title: Bone marrow-derived progenitor cells attenuate inflammation in lipopolysaccharide-induced acute respiratory distress syndrome.
abstract: BACKGROUND
  Acute respiratory distress syndrome (ARDS) is the most common cause of respiratory failure among critically ill patients. Novel treatment strategies are required to address this common clinical problem. The application of exogenous adult stem cells was associated with a beneficial outcome in various pre-clinical models of ARDS. In the present study we evaluated the functional capacity and homing ability of bone marrow-derived progenitor cells (BMDPC) in vitro and investigated their potential as a treatment strategy in lipopolysaccharide (LPS)-induced ARDS.
  
  
  RESULTS
  Evaluation of the BMDPC showed functional capacity to form endothelial outgrowth cell colonies, which stained positive for CD133 and CD31. Furthermore, DiI-stained BMDPC were demonstrated to home to injured lung tissue. Rats treated with BMDPC showed significantly reduced histopathological changes, a reduced expression of ICAM-1 and VCAM-1 by the lung tissue, an inhibition of proinflammatory cytokine synthesis, a reduced weight loss and a reduced mortality (p < 0.03) compared to rats treated with LPS alone.
  
  
  CONCLUSIONS
  These findings suggest that the application of exogenous BMDPC can attenuate inflammation in LPS-induced ARDS and thereby reduce the severity of septic organ damage. Cell therapy strategies using adult stem cells might therefore become a novel and alternative option in ARDS therapy.
authors.forename: Neysan
authors.initials: N
authors.lastname: Rafat
authors.forename: Christine
authors.initials: C
authors.lastname: Dacho
authors.forename: Gregor
authors.initials: G
authors.lastname: Kowanetz
authors.forename: Christian
authors.initials: C
authors.lastname: Betzen
authors.forename: Burkhard
authors.initials: B
authors.lastname: Tönshoff
authors.forename: Benito
authors.initials: B
authors.lastname: Yard
authors.affiliation: Department for Anaesthesiology and Intensive Care Medicine, Dr, Horst-Schmidt Clinic, Wiesbaden, Germany. Grietje.Beck@hsk-wiesbaden.de.
authors.forename: Grietje
authors.initials: G
authors.lastname: Beck
mesh_terms: D000818:Animals; D004797:Enzyme-Linked Immunosorbent Assay; D006412:Hematopoietic Stem Cells / Q000473:pathology*; D007249:Inflammation / Q000473:pathology*; D008070:Lipopolysaccharides / Q000633:toxicity*; D051381:Rats; D012128:Respiratory Distress Syndrome / Q000139:chemically induced / Q000473:pathology / Q000517:prevention & control*
chemical_list: D008070:Lipopolysaccharides