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CD44: a key regulator of iron metabolism, redox balance, and therapeutic resistance in cancer stem cells. CD44:肿瘤干细胞铁代谢、氧化还原平衡和治疗抵抗的关键调节因子
IF 4 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2025-05-27 DOI: 10.1093/stmcls/sxaf024
Taiju Ando, Juntaro Yamasaki, Hideyuki Saya, Osamu Nagano

CD44, a multifunctional cell surface protein, has emerged as a pivotal regulator in cancer stem cell (CSC) biology, orchestrating processes such as stemness, metabolic reprogramming, and therapeutic resistance. Recent studies have identified a critical role of CD44 in ferroptosis resistance by stabilizing SLC7A11 (xCT), a key component of the antioxidant defense system, enabling CSCs to evade oxidative stress and sustain tumorigenic potential. Additionally, CD44 regulates intracellular iron metabolism and redox balance, further supporting CSC survival and adaptation to stressful microenvironments. Therapeutic strategies targeting CD44, including ferroptosis inducers and combination therapies, have shown significant potential in preclinical and early clinical settings. Innovations such as CD44-mediated nanocarriers and metabolic inhibitors present novel opportunities to disrupt CSC-associated resistance mechanisms. Furthermore, the dynamic plasticity of CD44 isoforms governed by transcriptional, post-transcriptional, and epigenetic regulation underscores the importance of context-specific therapeutic approaches. This review highlights the multifaceted roles of CD44 in CSC biology, focusing on its contribution to ferroptosis resistance, iron metabolism, and redox regulation. Targeting CD44 offers a promising avenue for overcoming therapeutic resistance and improving the outcomes of refractory cancers. Future studies are needed to refine these strategies and enable their clinical translation.

CD44是一种多功能细胞表面蛋白,已成为癌症干细胞(CSC)生物学中的关键调节因子,协调诸如干性、代谢重编程和治疗抗性等过程。最近的研究发现,CD44通过稳定SLC7A11 (xCT)在铁中毒抗性中发挥关键作用,SLC7A11是抗氧化防御系统的关键成分,使CSCs逃避氧化应激并维持致瘤潜能。此外,CD44调节细胞内铁代谢和氧化还原平衡,进一步支持CSC存活和适应应激微环境。针对CD44的治疗策略,包括铁下垂诱导剂和联合治疗,在临床前和早期临床环境中显示出巨大的潜力。cd44介导的纳米载体和代谢抑制剂等创新为破坏csc相关的耐药机制提供了新的机会。此外,受转录、转录后和表观遗传调控控制的CD44亚型的动态可塑性强调了环境特异性治疗方法的重要性。这篇综述强调了CD44在CSC生物学中的多方面作用,重点关注其对铁下沉抵抗、铁代谢和氧化还原调节的贡献。靶向CD44为克服治疗耐药和改善难治性癌症的预后提供了一条有希望的途径。未来的研究需要完善这些策略并使其临床转化。
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引用次数: 0
Cellular therapies for the prevention and treatment of acute graft-versus-host disease. 细胞疗法预防和治疗急性移植物抗宿主病。
IF 4 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2025-05-27 DOI: 10.1093/stmcls/sxaf009
Daniel Peltier, Van Anh Do-Thi, Timothy Devos, Bruce R Blazar, Tomomi Toubai

