Cell and Organ Transplantology. 2024; 12(1):44-50
DOI: 10.22494/cot.v12i1.163
Human umbilical cord-derived mesenchymal stem cells and nitric oxide modulators attenuate the proinflammatory cytokine pattern in experimental antiphospholipid syndrome in mice
Mekhno N.
, Dovgalyuk A.
, Korda M.
, Yaremchuk O.![]()
- I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
Abstract
Antiphospholipid syndrome is an autoimmune disease characterized by vascular thrombosis and/or obstetric pathology as well as the presence of antibodies against membrane phospholipids or certain phospholipid-related proteins.
Objective. The aim of the research is to study the effect of mesenchymal stem cells, nitric oxide modulators (L-arginine and aminoguanidine) on the level of cytokines in bronchoalveolar lavage in experimental antiphospholipid syndrome in mice.
Material and methods. Antiphospholipid syndrome was modeled on female BALB/c mice by intramuscular injections of cardiolipin 1.2 mg/kg 4 times with a 14-day interval. Cryopreserved human umbilical cord-derived mesenchymal stem cells (5×106 cells/kg) were injected once intraperitoneally, L-arginine (25 mg/kg) and aminoguanidine (10 mg/kg) were administered intraperitoneally 1 time per day during 10 days after APS had developed. The cytokines concentration in bronchoalveolar lavage from the lungs was assessed by ELISA in 10 days after APS development.
Results. In the bronchoalveolar lavage of the BALB/c mice with experimental APS, an increased level of pro-inflammatory cytokines IL-1β, IL-6, TNF-α and decreased level of anti-inflammatory IL-4 and IL-10 were found. It was established that in cases of APS and administration of stem cells the concentration of proinflammatory cytokines decreased: IL-1β by 32.4 %, IL-6 by 30.6 % and TNF-α by 36.1 %, respectively, compared to the APS animals. At the same time the level of IL-4 increased by 50.5 % and IL-10 – by 57.5 % in the group of animals administered with stem cells compared to those with APS.
Conclusion. In cases of correction of modeled antiphospholipid syndrome in mice using mesenchymal stem cells and combined application of mesenchymal stem cells and nitric oxide modulators (L-arginine and aminoguanidine), a decrease in the level of pro-inflammatory cytokines (IL-1β, IL-6, TNF-α ) and an increase in the level of anti-inflammatory cytokines (IL-4 and IL-10) in bronchoalveolar lavage has been established.
Keywords: antiphospholipid syndrome; interleukins; TNF-α; nitric oxide; mesenchymal stem cells; bronchoalveolar lavage
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| 1. Amoura Z, Bader-Meunier B, Bal dit Sollier C, et al. French National Diagnostic and Care Protocol for antiphospholipid syndrome in adults and children. La Revue de médecine interne. 2023; 44: 495-520. Available from: https://doi.org/10.1016/j.revmed.2023.08.004 https://doi.org/10.1016/j.revmed.2023.08.004 PMid:37735010 |
||||
| 2. Figueroa-Parra G, Meade-Aguilar JA, Langenfeld HE, et al. Clinical features, risk factors, and outcomes of diffuse alveolar hemorrhage in antiphospholipid syndrome: A mixed-method approach combining a multicenter cohort with a systematic literature review. Clinical Immunology. 2023; 256. Available from: https://doi.org/10.1016/j.clim.2023.109775 https://doi.org/10.1016/j.clim.2023.109775 PMid:37722463 |
||||
| 3. Dudnуk V, Furman V, Demianyshyna V. Pediatric antiphospholipid syndrome. Perinatology and pediatric. 2018; 4 (76): 93-98. Available from: https://doi.org/10.15574/PP.2018.76.93 https://doi.org/10.15574/PP.2018.76.93 |
||||
| 4. Hyde R, Runnstrom M, Anderson A, et al. Primary antiphospholipid syndrome associated Liebman-Sachs endocarditis leading to diffuse alveolar hemorrhage: A case report. Respiratory Medicine Case Reports. 2018; 25: 181-183. Available from: https://doi.org/10.1016/j.rmcr.2018.08.018 https://doi.org/10.1016/j.rmcr.2018.08.018 PMid:30191120 PMCid:PMC6125762 |
