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2017 ; 8
(1
): 241
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Human umbilical cord-derived mesenchymal stem cells ameliorate insulin resistance
by suppressing NLRP3 inflammasome-mediated inflammation in type 2 diabetes rats
#MMPMID29096724
Sun X
; Hao H
; Han Q
; Song X
; Liu J
; Dong L
; Han W
; Mu Y
Stem Cell Res Ther
2017[Nov]; 8
(1
): 241
PMID29096724
show ga
BACKGROUND: Insulin resistance is one of the most common and important
pathological features of type 2 diabetes (T2D). Recently, insulin resistance is
increasingly considered to be associated with systemic chronic inflammation.
Elevated levels of tumor necrosis factor (TNF)-? and interleukin (IL)-1? in blood
are predictive indicators of the development of T2D. Mesenchymal stem cell
(MSC)-based therapies have been proven to have potential immunomodulation and
anti-inflammatory properties through their paracrine effects; however, the
mechanism for the anti-inflammatory effect of MSCs in enhancing insulin
sensitivity is still uncertain. METHODS: In the present experiment, we used HepG2
cells, a human hepatoma cell line, and a MSC-HepG2 transwell culturing system to
investigate the anti-inflammatory mechanism of human umbilical cord-derived MSCs
(UC-MSCs) under palmitic acid (PA) and lipopolysaccharide (LPS)-induced insulin
resistance in vitro. Insulin resistance was confirmed by glycogen assay kit and
glucose assay kit. Inflammatory factor release was detected by ELISA, gene
expression was tested by quantitative real-time PCR, and insulin signaling
activation was determined by western blotting analysis. The changes of
inflammatory factors and insulin signaling protein were also tested in T2D rats
injected with UC-MSCs. RESULTS: Treating HepG2 cells with PA-LPS caused NLRP3
inflammation activation, including overexpression of NLRP3 and caspase-1, and
overproduction of IL-1? and IL-18 as well as TNF-? from HepG2 cells. The elevated
levels of these inflammatory cytokines impaired insulin receptor action and
thereby prevented downstream signaling pathways, exacerbating insulin resistance
in HepG2 cells. Importantly, UC-MSCs cocultured with HepG2 could effectively
alleviate PA and LPS-induced insulin resistance by blocking the NLRP3
inflammasome activation and inflammatory agents. Furthermore, knockdown of NLRP3
or IL-1? partially improved PA and LPS-induced insulin signaling impairments in
the presence of UC-MSCs. Similarly, UC-MSC infusion significantly ameliorated
hyperglycemia in T2D rats and decreased inflammatory activity, which resulted in
improved insulin sensitivity in insulin target tissues. CONCLUSIONS: Our results
indicated that UC-MSCs could attenuate insulin resistance and this regulation was
correlated with their anti-inflammatory activity. Thus, MSCs might become a novel
therapeutic strategy for insulin resistance and T2D in the near future.