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2016 ; 7
(1
): 172
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Involvement of hepatic macrophages in the antifibrotic effect of
IGF-I-overexpressing mesenchymal stromal cells
#MMPMID27876093
Fiore E
; Malvicini M
; Bayo J
; Peixoto E
; Atorrasagasti C
; Sierra R
; Rodrķguez M
; Gómez Bustillo S
; Garcķa MG
; Aquino JB
; Mazzolini G
Stem Cell Res Ther
2016[Nov]; 7
(1
): 172
PMID27876093
show ga
BACKGROUND: Cirrhosis is a major health problem worldwide and new therapies are
needed. Hepatic macrophages (hMų) have a pivotal role in liver fibrosis, being
able to act in both its promotion and its resolution. It is well-known that
mesenchymal stromal cells (MSCs) can modulate the immune/inflammatory cells.
However, the effects of MSCs over hMų in the context of liver fibrosis remain
unclear. We previously described evidence of the antifibrotic effects of in vivo
applying MSCs, which were enhanced by forced overexpression of insulin-like
growth factor 1 (AdIGF-I-MSCs). The aim of this work was to analyze the effect of
MSCs on hMų behavior in the context of liver fibrosis resolution. METHODS:
Fibrosis was induced in BALB/c mice by chronic administration of thioacetamide
(8 weeks). In vivo gene expression analyses, in vitro experiments using hMų
isolated from the nonparenchymal liver cells fraction, and in vivo experiments
with depletion of Mų were performed. RESULTS: One day after treatment, hMų from
fibrotic livers of MSCs-treated animals showed reduced pro-inflammatory and
pro-fibrogenic gene expression profiles. These shifts were more pronounced in
AdIGF-I-MSCs condition. This group showed a significant upregulation in the
expression of arginase-1 and a higher downregulation of iNOS expression thus
suggesting decreased levels of oxidative stress. An upregulation in IGF-I and HGF
expression was observed in hMų from AdIGF-I-MSCs-treated mice suggesting a
restorative phenotype in these cells. Factors secreted by hMų, preconditioned
with MSCs supernatant, caused a reduction in the expression levels of hepatic
stellate cells pro-fibrogenic and activation markers. Interestingly, hMų
depletion abrogated the therapeutic effect achieved with AdIGF-I-MSCs therapy.
Expression profile analyses for cell cycle markers were performed on fibrotic
livers after treatment with AdIGF-I-MSCs and showed a significant regulation in
genes related to DNA synthesis and repair quality control, cell cycle
progression, and DNA damage/cellular stress compatible with early induction of
pro-regenerative and hepatoprotective mechanisms. Moreover, depletion of hMų
abrogated such effects on the expression of the most highly regulated genes.
CONCLUSIONS: Our results indicate that AdIGF-I-MSCs are able to induce a
pro-fibrotic to resolutive phenotype shift on hepatic macrophages, which is a key
early event driving liver fibrosis amelioration.