||||
| 5. Loza G, Hallo C, Chiliquinga B, et al. Alveolar Hemorrhage, a Rare and Life-Threatening Complication of Catastrophic Antiphospholipid Syndrome. Case Reports in Rheumatology. 2019; 7. Available from: https://doi.org/10.1155/2019/3284258 https://doi.org/10.1155/2019/3284258 PMid:31815030 PMCid:PMC6877973 |
||||
| 6. Mormile I, Granata F, Punziano A, et al. Immunosuppressive Treatment in Antiphospholipid Syndrome: Is It Worth It? Biomedicines. 2021; 9: 21. Available from: https://doi.org/10.3390/biomedicines9020132 https://doi.org/10.3390/biomedicines9020132 PMid:33535377 PMCid:PMC7911562 |
||||
| 7. Harrell CR, Sadikot R, Pascual J, et al. Mesenchymal Stem Cell-Based Therapy of Inflammatory Lung Diseases: Current Understanding and Future Perspectives. Stem Cells Int. 2019. Stem Cells Int. Available from: https://doi.org/10.1155/2019/4236973 https://doi.org/10.1155/2019/4236973 PMid:31191672 PMCid:PMC6525794 |
||||
| 8. Soliman MG, Mansour HA, Hassan WA, et al. Mesenchymal stem cells therapeutic potential alleviate lipopolysaccharide-induced acute lung injury in rat model. Journal of Biochemical and molecular toxicology. 2018; 32(11). Available from: https://doi.org/10.1002/jbt.22217 https://doi.org/10.1002/jbt.22217 PMid:30152896 |
||||
| 9. Sacharidou A, Shaul PW, Mineo C. New Insights in the Pathophysiology of Antiphospholipid Syndrome. Semin Thromb Hemost. 2018; 44(5):475-482. Available from: https://doi.org/10.1055/s-0036-1597286 https://doi.org/10.1055/s-0036-1597286 PMid:28129662 PMCid:PMC6333209 |
||||
| 10. Velásquez М, Peláez LF, Rojas M, et al. Differences in Endothelial Activation and Dysfunction Induced by Antiphospholipid Antibodies Among Groups of Patients With Thrombotic, Refractory, and Non-refractory Antiphospholipid Syndrome. Front Physiol. 2020; 12: 17. Available from: https://doi.org/10.3389/fphys.2021.764702 https://doi.org/10.3389/fphys.2021.764702 PMid:34925061 PMCid:PMC8675389 |
||||
| 11. Mekhno N, Yaremchuk O. Impact of nitric oxide synthesis modulators on the state of humoral immune system in experimental antiphospholipid syndrome. Pharmacia. 2023; 70(1): 9-14. Available from: https://doi.org/10.3897/pharmacia.70.e94246 https://doi.org/10.3897/pharmacia.70.e94246 |
||||
| 12. Yakymenko OO, Savytskyi VI. Dynamics of markers of endothelial dysfunction in experimental antiphospholipid syndrome. Pharmacologyonline. 2021; 1: 74-81. Available from: https://pharmacologyonline.silae.it/files/archives/2021/vol1/PhOL_2021_1_A010_Yakymenko.pdf | ||||
| 13. Yaremchuk OZ, Posokhova KA, Lykhatskyi PH, et al. L- arginine and aminoguanidine effect on the cytokine profile in obstetric antiphospholipid syndrome. Regulatory Mechanisms in Biosystems. 2020; 11(1): 136-139. Available from: https://doi.org/10.15421/022018 https://doi.org/10.15421/022018 |
||||
| 14. Yaremchuk OZ. Posokhova KA. Kuzmak IP et al. Indexes of nitric oxide system in experimental antiphospholipid syndrome. Ukrainian Biochemistry Journal. 2020; 92(1): 75-83. Available from: https://doi.org/10.15407/ubj92.01.075 https://doi.org/10.15407/ubj92.01.075 |
||||
| 15. Wang L, Shi M, Tong Lin. Lung-Resident Mesenchymal Stem Cells Promote Repair of LPS-Induced Acute Lung Injury via Regulating the Balance of Regulatory T cells and Th17 cells. Inflammation. 2018; 42:199-210. Available from: https://doi.org/10.1007/s10753-018-0884-6 https://doi.org/10.1007/s10753-018-0884-6 PMid:30187337 |
||||
| 16. Aifen L, Fengbiao G, Quanren P, et al. Mesenchymal Stem Cell Therapy: Hope for Patients With Systemic Lupus Erythematosus. Front. Immunol. 2021; 12: 11. Available from: https://doi.org/10.3389/fimmu.2021.728190 https://doi.org/10.3389/fimmu.2021.728190 PMid:34659214 PMCid:PMC8516390 |
||||
| 17. Zaichenko H, Laryanovska Yu, Deeva T, et al. Morphological state of the uterus and placenta in experimental modeling of gestational antiphospholipid syndrome in mice. Ukrainian medical almanac. 2011; 14(4):136-141. | ||||