Acute graft-versus-host disease (aGVHD) is a major complication of allogeneic hematopoietic cell transplantation (allo-HCT) that is caused by donor immune cells attacking and damaging host tissues. Immune suppressive small molecule and protein-based therapeutics targeting donor anti-host immune cells are currently used for GVHD prophylaxis and treatment. Even with these therapies, aGVHD progresses to life-threatening steroid-refractory aGVHD (SR-aGVHD) in up to 50% of cases and is a risk factor for the subsequent development of debilitating chronic GVHD. To improve aGVHD-related outcomes, donor graft engineering techniques and adoptive transfer of immune modulatory cells have been explored. Highly rigorous donor graft T-cell depletion approaches have revealed that mitigation of aGVHD can be accompanied by slow immune recovery post-allo-HCT and reduction in anti-microbial and anti-leukemia responses resulting in increased relapse and infection rates, respectively. Recent T-cell separation techniques allowing for precision graft engineering by selectively eliminating aGVHD-causing T-cells (eg, naïve T-cells) without loss of T-cells with beneficial functions and retaining and/or enriching immune regulatory populations (eg, regulatory T-cells (Tregs) or myeloid-derived suppressor cells) have been tested and will continue to improve. Clinical cell-based regulatory therapies have been employed for targeting SR-aGVHD, particularly mesenchymal stem cells (MSCs) and more recently, Tregs. In this review, we summarize aGVHD pathophysiology, highlight newly discovered aGVHD mechanisms, and discuss current and emerging cellular and graft manipulation approaches for aGVHD prevention and treatment.

急性移植物抗宿主病(aGVHD)是同种异体造血细胞移植(allo-HCT)的主要并发症,由供体免疫细胞攻击和破坏宿主组织引起。针对供体抗宿主免疫细胞的免疫抑制小分子和基于蛋白质的疗法目前用于GVHD的预防和治疗。即使采用这些治疗方法,高达50%的aGVHD病例仍会发展为危及生命的类固醇难治性aGVHD (SR-aGVHD),并且是随后发展为使人衰弱的慢性GVHD的危险因素。为了改善与agvhd相关的结果,研究人员探索了供体移植物工程技术和免疫调节细胞的过继转移。高度严格的供体移植物t细胞耗损方法表明,aGVHD的缓解可能伴随着同种异体造血干细胞移植后缓慢的免疫恢复,以及抗微生物和抗白血病反应的降低,分别导致复发率和感染率的增加。最近的t细胞分离技术允许通过选择性地消除引起agvhd的t细胞(例如naïve t细胞)而不损失具有有益功能的t细胞并保留和/或丰富免疫调节群体(例如调节性t细胞(Tregs)或髓源性抑制细胞)来进行精确移植物工程,已经经过测试并将继续改进。临床基于细胞的调节疗法已被用于靶向SR-aGVHD,特别是间充质干细胞(MSCs)和最近的Tregs。在这篇综述中,我们总结了aGVHD的病理生理,重点介绍了新发现的aGVHD机制,并讨论了目前和新兴的aGVHD预防和治疗的细胞和移植物操作方法。
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引用次数: 0
ZIC1 transcription factor overexpression in segmental bone defects is associated with brown adipogenic and osteogenic differentiation. ZIC1转录因子在节段性骨缺损中的过表达与棕色脂肪形成和成骨分化有关。
IF 4 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2025-05-27 DOI: 10.1093/stmcls/sxaf013
Neelima Thottappillil, Zhao Li, Xin Xing, Shreya Arondekar, Manyu Zhu, Masnsen Cherief, Qizhi Qin, Myles Zhou, Mary Archer, Kristen Broderick, Bruno Pèault, Min Lee, Aaron W James

Transcriptional factor regulation is central to the lineage commitment of stem/ progenitor cells. ZIC1 (ZIC family member 1) is a C2H2-type zinc finger transcription factor expressed during development, brown fat, and certain cancers. Previously, we observed that overexpression of ZIC1 induces osteogenic differentiation at the expense of white adipogenic differentiation. In the present study, the feasibility of ZIC1 overexpressed human progenitor cells in critical-sized bone defects was studied. To achieve this, human adipose stem/stromal cells with other without lentiviral ZIC1 overexpression were implanted in a femoral segmental defect model in NOD-SCIDγ mice. Results showed that ZIC1 overexpressed cells induced osteogenic differentiation by protein markers in a critical-sized femoral segment defect compared to empty lentiviral control, although bone union was not observed. The immunohistochemical evaluation showed that implantation of ZIC1 overexpression cells led to an increase in osteoblast antigen expression (RUNX2, OCN), activation of Hedgehog signaling (Patched1), and an increase in brown adipogenesis markers (ZIC1, EBF2). In contrast, no change in bone defect-associated vasculature was observed (CD31, Endomucin). Together, these data suggest that overexpression of the ZIC1 transcription factor in progenitor cells is associated with differentiation towards osteoblastic and brown adipogenic cell fates.

