Abstract

PurposeThe question of whether mesenchymal stromal cells (MSCs) home to injured kidneys remains a contested issue. To try and understand the basis for contradictory findings reported in the literature, our purpose here was to investigate whether MSC homing capacity is influenced by administration route, the type of injury model used, and/or the presence of exogenous macrophages.ProceduresTo assess the viability, whole-body biodistribution, and intra-renal biodistribution of MSCs, we used a multimodal imaging strategy comprising bioluminescence and magnetic resonance imaging. The effect of administration route (venous or arterial) on the ability of MSCs to home to injured renal tissue, and persist there, was assessed in a glomerular injury model (induced by the nephrotoxicant, Adriamycin) and a tubular injury model induced by ischaemia-reperfusion injury (IRI). Exogenous macrophages were used as a positive control because these cells are known to home to injured mouse kidneys. To assess whether the homing capacity of MSCs can be influenced by the presence of exogenous macrophages, we used a dual-bioluminescence strategy that allowed the whole-body biodistribution of the two cell types to be monitored simultaneously in individual animals.ResultsFollowing intravenous administration, no MSCs were detected in the kidneys, irrespective of whether the mice had been subjected to renal injury. After arterial administration via the left cardiac ventricle, MSCs transiently populated the kidneys, but no preferential homing or persistence was observed in injured renal tissue after unilateral IRI. An exception was when MSCs were co-administered with exogenous macrophages; here, we observed some homing of MSCs to the injured kidney.ConclusionsOur findings strongly suggest that MSCs do not home to injured kidneys.

Highlights

  • Numerous studies have shown that mesenchymal stromal cells (MSCs) from various sources, including bone marrow, adipose tissue and the umbilical cord, can improve renal function and ameliorate tissue damage following administration into rodents with kidney injury [1]

  • A Combination of magnetic resonance imaging (MRI) and bioluminescence imaging (BLI) Allows the in vivo Imaging of MSC Delivery to the Kidneys, but Does Not Provide Evidence of Preferential Persistence or Homing to the Injured Kidney

  • We applied an imaging protocol involving the double labelling of MSCs with superparamagnetic iron oxide nanoparticles (SPIONs) and firefly luciferase (FLuc) to allow their imaging via MRI and BLI, respectively

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Summary

Introduction

Numerous studies have shown that mesenchymal stromal cells (MSCs) from various sources, including bone marrow, adipose tissue and the umbilical cord, can improve renal function and ameliorate tissue damage following administration into rodents with kidney injury [1]. Some studies have presented data that suggest MSCs home to injured kidneys, and that renal engraftment is necessary for their therapeutic effects [2, 3], whereas others suggest that MSCs do not engraft and that any therapeutic benefit is likely due to paracrine or endocrine factors [4, 5]. If the former scenario were correct, it would be expected that MSCs administered intravenously (IV) might be less effective in rodent kidney injury models than MSCs administered intra-arterially (i.e., via the renal artery, carotid artery, descending aorta or left cardiac ventricle). Cell tracking methods that rely solely on identifying MSCs on histological sections using fluorescence microscopy can be problematic due to the fact that the kidney emits intense autofluorescence, which can be increased even further following renal injury [13]

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