), purinoreceptor 2 (P2Y2) and others, and very high concentrations above 100 μM are mediated by purinoreceptor 7 (P2X7) [9]
MSCs express the ectoenzymes triphosphate diphosphohydrolase-1 (CD39) and ecto-5′-nucleotidase ectonucleoside (CD73) It has been shown that CD39 and CD73 enzymes are expressed by MSCs and peripheral blood mononuclear cells (PBMC), but because these are primary cells, the expression may be batch-dependent and vary in expression level
Summary
Mesenchymal stromal cells (MSC) demonstrate innate and regulatory immunologic functions and have been widely explored for cell therapy applications. Release of ATP can be due to cell lysis, apoptosis, or from live cells through pannexin-1 channels by chemical, mechanical or paracrine signals [3] This release plays a role in both pathology and exacerbation of chronic inflammatory diseases such as osteoarthritis, rheumatoid arthritis, irritable bowel syndrome, emphysema, COPD and Muck–Wells syndrome [4,5,6]. Purinergic receptors respond to extracellular ATP depending on the concentration where responses to low concentrations are mediated by P2R, intermediate concentrations by P2X1, P2Y2 and others, and very high concentrations above 100 μM are mediated by P2X7 [9] They allow the cell to mediate a response to ATP, while ectoenzymes ectonucleoside triphosphate diphosphohydrolase-1 (CD39) and ecto-5′-nucleotidase (CD73) hydrolyze ATP to AMP and anti-inflammatory adenosine, respectively. The level of extracellular ATP required for activation of purinergic receptors is around 500 nM, but after extended periods of being exposed to these high concentrations, purinergic enzymes have a lessened effect [10]
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