转录因子调控是干细胞/祖细胞谱系承诺的核心。ZIC1 (ZIC家族成员1)是一种c2h2型锌指转录因子,在发育、棕色脂肪和某些癌症中表达。之前,我们观察到ZIC1的过表达诱导成骨分化,以牺牲白色脂肪分化为代价。在本研究中,我们研究了ZIC1过表达人祖细胞在临界大小骨缺损中的可行性。为了实现这一目标,将其他没有慢病毒ZIC1过表达的人脂肪干细胞/基质细胞植入nod - scid γ小鼠股骨节段缺损模型。结果显示,与空慢病毒对照相比,ZIC1过表达细胞通过蛋白标记诱导了临界大小股骨节段缺损的成骨分化,尽管未观察到骨愈合。免疫组化评价显示,植入ZIC1过表达细胞导致成骨细胞抗原表达(RUNX2, OCN)增加,Hedgehog信号通路(Patched1)激活,棕色脂肪形成标志物(ZIC1, EBF2)增加。相比之下,未观察到骨缺损相关脉管系统的变化(CD31, Endomucin)。综上所述,这些数据表明祖细胞中ZIC1转录因子的过表达与成骨细胞和棕色脂肪细胞的分化有关。
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引用次数: 0
Inflammatory pathways and the bone marrow microenvironment in inherited bone marrow failure syndromes. 炎症途径和骨髓微环境在遗传性骨髓衰竭综合征。
IF 4 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2025-05-27 DOI: 10.1093/stmcls/sxaf021
Nicholas Neoman, Hye Na Kim, Jacob Viduya, Anju Goyal, Y Lucy Liu, Kathleen M Sakamoto

Inherited bone marrow failure syndromes (IBMFS) are a diverse group of genetic disorders characterized by insufficient hematopoietic cell production due to blood stem cell dysfunction. The most common syndromes are Fanconi Anemia, Diamond-Blackfan Anemia, and Shwachman-Diamond Syndrome. These conditions share a theme of chronically producing pro-inflammatory cytokines such as TNF-α, IL-1β, IL-6, TGF-β, IFN-I, and IFN-γ. Each of these cytokines can impact the bone marrow microenvironment and drive the pathophysiology of IBMFS. This review aims to provide the latest progress in the field regarding the mechanistic underpinnings of inflammation in these IBMFS, as well as the effect of inflammation on the bone marrow microenvironment. A comprehensive understanding of the inflammation in IBMFS will open new avenues for intervention to restore bone marrow stability and improve patient prognosis. Future research must include targeting these mechanisms to develop novel therapies that can potentially mitigate the effects of chronic inflammation in IBMFS.

遗传性骨髓衰竭综合征(IBMFS)是一组多样化的遗传性疾病,其特征是由于造血干细胞功能障碍导致造血细胞产生不足。最常见的综合征是范可尼贫血症、Diamond-Blackfan贫血症和Shwachman-Diamond综合征。这些疾病都有一个共同的主题,即慢性产生促炎细胞因子,如TNF-α、IL-1β、IL-6、TGF-β、IFN- i和IFN-γ。这些细胞因子都可以影响骨髓微环境并驱动IBMFS的病理生理。本文旨在就炎症在IBMFS中的机制基础以及炎症对骨髓微环境的影响等方面的最新进展进行综述。对IBMFS炎症的全面了解将为恢复骨髓稳定性和改善患者预后开辟新的干预途径。未来的研究必须包括针对这些机制来开发可能减轻IBMFS慢性炎症影响的新疗法。
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引用次数: 0
Critical role of the potential O-linked glycosylation sites of CXCR4 in cell migration and bone marrow homing of hematopoietic stem progenitor cells. CXCR4潜在的o链糖基化位点在造血干细胞祖细胞的细胞迁移和骨髓归巢中的关键作用。
IF 3.6 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2025-05-27 DOI: 10.1093/stmcls/sxaf025
Xuchi Pan, Chie Naruse, Tomoko Matsuzaki, Ojiro Ishibashi, Kazushi Sugihara, Hidetsugu Asada, Masahide Asano

