BackgroundMesenchymal stem are multipotent stem cells used for treating various diseases including cardiomyopathy. However, their heterogeneity, limited proliferation and low retention in the transplanted tissue restricts their application for cell therapy. Recently, induced pluripotent stem cells (iPSCs)‐derived mesenchymal stem cells (iMSCs) have created an exciting source of cells for autologous therapy.ObjectiveIn this study, we have compared the therapeutic potential of non‐invasively derived iMSCs with adult umbilical cord MSCs (hereafter referred as MSCs) for the protection of cardiomyocytes from injury.Methods and ResultsThe urinary epithelial cells obtained from adult human urine were safely reprogrammed into iPSCs using a mixture of mRNA of pluripotency genes (Oct4, Nanog, Sox2, Klf4, cMyc and Lin28) along with a cocktail of miRNAs. The generated iPSCs were subsequently differentiated into iMSCs, which had the capacity to differentiate into osteocytes, chondrocytes and adipocytes. Our comparative qRT‐PCR and Western blot analysis showed that the mesenchymal‐specific CD73, CD90 and CD105 gene transcripts and proteins were highly expressed in both iMSCs and MSCs. But the iMSCs maintained their mesenchymal markers even at a late passage (P18), during which the MSCs started losing their characteristics. Scratch assay and transwell migration assay demonstrated that iMSCs had a greater wound healing property compared to MSCs. Furthermore, the cardioprotective properties of iMSCs and their exosomes (obtained from the conditioned media by precipitation method) were evaluated using human skin fibroblast‐derived induced‐cardiomyocytes, treated with 50 µg of exosomes 1 hr before subjecting them to either 24 hrs of angiotensin II treatment (10 µM) or 6 hrs of 1% hypoxia and 24 hrs of reoxygenation. In comparison with MSCs, iMSCs and their exosomes elicited an enhanced cardiomyocyte protection studied through measurement of mitochondrial membrane potentials (JC1 dye), intracellular reactive oxygen species (CM‐H2DCFDA), in situ cell death by apoptosis, and qRT‐PCR expression of survival genes. Further studies are underway to evaluate the specific role of exosomal RNA and protein in mediating the cardioprotection.ConclusionIn this study, we have demonstrated a non‐invasive method of generating iMSCs for regenerative therapy. This homogeneous and highly proliferative iMSCs may provide an alternative source of cells or cell‐free exosomes for treating ischemic cardiomyopathy.
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