Cardiac Nestin(+) Mesenchymal Stromal Cells Enhance Healing of Ischemic Heart through Periostin-Mediated M2 Macrophage Polarization
MOLECULAR THERAPY
Authors: Liao, Yan; Li, Guilan; Zhang, Xiaoran; Huang, Weijun; Xie, Dongmei; Dai, Gang; Zhu, Shuanghua; Lu, Dihan; Zhang, Zhongyuan; Lin, Junyi; Wu, Bingyuan; Lin, Wanwen; Chen, Yang; Chen, Zhihong; Peng, Chaoquan; Wang, Maosheng; Chen, Xinxin; Jiang, Mei Hua; Xiang, Andy Peng
Abstract
Mesenchymal stromal cells (MSCs) show potential for treating cardiovascular diseases, but their therapeutic efficacy exhibits significant heterogeneity depending on the tissue of origin. This study sought to identify an optimal source of MSCs for cardiovascular disease therapy. We demonstrated that Nestin was a suitable marker for cardiac MSCs (Nes(+)cMSCs), which were identified by their self-renewal ability, tri-lineage differentiation potential, and expression of MSC markers. Furthermore, compared with bone marrow-derived MSCs (Nes(+)bmMSCs) or saline-treatedmyocardial infarction (MI) controls, intramyocardial injection of Nes(+)cMSCs significantly improved cardiac function and decreased infarct size after acute MI (AMI) through paracrine actions, rather than transdifferentiation into cardiac cells in infarcted heart. We further revealed that Nes(+)cMSC treatment notably reduced pan-macrophage infiltration while inducingmacrophages toward an anti-inflammatory M2 phenotype in ischemic myocardium. Interestingly, Periostin, which was highly expressed in Nes(+)cMSCs, could promote the polarization of M2-subtypemacrophages, and knockdown or neutralization of Periostin remarkably reduced the therapeutic effects of Nes(+)cMSCs by decreasing M2 macrophages at lesion sites. Thus, the present work systemically shows that Nes(+)cMSCs have greater efficacy than do Nes(+)bmMSCs for cardiac healing after AMI, and that this occurs at least partly through Periostin-mediated M2 macrophage polarization.
Long-Term Liraglutide Administration Induces Pancreas Neogenesis in Adult T2DM Mice
CELL TRANSPLANTATION
Authors: Deng, Hongjun; Yang, Fengying; Ma, Xiaoyi; Wang, Ying; Chen, Qi; Yuan, Li
Abstract
In vivo beta-cell neogenesis may be one way to treat diabetes. We aimed to investigate the effect of glucagon-like peptide-1 (GLP-1) on beta-cell neogenesis in type 2 diabetes mellitus (T2DM). Male C57BL/6J mice, 6 wk old, were randomly divided into three groups: Control, T2DM, and T2DM + Lira. T2DM was induced using high-fat diet and intraperitoneal injection of streptozotocin (40 mg/kg/d for 3 d). At 8 wk after streptozotocin injection, T2DM + Lira group was injected intraperitoneally with GLP-1 analog liraglutide (0.8 mg/kg/d) for 4 wk. Apparently for the first time, we report the appearance of a primitive bud connected to pancreas in all adult mice from each group. The primitive bud was characterized by scattered single monohormonal cells expressing insulin, GLP-1, somatostatin, or pancreatic polypeptide, and four-hormonal cells, but no acinar cells and ductal epithelial cells. Monohormonal cells in it were small, newborn, immature cells that rapidly proliferated and expressed cell markers indicative of immaturity. In parallel, Ngn3(+) endocrine progenitors and Nestin(+) cells existed in the primitive bud. Liraglutide facilitated neogenesis and rapid growth of acinar cells, pancreatic ducts, and blood vessels in the primitive bud. Meanwhile, scattered hormonal cells aggregated into cell clusters and grew into larger islets; polyhormonal cells differentiated into monohormonal cells. Extensive growth of exocrine and endocrine glands resulted in the neogenesis of immature pancreatic lobes in adult mice of T2DM + Lira group. Contrary to predominant acinar cells in mature pancreatic lobes, there were still a substantial number of mesenchymal cells around acinar cells in immature pancreatic lobes, which resulted in the loose appearance. Our results suggest that adult mice preserve the capacity of pancreatic neogenesis from the primitive bud, which liraglutide facilitates in adult T2DM mice. To our knowledge, this is the first time such a phenomenon has been reported.