The C-X-C chemokine receptor type 4 (CXCR4) and its ligand, C-X-C motif chemokine ligand 12 (CXCL12), are critical for the homing of hematopoietic stem progenitor cells (HSPCs) to bone marrow (BM). Our previous study revealed that carbohydrate chains on HSPCs are vital in the homing and engraftment of HSPCs. However, the relationship between the glycosylation of CXCR4 and HSPCs homing remains unclear. In this study, we analyzed the glycosylation sites of the N-terminal 38 amino acids of mouse CXCR4, which is indispensable for CXCL12 binding. Among these, simultaneous mutations of possible glycosylation sites, Serine-5 and Serine-9 of mouse CXCR4 lost cell migration activity through CXCL12 in cultured cells and mouse HSPCs. Furthermore, Serine-5 and Serine-9 mutations in HSPCs caused a deficiency in the homing to the BM. Our findings suggest that the glycosylation of mouse CXCR4 is essential for homing HSPCs to the BM, which can be used to screen cord blood HSPCs suitable for transplantation.

C-X-C趋化因子受体4型(CXCR4)及其配体C-X-C基序趋化因子配体12 (CXCL12)对于造血干细胞(HSPCs)归巢到骨髓(BM)至关重要。我们之前的研究表明,HSPCs上的碳水化合物链对HSPCs的归巢和植入至关重要。然而,CXCR4的糖基化与HSPCs归巢之间的关系尚不清楚。在本研究中,我们分析了小鼠CXCR4 n端38个氨基酸的糖基化位点,这是CXCL12结合所必需的。其中,小鼠CXCR4的可能糖基化位点丝氨酸-5和丝氨酸-9同时突变,在培养细胞和小鼠HSPCs中通过CXCL12失去了细胞迁移活性。此外,HSPCs中的丝氨酸-5和丝氨酸-9突变导致了向骨髓的归巢不足。我们的研究结果表明,小鼠CXCR4的糖基化对于HSPCs归巢到BM至关重要,这可以用于筛选适合移植的脐带血HSPCs。
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引用次数: 0
Pdgfrβ marks distinct mesenchymal and pericyte populations within the periosteum with overlapping cellular features. Pdgfrβ标志着骨膜内不同的间充质和周细胞群体,具有重叠的细胞特征。
IF 4 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2025-05-15 DOI: 10.1093/stmcls/sxaf020
Ziyi Wang, Qizhi Qin, Neelima Thottappillil, Mario Gomez Salazar, Masnsen Cherief, Mary Archer, Deva Balaji, Aaron W James

