Abstract

Objective To investigate the effects of umbilical cord mesenchymal stem cell (UC-MSC) transplantation on joint damage and osteoporosis in collagen-induced arthritis (CIA) mice and to explore the mechanisms by which UC-MSCs modulate the osteogenic differentiation. Methods CIA mice were divided into the following treated groups: UC-MSC transplantation group, antitumor necrosis factor- (TNF-) α group, and zoledronic acid (ZA) group. Microcomputed tomography (micro-CT) was used to analyze the bone morphology parameters. Osteogenic differentiation of treated CIA mice was determined. Bone marrow mesenchymal stem cells (BM-MSCs) from CIA mice were treated with TNF-α in vitro to explore their effects on osteogenesis. Results The arthritis score was significantly reduced in the UC-MSC transplantation and anti-TNF-α-treated CIA groups, compared with control mice (P < 0.001). Micro-CT showed that CIA mice developed osteoporosis at 12 weeks after immunization. The bone morphology parameters were partially improved in UC-MSC-treated CIA mice. Impaired osteogenic differentiation functions were indicated by decreased ALP activity (P < 0.001) and reduced mRNA and protein levels of osteogenic marker genes (P < 0.05) in CIA mice compared with DBA/1 mice. UC-MSC treatment significantly upregulated the impaired osteogenic differentiation ability in CIA mice. Meanwhile, the serum TNF-α level was decreased significantly in the UC-MSC group. The osteogenesis was reduced with the addition of TNF-α in vitro. Conclusion This study demonstrated that UC-MSC transplantation not only significantly improved the joint damage but also played a beneficial role in osteoporosis in CIA mice. Mechanistically, the improved osteogenic differentiation of CIA under UC-MSC treatment may be achieved by inhibition of TNF-α.

Highlights

  • Rheumatoid arthritis (RA) is an autoimmune disease in which chronic inflammation causes severe damage to the joints

  • collagen-induced arthritis (CIA) mice were divided into four groups, including the CIA control group, the umbilical cord mesenchymal stem cell (UC-Mesenchymal stem cells (MSCs)) transplantation group, the anti-tumor necrosis factor- (TNF-)α-treated group, and the zoledronic acid (ZA)-treated group

  • Consistent with the results of arthritis score, the pathological score of knee joint was significantly reduced in the umbilical cord (UC)-MSC transplantation group (P < 0 01) and the anti-TNF-α-treated group (P < 0 05) compared with the control and ZA group (Figure 1(b))

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Summary

Objective

To investigate the effects of umbilical cord mesenchymal stem cell (UC-MSC) transplantation on joint damage and osteoporosis in collagen-induced arthritis (CIA) mice and to explore the mechanisms by which UC-MSCs modulate the osteogenic differentiation. Osteogenic differentiation of treated CIA mice was determined. Bone marrow mesenchymal stem cells (BM-MSCs) from CIA mice were treated with TNF-α in vitro to explore their effects on osteogenesis. The arthritis score was significantly reduced in the UC-MSC transplantation and anti-TNF-α-treated CIA groups, compared with control mice (P < 0 001). The bone morphology parameters were partially improved in UC-MSC-treated CIA mice. UC-MSC treatment significantly upregulated the impaired osteogenic differentiation ability in CIA mice. This study demonstrated that UC-MSC transplantation significantly improved the joint damage and played a beneficial role in osteoporosis in CIA mice. The improved osteogenic differentiation of CIA under UC-MSC treatment may be achieved by inhibition of TNF-α

Introduction
Materials and Methods
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