Preconditioning of adipose tissue-derived mesenchymal stem cells with deferoxamine increases the production of pro-angiogenic, neuroprotective and anti-inflammatory factors: Potential application in the treatment of diabetic neuropathy

Diabetic neuropathy (DN) is one of the most frequent and troublesome complications of diabetes mellitus. Evidence from diabetic animal models and diabetic patients suggests that reduced availability of neuroprotective and pro-angiogenic factors in the nerves in combination with a chronic pro-inflamm...

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Veröffentlicht in:PloS one 2017-05, Vol.12 (5), p.e0178011-e0178011
Hauptverfasser: Oses, Carolina, Olivares, Belén, Ezquer, Marcelo, Acosta, Cristian, Bosch, Paul, Donoso, Macarena, Léniz, Patricio, Ezquer, Fernando
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container_title PloS one
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Olivares, Belén
Ezquer, Marcelo
Acosta, Cristian
Bosch, Paul
Donoso, Macarena
Léniz, Patricio
Ezquer, Fernando
description Diabetic neuropathy (DN) is one of the most frequent and troublesome complications of diabetes mellitus. Evidence from diabetic animal models and diabetic patients suggests that reduced availability of neuroprotective and pro-angiogenic factors in the nerves in combination with a chronic pro-inflammatory microenvironment and high level of oxidative stress, contribute to the pathogenesis of DN. Mesenchymal stem cells (MSCs) are of great interest as therapeutic agents for regenerative purposes, since they can secrete a broad range of cytoprotective and anti-inflammatory factors. Therefore, the use of the MSC secretome may represent a promising approach for DN treatment. Recent data indicate that the paracrine potential of MSCs could be boosted by preconditioning these cells with an environmental or pharmacological stimulus, enhancing their therapeutic efficacy. In the present study, we observed that the preconditioning of human adipose tissue-derived MSCs (AD-MSCs) with 150μM or 400μM of the iron chelator deferoxamine (DFX) for 48 hours, increased the abundance of the hypoxia inducible factor 1 alpha (HIF-1α) in a concentration dependent manner, without affecting MSC morphology and survival. Activation of HIF-1α led to the up-regulation of the mRNA levels of pro-angiogenic factors like vascular endothelial growth factor alpha and angiopoietin 1. Furthermore this preconditioning increased the expression of potent neuroprotective factors, including nerve growth factor, glial cell-derived neurotrophic factor and neurotrophin-3, and cytokines with anti-inflammatory activity like IL4 and IL5. Additionally, we observed that these molecules, which could also be used as therapeutics, were also increased in the secretome of MSCs preconditioned with DFX compared to the secretome obtained from non-preconditioned cells. Moreover, DFX preconditioning significantly increased the total antioxidant capacity of the MSC secretome and they showed neuroprotective effects when evaluated in an in vitro model of DN. Altogether, our findings suggest that DFX preconditioning of AD-MSCs improves their therapeutic potential and should be considered as a potential strategy for the generation of new alternatives for DN treatment.