Platelet-derived growth factor receptor β (Pdgfrβ) is a cell surface marker often present on mesenchymal progenitor cells, playing a key role in regulating cell proliferation, migration, and survival. In the skeleton, Pdgfrβ-positive cells have significant osteogenic potential, differentiating into osteoblasts after injury to promote bone repair and homeostasis. However, multiple cell types within bone tissue express Pdgfrβ and their overlapping or distinct cellular features remain incompletely understood. Using a combination of single-cell RNA sequencing and transgenic Pdgfrβ-CreERT2-mT/mG reporter mice, we examined Pdgfrβ+ cells in mouse long bone periosteum. By single-cell analysis, Pdgfrb expression was found among a subset of mesenchymal cells and universally among pericytes within the periosteum. Histologic analysis of Pdgfrβ reporter activity confirmed a combination of perivascular and non-perivascular Pdgfrβ-expressing cell types. When isolated, Pdgfrβ reporter+ skeletal periosteal cells showed enhanced colony-forming, proliferative, migratory, and osteogenic capacities. Pdgfrβ reporter+ cells were further distinguished by co-expression of the pericyte marker CD146, which yielded Pdgfrβ+CD146+ pericytes and Pdgfrβ+CD146- skeletal mesenchymal cells. Colony forming and proliferative capacity were most highly enriched among Pdgfrβ+CD146+ pericytes, while osteogenic differentiation was similarly enriched across both Pdgfrβ+ cell fractions. In summary, Pdgfrβ expression identifies multiple subsets of progenitor cells within long bone periosteum with or without perivascular distribution and with overlapping cellular features.

血小板衍生生长因子受体β (Platelet derived growth factor receptor β, Pdgfrβ)是一种细胞表面标志物,常存在于间充质祖细胞上,在调节细胞增殖、迁移和存活中起关键作用。在骨骼中,pdgfr β阳性细胞具有显著的成骨潜能,在损伤后分化为成骨细胞,促进骨修复和体内平衡。然而,骨组织中的多种细胞类型表达Pdgfrβ,它们的重叠或不同的细胞特征仍然不完全清楚。采用单细胞RNA测序和转基因Pdgfrβ- creert2 - mt /mG报告小鼠相结合的方法,我们检测了小鼠长骨骨膜中的Pdgfrβ+细胞。通过单细胞分析,Pdgfrb在间充质细胞亚群中表达,在骨膜内的周细胞中普遍表达。Pdgfrβ报告活性的组织学分析证实了血管周围和非血管周围表达Pdgfrβ的细胞类型的结合。分离后,Pdgfrβ报告细胞+骨膜细胞显示出增强的集落形成、增殖、迁移和成骨能力。通过周细胞标记物CD146的共表达进一步区分Pdgfrβ报告细胞+细胞,产生Pdgfrβ+CD146+周细胞和Pdgfrβ+CD146-骨骼间充质细胞。集落形成和增殖能力在Pdgfrβ+CD146+周细胞中得到了最高的富集,而成骨分化在Pdgfrβ+细胞中也得到了类似的富集。总之,Pdgfrβ表达可识别长骨骨膜内具有或不具有血管周围分布和重叠细胞特征的多个祖细胞亚群。
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引用次数: 0
RUNX1 is a key inducer of human hematopoiesis controlling non-hematopoietic mesodermal development. RUNX1是人类造血控制非造血中胚层发育的关键诱导剂。
IF 4 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2025-05-15 DOI: 10.1093/stmcls/sxaf019
Zahir Shah, Cuihua Wang, Hanif Ullah, Hao You, Elena S Philonenko, Olga V Regan, Pavel Volchkov, Yong Dai, Jianhua Yu, Igor M Samokhvalov

The RUNX1/AML1 transcription factor is one of the key regulators of definitive hematopoietic development in mice. However, its role in early human hematopoiesis remains poorly investigated. In this study, we integrated a tdTomato reporter cassette into the RUNX1 locus of human pluripotent stem cells (hPSCs) to monitor and block the expression of the gene during hPSC differentiation. This approach demonstrated that expression of RUNX1 starts early in mesodermal specification focusing later on hemogenic endothelium (HE) and nascent hematopoietic cells. Lack of RUNX1 halted the development of CD43+ and CD235-CD45+ hematopoietic cells, preventing the production of clonogenic hematopoietic progenitors including the multilineage ones. The abrogation of RUNX1 resulted in the failure of definitive lineages, specifically T and NK cells. Remarkably, we instead observed the accumulation of RUNX1-null HE cells at the stage of blood cell generation. Moreover, the loss of the gene biased the development toward the lineage of CD43-CD146+CD90+CD73+ mesenchymal cells. RNA-seq analysis of RUNX1-null cells revealed the downregulation of top-level hematopoietic transcription factor genes and the reciprocal upregulation of genes associated with non-hematopoietic cells of mesodermal origin. Forced expression of RUNX1c in differentiating RUNX1-null hPSCs effectively rescued the development of CD45+ myeloid cells and megakaryocytes. Our data demonstrate that RUNX1 is a top hematopoietic inducer that simultaneously controls the expansion of non-hematopoietic lineages.