| 18. Redko O, Dovgalyuk A, Nebesna Z, et al. Human umbilical cord-derived мesenchymal stromal cells mitigate lipopolysaccharide-induced liver injury in rats. Cell Organ Transpl. 2023; 11(1):34-45. Available from: https://doi.org/10.22494/cot.v11i1.148 https://doi.org/10.22494/cot.v11i1.148 |
||||
| 19. Fan S, Gutian X, Zhaoxia Q. Murine Bronchoalveolar Lavage. Bio Protoc. 2017; 7(10): e2287. Available from: https://doi.org/10.21769/BioProtoc.2287 https://doi.org/10.21769/BioProtoc.2287 |
||||
| 20. Bhargava M, Viken K, Wang Q, et al. Bronchoalveolar Lavage Fluid Protein Expression in Acute Respiratory Distress Syndrome Provides Insights into Pathways Activated in Subjects with Different Outcomes. Scientific reports 2017; 7: 7464. Available from: https://doi.org/10.1038/s41598-017-07791-8 https://doi.org/10.1038/s41598-017-07791-8 PMid:28785034 PMCid:PMC5547130 |
||||
| 21. Davidson KR, Ha DM, Schwarz MI, et al. Bronchoalveolar lavage as a diagnostic procedure: a review of known cellular and molecular findings in various lung diseases. J Thorac Dis. 2020;12(9):4991-5019. Available from: http://dx.doi.org/10.21037/jtd-20-651 https://doi.org/10.21037/jtd-20-651 PMid:33145073 PMCid:PMC7578496 |
||||
| 22. Unver N, McAllister F. IL-6 family cytokines: Key inflammatory mediators as biomarkers and potential therapeutic targets. Cytokine Growth Factor Rev. 2018; 41: 10-17. Available from: https://doi.org/10.1016/j.cytogfr.2018.04.004 https://doi.org/10.1016/j.cytogfr.2018.04.004 PMid:29699936 PMCid:PMC6085880 |
||||
| 23. Darband SG, Sadighparvar S, Yousefi B, et al. Combination of exercise training and L-arginine reverses aging process through suppression of oxidative stress, inflammation, and apoptosis in the rat heart. European Journal of Physiology. 2020; 472: 169-178. Available from: https://doi.org/10.1007/s00424-019-02311-1 https://doi.org/10.1007/s00424-019-02311-1 PMid:31624955 |
||||
| 24. Chen X, Wu S, Tang Lu, et al. Mesenchymal stem cells overexpressing heme oxygenase-1 ameliorate lipopolysaccharide-induced acute lung injury in rats. J Cell Physiol. 2019; 234(5): 7301-7319. Available from: https://doi.org/10.1002/jcp.27488 https://doi.org/10.1002/jcp.27488 PMid:30362554 |
||||
| 25. Arreola-Ramírez JL, Vargas M H, Carbajal V, et al. Mesenchymal stem cells attenuate the proinflammatory cytokine pattern in a guinea pig model of chronic cigarette smoke exposure. Cytokine. 2023; 162. Available from: https://doi.org/10.1016/j.cyto.2022.156104 https://doi.org/10.1016/j.cyto.2022.156104 PMid:36493630 |
||||
| 26. Han Y, Yang J, Fang J, et al. The secretion profile of mesenchymal stem cells and potential applications in treating human diseases. Signal Transduction and Targeted Therapy. 2022; 92: 19. Available from: https://doi.org/10.1038/s41392-022-00932-0 https://doi.org/10.1038/s41392-022-00932-0 PMid:35314676 PMCid:PMC8935608 |
||||
| 27. Saadat S, Beheshti F, Askari VR. et al. Aminoguanidine affects systemic and lung inflammation induced by lipopolysaccharide in rats. Respir Res. 2019; 20 (96): 13. Available from: https://doi.org/10.1186/s12931-019-1054-6 https://doi.org/10.1186/s12931-019-1054-6 PMid:31113409 PMCid:PMC6530199 |
||||
| 28. El-Din MMM, Rashed LA, Haridy MAM, et al. Impact of bone marrow-derived mesenchymal stem cells on remodeling the lung injury induced by lipopolysaccharides in mice. Future Sci OA. 2017; 3(1). Available from: https://doi.org/10.4155/fsoa-2016-0036 https://doi.org/10.4155/fsoa-2016-0036 PMid:28344826 PMCid:PMC5351512 |
||||
Mekhno N, Dovgalyuk A, Korda M, Yaremchuk O. Human umbilical cord-derived mesenchymal stem cells and nitric oxide modulators attenuate the proinflammatory cytokine pattern in experimental antiphospholipid syndrome in mice. Cell Organ Transpl. 2024; 12(1):44-50. Available from: https://doi.org/10.22494/cot.v12i1.163

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