doi_str_mv 10.1371/journal.pone.0178011
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Evidence from diabetic animal models and diabetic patients suggests that reduced availability of neuroprotective and pro-angiogenic factors in the nerves in combination with a chronic pro-inflammatory microenvironment and high level of oxidative stress, contribute to the pathogenesis of DN. Mesenchymal stem cells (MSCs) are of great interest as therapeutic agents for regenerative purposes, since they can secrete a broad range of cytoprotective and anti-inflammatory factors. Therefore, the use of the MSC secretome may represent a promising approach for DN treatment. Recent data indicate that the paracrine potential of MSCs could be boosted by preconditioning these cells with an environmental or pharmacological stimulus, enhancing their therapeutic efficacy. In the present study, we observed that the preconditioning of human adipose tissue-derived MSCs (AD-MSCs) with 150μM or 400μM of the iron chelator deferoxamine (DFX) for 48 hours, increased the abundance of the hypoxia inducible factor 1 alpha (HIF-1α) in a concentration dependent manner, without affecting MSC morphology and survival. Activation of HIF-1α led to the up-regulation of the mRNA levels of pro-angiogenic factors like vascular endothelial growth factor alpha and angiopoietin 1. Furthermore this preconditioning increased the expression of potent neuroprotective factors, including nerve growth factor, glial cell-derived neurotrophic factor and neurotrophin-3, and cytokines with anti-inflammatory activity like IL4 and IL5. Additionally, we observed that these molecules, which could also be used as therapeutics, were also increased in the secretome of MSCs preconditioned with DFX compared to the secretome obtained from non-preconditioned cells. Moreover, DFX preconditioning significantly increased the total antioxidant capacity of the MSC secretome and they showed neuroprotective effects when evaluated in an in vitro model of DN. Altogether, our findings suggest that DFX preconditioning of AD-MSCs improves their therapeutic potential and should be considered as a potential strategy for the generation of new alternatives for DN treatment.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0178011</identifier><identifier>PMID: 28542352</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>1-Phosphatidylinositol 3-kinase ; Activation analysis ; Adipose tissue ; Adipose Tissue - cytology ; Adipose Tissue - drug effects ; Adipose Tissue - metabolism ; Adult ; AKT protein ; Amputation ; Angiogenesis ; Animal models ; Anti-inflammatory agents ; Anti-Inflammatory Agents - metabolism ; Apoptosis ; Apoptosis - drug effects ; Attenuation ; Autonomic nervous system ; Biocompatibility ; Biology and Life Sciences ; Biomolecules ; Blood ; Blood flow ; Body fat ; Bone marrow ; Cardiology ; Cardiovascular diseases ; Care and treatment ; Cell Proliferation - drug effects ; Cells, Cultured ; Cues ; Deferoxamine ; Deferoxamine - pharmacology ; Degeneration ; Diabetes ; Diabetes mellitus ; Diabetic neuropathies ; Diabetic Neuropathies - immunology ; Diabetic Neuropathies - metabolism ; Diabetic Neuropathies - prevention &amp; control ; Diabetic neuropathy ; Dialysis ; Differentiation ; Disease ; Dosage and administration ; Drug therapy ; Extremities ; Female ; Gene therapy ; Glial cells ; Glucose ; Health aspects ; Heart diseases ; Humans ; Hypoxia ; Incidence ; Inflammation ; Inflammation - immunology ; Inflammation - metabolism ; Inflammation - prevention &amp; control ; Inhibition ; Inhibitors ; Interferon ; Iron ; Medicine and Health Sciences ; Mesenchymal stem cells ; Mesenchymal Stromal Cells - cytology ; Mesenchymal Stromal Cells - drug effects ; Mesenchymal Stromal Cells - metabolism ; Metabolism ; Middle Aged ; Modulation ; Neovascularization, Physiologic - drug effects ; Nervous system ; Neurodegeneration ; Neurons ; Neuroprotective Agents - metabolism ; Neurosciences ; Neurotrophic factors ; Oxidative stress ; Pain ; Pain perception ; Pharmacology ; Poisoning ; Quality of life ; Rats ; Reduction ; Regeneration (physiology) ; Restoration ; Siderophores - pharmacology ; Stem cells ; Tissues ; Toxicology ; Transplantation ; Transplants &amp; implants ; Vascular endothelial growth factor ; Velocity ; Young Adult</subject><ispartof>PloS one, 2017-05, Vol.12 (5), p.e0178011-e0178011</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Oses et al. 