RUNX1/AML1转录因子是小鼠决定性造血发育的关键调控因子之一。然而,其在早期人类造血中的作用仍未得到充分研究。在这项研究中,我们将tdTomato报告盒整合到人多能干细胞(hPSCs)的RUNX1位点,以监测和阻断该基因在hPSC分化过程中的表达。该方法表明,RUNX1的表达在中胚层发育早期开始,随后集中在造血内皮(HE)和新生造血细胞中。缺乏RUNX1会阻止CD43+和CD235-CD45+造血细胞的发育,从而阻止包括多系造血祖细胞在内的克隆造血祖细胞的产生。RUNX1基因的缺失导致最终谱系的失败,特别是T细胞和NK细胞。值得注意的是,我们在血细胞生成阶段观察到RUNX1-null HE细胞的积累。此外,该基因的缺失使发育偏向于CD43-CD146+CD90+CD73+间充质细胞谱系。RUNX1-null细胞的RNA-seq分析显示,顶级造血转录因子基因下调,中胚层来源的非造血细胞相关基因相互上调。在分化RUNX1c缺失的人造血干细胞中强制表达RUNX1c有效地挽救了CD45+骨髓细胞和巨核细胞的发育。我们的数据表明,RUNX1是一个顶级的造血诱导剂,同时控制非造血谱系的扩张。
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引用次数: 0
Nephron progenitor fate is modulated by angiotensin type 1 receptor signaling in human kidney organoids. 肾素祖细胞的命运是由血管紧张素1型受体信号在人肾类器官中调节的。
IF 4 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2025-05-15 DOI: 10.1093/stmcls/sxaf012
Hyunjae Chung, Waleed Rahmani, Sarthak Sinha, Aysa Imanzadeh, Alexander Pun, Rohit Arora, Arzina Jaffer, Jeff Biernaskie, Justin Chun

The renin-angiotensin system (RAS) is essential for normal kidney development. Dysregulation of the RAS during embryogenesis can result in kidney abnormalities. To explore how angiotensin type 1 receptor (AT1R) signaling modulates nephron progenitor (NP) fate specification, we used induced pluripotent stem cell (iPSC) derived human kidney organoids treated with angiotensin II (Ang II) or the AT1R blocker losartan during differentiation. Ang II promoted NP proliferation and differentiation preferentially toward a podocyte fate, depleted the podocyte precursor population, and accelerated glomerular maturation. By contrast, losartan expanded the podocyte precursor population, delayed podocyte differentiation, and regressed the transcriptional signature to a more immature fetal state. Overall, using various in silico approaches with validation by RNAscope, we identified a role for AT1R signaling in regulating NP fate during nephrogenesis in kidney organoids. Our work supports the use of RAS modulators to improve organoid maturation and suggests that RAS may be a determinant of nephron endowment in vivo.

