Abstract

Multiple sclerosis (MS), characterized by chronic inflammation, demyelination, and axonal damage, is a complicated neurological disease of the human central nervous system. Recent interest in adipose stromal/stem cell (ASCs) for the treatment of CNS diseases has promoted further investigation in order to identify the most suitable ASCs. To investigate whether MS affects the biologic properties of ASCs and whether autologous ASCs from MS-affected sources could serve as an effective source for stem cell therapy, cells were isolated from subcutaneous inguinal fat pads of mice with established experimental autoimmune encephalomyelitis (EAE), a murine model of MS. ASCs from EAE mice and their syngeneic wild-type mice were cultured, expanded, and characterized for their cell morphology, surface antigen expression, osteogenic and adipogenic differentiation, colony forming units, and inflammatory cytokine and chemokine levels in vitro. Furthermore, the therapeutic efficacy of the cells was assessed in vivo by transplantation into EAE mice. The results indicated that the ASCs from EAE mice displayed a normal phenotype, typical MSC surface antigen expression, and in vitro osteogenic and adipogenic differentiation capacity, while their osteogenic differentiation capacity was reduced in comparison with their unafflicted control mice. The ASCs from EAE mice also demonstrated increased expression of pro-inflammatory cytokines and chemokines, specifically an elevation in the expression of monocyte chemoattractant protein-1 and keratin chemoattractant. In vivo, infusion of wild type ASCs significantly ameliorate the disease course, autoimmune mediated demyelination and cell infiltration through the regulation of the inflammatory responses, however, mice treated with autologous ASCs showed no therapeutic improvement on the disease progression.

Highlights

  • Multiple sclerosis (MS), characterized by chronic inflammation, demyelination, and axonal damage, is a complicated neurological disease of human central nervous system (CNS) and is the most common neurological disease in young adults among 20–40 years old [1,2,3]

  • EAE is usually induced by immunization with myelin proteins such as myelin oligodendrocyte glycoprotein (MOG) and adjuvants, which results in the immune system mediated destruction of the myelinated CNS [4,5]

  • Differentiation assays for EAEASC EAEASCs and WtASCs were cultured in osteogenic and adipogenic differentiation medium for 3 weeks to test their lineage differentiation efficiency

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Summary

Introduction

Multiple sclerosis (MS), characterized by chronic inflammation, demyelination, and axonal damage, is a complicated neurological disease of human central nervous system (CNS) and is the most common neurological disease in young adults among 20–40 years old [1,2,3]. Bone marrow-derived mesenchymal stem cell (BM-MSC) based cell therapy for EAE have been extensively studied [6,7,8,9,10,11,12] because of the BM-MSCs’ self-renewal ability, potential of differentiation into multiple lineages, and immunomodulatory effects through the secretion of cytokines and chemokines. Bone marrow remains the main source for mesenchymal stem cells in clinical trials, adipose tissue is an ideal source due to its abundance, easy accessibility, and the feasibility of harvesting by a minimally invasive procedure. Adipose-derived stromal/stem cells (ASCs) have similar selfrenewal abilities, surface epitopes, growth kinetics, and cytokine expression profiles as their counterparts from bone marrow [15,16,17,18,19,20]

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