title: Alleviation of apoptosis of bone marrow-derived mesenchymal stem cells in the acute injured kidney by heme oxygenase-1 gene modification.
abstract: Bone marrow-derived mesenchymal stem cells (BMSCs) transplantation is beneficial for the treatment of acute kidney injury (AKI), but the poor survival of BMSCs limits the repair effect. The oxidative stress in the AKI microenvironment is regarded as the main reason. Considering the potent anti-oxidant ability of heme oxygenase-1 (HO-1), HO-1 overexpression in BMSCs can be expected to improve the survival of BMSCs and correspondingly enhance the AKI repair effect. Here, BMSCs are transfected with pLV-HO-1/eGFP and pLV-eGFP by the lentivirus vector to get HO-1-BMSCs and eGFP-BMSCs, respectively. Ischemia/reperfusion-AKI kidney homogenate supernatant (KHS) is prepared for treating BMSCs, eGFP-BMSCs and HO-1-BMSCs. AKI-KHS results in a high inhibitory rate of BMSCs growth and a high proportion of TUNEL positive BMSCs, while HO-1 overexpression inverses this phenomenon and re-establishes the antioxidant and oxidant balance in HO-1-BMSCs. Phosphorylations of p53 and p38 mitogen-activated protein kinases (p38 MAPK) in HO-1-BMSCs decrease. Lower levels of monocyte chemotactic protein 1, tumor necrosis factor-α and interleukin 1β are also observed in supernatant of HO-1-BMSCs. The in vivo study shows that HO-1 overexpression sharply decreases the apoptosis of BMSCs in the injured kidney, and correspondingly the renal function of the AKI rats improves significantly. In conclusion, BMSCs with HO-1 overexpression suggests a better survival in the I/R-AKI microenvironment and a better kidney repair effect. The anti-oxidant effect via the inactivations of the downstream p53 and p38MAPK in BMSCs and the anti-inflammation could be the mechanisms. It provides a novel approach for the cell-based AKI-therapy.
authors.affiliation: Department of Nephrology, the 455th Hospital of PLA, Shanghai 200052, China. Electronic address: liunanmei@gmail.com.
authors.forename: Nanmei
authors.initials: N
authors.lastname: Liu
authors.affiliation: Department of Nephrology, the 455th Hospital of PLA, Shanghai 200052, China.
authors.forename: Huiling
authors.initials: H
authors.lastname: Wang
authors.affiliation: Department of Nephrology, the 455th Hospital of PLA, Shanghai 200052, China.
authors.forename: Guofeng
authors.initials: G
authors.lastname: Han
authors.affiliation: Department of Nephrology, the 455th Hospital of PLA, Shanghai 200052, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Tian
authors.affiliation: Department of Nephrology, the 455th Hospital of PLA, Shanghai 200052, China.
authors.forename: Weifeng
authors.initials: W
authors.lastname: Hu
authors.affiliation: Department of Nephrology, the 455th Hospital of PLA, Shanghai 200052, China.
authors.forename: Jinyuan
authors.initials: J
authors.lastname: Zhang
mesh_terms: D058186:Acute Kidney Injury / Q000201:enzymology* / Q000473:pathology / Q000628:therapy; D000818:Animals; D017209:Apoptosis; D049109:Cell Proliferation; D002470:Cell Survival; D002478:Cells, Cultured; D006419:Heme Oxygenase (Decyclizing) / Q000235:genetics*; D045164:Mesenchymal Stem Cell Transplantation; D059630:Mesenchymal Stem Cells / Q000201:enzymology*; D018384:Oxidative Stress; D010766:Phosphorylation; D011499:Protein Processing, Post-Translational; D017207:Rats, Sprague-Dawley; D016159:Tumor Suppressor Protein p53 / Q000378:metabolism; D048051:p38 Mitogen-Activated Protein Kinases / Q000378:metabolism
chemical_list: D016159:Tumor Suppressor Protein p53; D006419:Heme Oxygenase (Decyclizing); C491523:Hmox1 protein, rat; D048051:p38 Mitogen-Activated Protein Kinases
keywords: Acute kidney injury; Apoptosis; Bone marrow-derived mesenchymal stem cells; Heme oxygenase-1; Ischemia/reperfusion