肾素-血管紧张素系统(RAS)对正常肾脏发育至关重要。胚胎发生过程中RAS的失调可导致肾脏异常。为了探索血管紧张素1型受体(AT1R)信号如何调节肾素祖细胞(NP)的命运规范,我们在分化过程中使用血管紧张素II (Ang II)或AT1R阻阻剂氯沙坦处理诱导多能干细胞(iPSC)衍生的人肾类器官。Ang II促进NP向足细胞方向增殖和分化,耗尽足细胞前体细胞,加速肾小球成熟。相比之下,氯沙坦增加足细胞前体细胞,延迟足细胞分化,并使转录特征倒退到更不成熟的胎儿状态。总的来说,通过RNAscope验证的各种计算机方法,我们确定了AT1R信号在肾类器官肾形成过程中调节NP命运的作用。我们的工作支持使用RAS调节剂来促进类器官成熟,并表明RAS可能是体内肾元禀赋的决定因素。
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引用次数: 0
Renal protective effects of extracellular vesicle-encapsulated tumor necrosis factor-α-induced protein 6 derived from mesenchymal stem cells. 间充质干细胞细胞外囊泡包膜肿瘤坏死因子-α-诱导蛋白6的肾保护作用。
IF 4 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2025-05-15 DOI: 10.1093/stmcls/sxaf022
Keisuke Morimoto, Ayumu Nakashima, Naoki Ishiuchi, Kisho Miyasako, Yoshiki Tanaka, Kensuke Sasaki, Go Matsuda, Satoshi Maeda, Shigeru Miyaki, Takao Masaki

Acute kidney injury (AKI) is involved in subsequent chronic kidney disease (CKD) development, and effective treatments to prevent AKI to CKD progression are lacking. Mesenchymal stem cells (MSCs) are emerging as a promising cellular therapy to impede such progression through the secretion of various humoral factors. Among these factors, tumor necrosis factor-α-induced protein 6 (TSG-6) has a central role in the anti-inflammatory effects of MSCs. However, the mechanisms by which MSCs secrete TSG-6 and exert anti-inflammatory effects are not fully clarified. Here, we investigated these mechanisms using TSG-6-overexpressing MSCs (TSG-6 MSCs) with an adeno-associated virus. Extracellular vesicles (EVs) were isolated from MSC culture supernatants by ultracentrifugation. MSCs were injected through the abdominal aorta into rats with ischemia-reperfusion injury (IRI) to evaluate their anti-inflammatory and anti-fibrotic effects. Additionally, we explored natural compounds that increased TSG-6 expression in MSCs. Most TSG-6 was immediately secreted in EVs and was not stored intracellularly. Administration of TSG-6 MSCs strongly suppressed renal fibrosis and inflammation in IRI rats. Although EVs and conditioned medium from TSG-6 MSCs (TSG-6 MSC-CM) strongly promoted polarization of M2 macrophages, TSG-6 MSC-CM after EV depletion promoted it only slightly. Moreover, TSG-6 MSC-CM enhanced regulatory T-cell induction. MSCs treated with indole-3-carbinol had enhanced TSG-6 expression and markedly suppressed IRI-induced renal fibrosis. Taken together, TSG-6 is secreted in EVs from MSCs and exerts potent anti-inflammatory effects by promoting M2 macrophage polarization and regulatory T-cell induction. Administration of MSCs with enhanced TSG-6 secretion is a promising therapeutic strategy to impede AKI to CKD progression.