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Evidence from diabetic animal models and diabetic patients suggests that reduced availability of neuroprotective and pro-angiogenic factors in the nerves in combination with a chronic pro-inflammatory microenvironment and high level of oxidative stress, contribute to the pathogenesis of DN. Mesenchymal stem cells (MSCs) are of great interest as therapeutic agents for regenerative purposes, since they can secrete a broad range of cytoprotective and anti-inflammatory factors. Therefore, the use of the MSC secretome may represent a promising approach for DN treatment. Recent data indicate that the paracrine potential of MSCs could be boosted by preconditioning these cells with an environmental or pharmacological stimulus, enhancing their therapeutic efficacy. In the present study, we observed that the preconditioning of human adipose tissue-derived MSCs (AD-MSCs) with 150μM or 400μM of the iron chelator deferoxamine (DFX) for 48 hours, increased the abundance of the hypoxia inducible factor 1 alpha (HIF-1α) in a concentration dependent manner, without affecting MSC morphology and survival. Activation of HIF-1α led to the up-regulation of the mRNA levels of pro-angiogenic factors like vascular endothelial growth factor alpha and angiopoietin 1. Furthermore this preconditioning increased the expression of potent neuroprotective factors, including nerve growth factor, glial cell-derived neurotrophic factor and neurotrophin-3, and cytokines with anti-inflammatory activity like IL4 and IL5. Additionally, we observed that these molecules, which could also be used as therapeutics, were also increased in the secretome of MSCs preconditioned with DFX compared to the secretome obtained from non-preconditioned cells. Moreover, DFX preconditioning significantly increased the total antioxidant capacity of the MSC secretome and they showed neuroprotective effects when evaluated in an in vitro model of DN. Altogether, our findings suggest that DFX preconditioning of AD-MSCs improves their therapeutic potential and should be considered as a potential strategy for the generation of new alternatives for DN treatment.</description><subject>1-Phosphatidylinositol 3-kinase</subject><subject>Activation analysis</subject><subject>Adipose tissue</subject><subject>Adipose Tissue - cytology</subject><subject>Adipose Tissue - drug effects</subject><subject>Adipose Tissue - metabolism</subject><subject>Adult</subject><subject>AKT protein</subject><subject>Amputation</subject><subject>Angiogenesis</subject><subject>Animal models</subject><subject>Anti-inflammatory agents</subject><subject>Anti-Inflammatory Agents - metabolism</subject><subject>Apoptosis</subject><subject>Apoptosis - drug effects</subject><subject>Attenuation</subject><subject>Autonomic nervous system</subject><subject>Biocompatibility</subject><subject>Biology and Life Sciences</subject><subject>Biomolecules</subject><subject>Blood</subject><subject>Blood flow</subject><subject>Body fat</subject><subject>Bone marrow</subject><subject>Cardiology</subject><subject>Cardiovascular diseases</subject><subject>Care and treatment</subject><subject>Cell Proliferation - drug effects</subject><subject>Cells, Cultured</subject><subject>Cues</subject><subject>Deferoxamine</subject><subject>Deferoxamine - pharmacology</subject><subject>Degeneration</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetic neuropathies</subject><subject>Diabetic Neuropathies - immunology</subject><subject>Diabetic Neuropathies - metabolism</subject><subject>Diabetic Neuropathies - prevention &amp; 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Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oses, Carolina</au><au>Olivares, Belén</au><au>Ezquer, Marcelo</au><au>Acosta, Cristian</au><au>Bosch, Paul</au><au>Donoso, Macarena</au><au>Léniz, Patricio</au><au>Ezquer, Fernando</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preconditioning of adipose tissue-derived mesenchymal stem cells with deferoxamine increases the production of pro-angiogenic, neuroprotective and anti-inflammatory factors: Potential application in the treatment of diabetic neuropathy</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-05-19</date><risdate>2017</risdate><volume>12</volume><issue>5</issue><spage>e0178011</spage><epage>e0178011</epage><pages>e0178011-e0178011</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Diabetic neuropathy (DN) is one of the most frequent and troublesome