Abstract
Inflammatory bowel disease (IBD) is a persistent and chronic disease that is characterized by destructive gastrointestinal (GI) inflammation. Researchers are trying to identify and develop new and more effective treatments with no side effects. Acute and chronic mouse models of IBD were established using dextran sulfate sodium (DSS) solution. To evaluate the efficacy and mechanism, umbilical cord mesenchymal stem cells (UCMSCs) were obtained from Kunming (KM) mice and humans. In the chronic IBD study, the survival rates of the normal control, model, mouse UCMSC (mUCMSC) and human UCMSC (hUCMSC) groups were 100%, 40%, 86.7%, and 100%, respectively. The histopathological scores of the normal control, intraperitoneal injection, intravenous treatment, and model groups were 0.5 ± 0.30, 5.9 ± 1.10, 8.7 ± 1.39, and 8.8 ± 1.33 (p = 0.021). UCMSCs promoted the expression of the intestinal tight junction protein occludin, downregulated the protein expression of the autophagy marker LC3A/B in colon tissue, and upregulated the expression of VEGF-A and VEGFR-1 at the injured site. This study provides an experimental model for elucidating the therapeutic effects of UCMSCs in IBD. We provide a theoretical basis and method for the clinical treatment of IBD using UCMSCs.
Highlights
Inflammatory bowel disease (IBD) is a persistent and chronic disease that is characterized by destructive gastrointestinal (GI) inflammation
This study found that umbilical cord mesenchymal stem cells (UCMSCs) promoted the expression of the intestinal tight junction protein occludin, downregulated the protein expression of the autophagy marker LC3A/B in colon tissue, and upregulated the expression of VEGF-A and VEGFR-1 at the injured site
The mice were randomly divided into a model group, a mouse UCMSC (mUCMSC) group, and a human UCMSC (hUCMSC) group, with 15 mice in each group; 9 additional mice were placed in the normal control group
Summary
This study provides an experimental model for elucidating the therapeutic effects of UCMSCs in IBD. We provide a theoretical basis and method for the clinical treatment of IBD using UCMSCs. Inflammatory bowel disease (IBD) is a persistent and chronic disease that is characterized by destructive gastrointestinal (GI) inflammation[1]. A large number of studies have shown that mesenchymal stem cells (MSCs) have immune regulation and tissue repair functions[2,3,4,5]. MSCs have achieved certain therapeutic effects in preclinical research and clinical trials in IBD animal models. MSCs are safe and effective in the treatment of CD in patients with an intractable intestinal fistula. Other studies have confirmed that allogeneic MSCs expanded in vitro are safe and effective in the treatment of CD-complicated perianal fistula lesions[17]. To further clarify the optimal UCMSC injection route and source, the following research was carried out
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