Abstract

BackgroundMesenchymal stem cells (MSCs) are a well-established immunomodulatory agent which can also promote tissue repair and regeneration. Recent studies have demonstrated MSCs as a novel therapeutic for inflammatory bowel disease (IBD), a chronic idiopathic inflammatory disorder of the gastrointestinal tract. However, the precise role of MSCs in regulating immune responses is controversial, and its significance in the pathogenesis remains IBD undefined. In addition, MSCs’ acellular product, extracellular vesicles (EVs), may also play an important role in the armamentarium of therapeutics, but how EVs compare to MSCs remains unknown due to the lack of side-by-side comparative investigation. We herein compared MSCs and MSC-derived EVs for the treatment of IBD using a DSS-induced colitis model.MethodsA DSS-induced colitis model was used. At day 4, mice received adipose-derived MSCs, MSC-derived EVs, or placebo. Weight loss, stool consistency, and hematochezia was charted. At day 8, murine colons were harvested, histologic analysis performed, and serum/tissue cytokine analysis conducted.ResultsMSCs and EVs demonstrated equivalent immunosuppressive function in DSS-treated mice through decreased colonic lymphocyte infiltration and attenuated disease severity after both MSC and EV treatment. Furthermore, both MSCs and EVs have an equivalent ability to inhibit inflammation in the DSS colitis model by inhibiting JAK, JNK 1/2, and STAT3 signaling.ConclusionsThese results suggest that (i) both MSCs and EVs are effective therapeutic candidates for a DSS-induced mouse colitis model, (ii) MSCs and EVs have similar immunosuppressive and anti-inflammatory functions, and (iii) EVs may present a novel future therapeutic for the treatment of IBD.

Highlights

  • Ulcerative colitis (UC) and Crohn’s disease (CD) are the two primary phenotypes of inflammatory bowel disease (IBD), a chronic idiopathic inflammatory disorder of the gastrointestinal tract [1,2,3,4]

  • Mesenchymal stem cells (MSCs) and extracellular vesicles (EVs) reverse colitis progression in the DSSinduced colitis mouse model Colitis was induced in wild-type mice (C57Bl6 background) by adding 3% Dextran sulfate sodium (DSS) to the drinking water

  • Once mice showed mild clinical signs of colitis, we treated the mice with 10 million human adipose-derived MSCs, EVs, or phosphate-buffered saline (PBS) in 500 μl volume by i.p. injection

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Summary

Methods

At day 4, mice received adipose-derived MSCs, MSC-derived EVs, or placebo. At day 8, murine colons were harvested, histologic analysis performed, and serum/tissue cytokine analysis conducted

Results
Conclusions
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