complications of diabetes mellitus. Evidence from diabetic animal models and diabetic patients suggests that reduced availability of neuroprotective and pro-angiogenic factors in the nerves in combination with a chronic pro-inflammatory microenvironment and high level of oxidative stress, contribute to the pathogenesis of DN. Mesenchymal stem cells (MSCs) are of great interest as therapeutic agents for regenerative purposes, since they can secrete a broad range of cytoprotective and anti-inflammatory factors. Therefore, the use of the MSC secretome may represent a promising approach for DN treatment. Recent data indicate that the paracrine potential of MSCs could be boosted by preconditioning these cells with an environmental or pharmacological stimulus, enhancing their therapeutic efficacy. In the present study, we observed that the preconditioning of human adipose tissue-derived MSCs (AD-MSCs) with 150μM or 400μM of the iron chelator deferoxamine (DFX) for 48 hours, increased the abundance of the hypoxia inducible factor 1 alpha (HIF-1α) in a concentration dependent manner, without affecting MSC morphology and survival. Activation of HIF-1α led to the up-regulation of the mRNA levels of pro-angiogenic factors like vascular endothelial growth factor alpha and angiopoietin 1. Furthermore this preconditioning increased the expression of potent neuroprotective factors, including nerve growth factor, glial cell-derived neurotrophic factor and neurotrophin-3, and cytokines with anti-inflammatory activity like IL4 and IL5. Additionally, we observed that these molecules, which could also be used as therapeutics, were also increased in the secretome of MSCs preconditioned with DFX compared to the secretome obtained from non-preconditioned cells. Moreover, DFX preconditioning significantly increased the total antioxidant capacity of the MSC secretome and they showed neuroprotective effects when evaluated in an in vitro model of DN. Altogether, our findings suggest that DFX preconditioning of AD-MSCs improves their therapeutic potential and should be considered as a potential strategy for the generation of new alternatives for DN treatment.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28542352</pmid><doi>10.1371/journal.pone.0178011</doi><tpages>e0178011</tpages><orcidid>https://orcid.org/0000-0002-7696-4215</orcidid><oa>free_for_read</oa></addata></record>
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subjects 1-Phosphatidylinositol 3-kinase
Activation analysis
Adipose tissue
Adipose Tissue - cytology
Adipose Tissue - drug effects
Adipose Tissue - metabolism
Adult
AKT protein
Amputation
Angiogenesis
Animal models
Anti-inflammatory agents
Anti-Inflammatory Agents - metabolism
Apoptosis
Apoptosis - drug effects
Attenuation
Autonomic nervous system
Biocompatibility
Biology and Life Sciences
Biomolecules
Blood
Blood flow
Body fat
Bone marrow
Cardiology
Cardiovascular diseases
Care and treatment
Cell Proliferation - drug effects
Cells, Cultured
Cues
Deferoxamine
Deferoxamine - pharmacology
Degeneration
Diabetes
Diabetes mellitus
Diabetic neuropathies
Diabetic Neuropathies - immunology
Diabetic Neuropathies - metabolism
Diabetic Neuropathies - prevention & control
Diabetic neuropathy
Dialysis
Differentiation
Disease
Dosage and administration
Drug therapy
Extremities
Female
Gene therapy
Glial cells
Glucose
Health aspects
Heart diseases
Humans
Hypoxia
Incidence
Inflammation
Inflammation - immunology
Inflammation - metabolism
Inflammation - prevention & control
Inhibition
Inhibitors
Interferon
Iron
Medicine and Health Sciences
Mesenchymal stem cells
Mesenchymal Stromal Cells - cytology
Mesenchymal Stromal Cells - drug effects
Mesenchymal Stromal Cells - metabolism
Metabolism
Middle Aged
Modulation
Neovascularization, Physiologic - drug effects
Nervous system
Neurodegeneration
Neurons
Neuroprotective Agents - metabolism
Neurosciences
Neurotrophic factors
Oxidative stress
Pain
Pain perception
Pharmacology
Poisoning
Quality of life
Rats
Reduction
Regeneration (physiology)
Restoration
Siderophores - pharmacology
Stem cells
Tissues
Toxicology
Transplantation
Transplants & implants
Vascular endothelial growth factor
Velocity
Young Adult
title Preconditioning of adipose tissue-derived mesenchymal stem cells with deferoxamine increases the production of pro-angiogenic, neuroprotective and anti-inflammatory factors: Potential application in the treatment of diabetic neuropathy
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