title: Human umbilical cord blood-derived mesenchymal stem cells attenuate hyperoxia-induced lung injury in neonatal rats.
abstract: Recent evidence suggests mesenchymal stem cells (MSCs) can downmodulate bleomycin-induced lung injury, and umbilical cord blood (UCB) is a promising source for human MSCs. This study examined whether intratracheal or intraperitoneal transplantation of human UCB-derived MSCs can attenuate hyperoxia-induced lung injury in immunocompetent newborn rats. Wild-type Sprague-Dawley rats were randomly exposed to 95% oxygen or air from birth. In the transplantation groups, a single dose of PKH26-labeled human UCB-derived MSCs was administered either intratracheally (2 x 10(6) cells) or intraperitoneally (5 x 10(5) cells) at postnatal day (P) 5. At P14, the harvested lungs were examined for morphometric analyses of alveolarization and TUNEL staining, as well as the myeoloperoxidase activity, the level of tumor necrosis factor (TNF)-alpha, interleukin (IL)-6, and transforming growth factor (TGF)-beta mRNA, alpha-smooth muscle actin (SMA) protein, and collagen levels. Differentiation of MSCs to the respiratory epithelium was also evaluated both in vitro before transplantation and in vivo after transplantation. Despite one fourth dosage of MSCs, significantly more PKH26-labeled donor cells were recovered with intratracheal administration than with intraperitoneal administration both during normoxia and hyperoxia. The hyperoxia-induced increase in the number of TUNEL-positive cells, myeloperoixdase activity, and the level of IL-6 mRNA were significantly attenuated with both intratracheal and intraperitoneal MSCs transplantation. However, the hyperoxia-induced impaired alveolarization and increased the level of TNF-alpha and TGF-beta mRNA, alpha-SMA protein, and collagen were significantly attenuated only with intratracheal MSCs transplantation. MSCs differentiated into respiratory epithelium in vitro and a few PKH26-positive donor cells were colocalized with pro surfactant protein C in the damaged lungs. In conclusion, intratracheal transplantation of human UCB-derived MSCs is more effective than intraperitoneal transplantation in attenuating the hyperoxia-induced lung injury in neonatal rats.
authors.affiliation: Department of Pediatrics, Samsung Medical Center, Kangnam-gu, Seoul, Republic of Korea.
authors.forename: Yun Sil
authors.initials: YS
authors.lastname: Chang
authors.forename: Wonil
authors.initials: W
authors.lastname: Oh
authors.forename: Soo Jin
authors.initials: SJ
authors.lastname: Choi
authors.forename: Dong Kyung
authors.initials: DK
authors.lastname: Sung
authors.forename: Soo Yoon
authors.initials: SY
authors.lastname: Kim
authors.forename: Eun Yang
authors.initials: EY
authors.lastname: Choi
authors.forename: Saem
authors.initials: S
authors.lastname: Kang
authors.forename: Hye Jin
authors.initials: HJ
authors.lastname: Jin
authors.forename: Yoon Sun
authors.initials: YS
authors.lastname: Yang
authors.forename: Won Soon
authors.initials: WS
authors.lastname: Park
mesh_terms: D000818:Animals; D000831:Animals, Newborn; D002454:Cell Differentiation / Q000502:physiology; D002478:Cells, Cultured; D036101:Cord Blood Stem Cell Transplantation; D005260:Female; D006801:Humans; D018496:Hyperoxia / Q000150:complications / Q000628:therapy*; D015850:Interleukin-6 / Q000378:metabolism; D055370:Lung Injury / Q000209:etiology / Q000628:therapy*; D045164:Mesenchymal Stem Cell Transplantation; D009195:Peroxidase / Q000378:metabolism; D011247:Pregnancy; D051381:Rats; D017207:Rats, Sprague-Dawley; D020545:Respiratory Mucosa / Q000502:physiology; D016212:Transforming Growth Factor beta / Q000378:metabolism; D014183:Transplantation, Heterologous / Q000379:methods; D014409:Tumor Necrosis Factor-alpha / Q000378:metabolism
chemical_list: D015850:Interleukin-6; D016212:Transforming Growth Factor beta; D014409:Tumor Necrosis Factor-alpha; D009195:Peroxidase