急性肾损伤(AKI)与随后的慢性肾脏疾病(CKD)发展有关,目前缺乏有效的治疗方法来防止AKI向CKD发展。间充质干细胞(MSCs)正成为一种有前途的细胞疗法,通过分泌各种体液因子来阻止这种进展。其中,肿瘤坏死因子-α-诱导蛋白6 (tumor necrosis factor-α-induced protein 6, TSG-6)在MSCs的抗炎作用中起核心作用。然而,MSCs分泌TSG-6并发挥抗炎作用的机制尚不完全清楚。在这里,我们使用腺相关病毒过表达TSG-6的MSCs (TSG-6 MSCs)来研究这些机制。细胞外囊泡(EVs)通过超离心从MSC培养上清中分离出来。将MSCs经腹主动脉注入缺血再灌注损伤大鼠体内,观察其抗炎和抗纤维化作用。此外,我们探索了天然化合物增加TSG-6在间充质干细胞中的表达。大多数TSG-6在ev中立即分泌,而不是储存在细胞内。给药TSG-6 MSCs可明显抑制IRI大鼠肾纤维化和炎症。虽然EV和TSG-6 MSCs的条件培养基(TSG-6 MSC-CM)强烈促进M2巨噬细胞的极化,但EV耗尽后的TSG-6 MSC-CM仅轻微促进M2巨噬细胞的极化。此外,TSG-6 MSC-CM增强了调节性T细胞的诱导。吲哚-3-甲醇处理的间充质干细胞增强了TSG-6的表达,并显著抑制了iri诱导的肾纤维化。综上所述,TSG-6从MSCs分泌到ev中,通过促进M2巨噬细胞极化和调节性T细胞诱导发挥强大的抗炎作用。给药增强TSG-6分泌的MSCs是一种有希望的治疗策略,可以阻止AKI向CKD进展。
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引用次数: 0
Stem cells and female reproduction: endometrial physiology, disease and therapy. 干细胞与女性生殖:子宫内膜生理学、疾病和治疗。
IF 4 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2025-05-15 DOI: 10.1093/stmcls/sxaf016
E Cansu Cevik, Ramanaiah Mamillapalli, Hugh S Taylor

The human endometrium, a dynamic tissue that undergoes cyclical shedding, repair, regeneration, and remodeling, relies on progenitor stem cells for replenishment. Bone marrow-derived mesenchymal stem cells (BM-MSCs) also may play a crucial role in the physiological process of endometrial regeneration, augmenting endometrial repair, supporting pregnancy, and thereby making a major contribution to reproduction. Notably, defective or inappropriate recruitment and engraftment of stem cells are implicated in various reproductive diseases, including endometriosis, highlighting the potential therapeutic avenues offered by stem cell-targeted interventions. Endometrial progenitor cells have shown promise in improving pregnancy outcomes and addressing infertility issues. Furthermore, BM-MSCs demonstrate the potential to reverse pathologies, including Asherman's syndrome and thin endometrium, offering novel approaches to treating infertility, implantation failure, and recurrent pregnancy loss. Mobilization of endogenous stem cells to areas of pathology through chemoattractants also presents a promising strategy for targeted therapy. Finally, endometrium-derived mesenchymal stem cells, characterized by their multipotent nature and ease of collection through minimally invasive techniques, hold promise in a wide range of reproductive and non-reproductive pathologies, including diabetes, kidney disease, Parkinson's disease, or cardiac disorders. As the best of our knowledge of stem cell biology continues to grow, the incorporation of stem cell-based therapies into clinical practice presents significant potential to transform reproductive medicine and enhance patient outcomes.

人类子宫内膜是一个经历周期性脱落、修复、再生和重塑的动态组织,它依赖于祖干细胞的补充。骨髓间充质干细胞(BM-MSCs)也可能在子宫内膜再生、增强子宫内膜修复、支持妊娠等生理过程中发挥关键作用,从而对生殖做出重大贡献。值得注意的是,包括子宫内膜异位症在内的多种生殖疾病与干细胞募集和植入的缺陷或不适当有关,这突出了干细胞靶向干预提供的潜在治疗途径。子宫内膜祖细胞在改善妊娠结局和解决不孕问题方面显示出希望。此外,BM-MSCs显示出逆转病理的潜力,包括阿什曼综合征和薄子宫内膜,为治疗不孕症、植入失败和复发性妊娠丢失提供了新的方法。通过化学引诱剂动员内源性干细胞到病理区域也提出了一种有前途的靶向治疗策略。最后,子宫内膜源性间充质干细胞具有多能性和易于通过微创技术收集的特点,在广泛的生殖和非生殖疾病,包括糖尿病、肾病、帕金森病或心脏疾病中具有前景。随着我们对干细胞生物学知识的不断增长,将干细胞疗法纳入临床实践,为改变生殖医学和提高患者预后提供了巨大的潜力。
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STEM CELLS
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