Intratracheal administration of mesenchymal stem cell-derived extracellular vesicles reduces lung injuries in a chronic rat model of bronchopulmonary dysplasia

Early therapeutic effect of intratracheally (IT)-administered extracellular vesicles secreted by mesenchymal stem cells (MSC-EVs) has been demonstrated in a rat model of bronchopulmonary dysplasia (BPD) involving hyperoxia exposure in the first 2 postnatal weeks. The aim of this study was to evaluat...

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Veröffentlicht in:American journal of physiology. Lung cellular and molecular physiology 2021-05, Vol.320 (5), p.L688-L704
Hauptverfasser: Porzionato, Andrea, Zaramella, Patrizia, Dedja, Arben, Guidolin, Diego, Bonadies, Luca, Macchi, Veronica, Pozzobon, Michela, Jurga, Marcin, Perilongo, Giorgio, De Caro, Raffaele, Baraldi, Eugenio, Muraca, Maurizio
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container_issue 5
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container_title American journal of physiology. Lung cellular and molecular physiology
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creator Porzionato, Andrea
Zaramella, Patrizia
Dedja, Arben
Guidolin, Diego
Bonadies, Luca
Macchi, Veronica
Pozzobon, Michela
Jurga, Marcin
Perilongo, Giorgio
De Caro, Raffaele
Baraldi, Eugenio
Muraca, Maurizio
description Early therapeutic effect of intratracheally (IT)-administered extracellular vesicles secreted by mesenchymal stem cells (MSC-EVs) has been demonstrated in a rat model of bronchopulmonary dysplasia (BPD) involving hyperoxia exposure in the first 2 postnatal weeks. The aim of this study was to evaluate the protective effects of IT-administered MSC-EVs in the long term. EVs were produced from MSCs following GMP standards. At birth, rats were distributed in three groups: (a) animals raised in ambient air for 6 weeks ( = 10); and animals exposed to 60% hyperoxia for 2 weeks and to room air for additional 4 weeks and treated with (b) IT-administered saline solution ( = 10), or (c) MSC-EVs ( = 10) on postnatal days 3, 7, 10, and 21. Hyperoxia exposure produced significant decreases in total number of alveoli, total surface area of alveolar air spaces, and proliferation index, together with increases in mean alveolar volume, mean linear intercept and fibrosis percentage; all these morphometric changes were prevented by MSC-EVs treatment. The medial thickness index for
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The aim of this study was to evaluate the protective effects of IT-administered MSC-EVs in the long term. EVs were produced from MSCs following GMP standards. At birth, rats were distributed in three groups: (a) animals raised in ambient air for 6 weeks ( = 10); and animals exposed to 60% hyperoxia for 2 weeks and to room air for additional 4 weeks and treated with (b) IT-administered saline solution ( = 10), or (c) MSC-EVs ( = 10) on postnatal days 3, 7, 10, and 21. Hyperoxia exposure produced significant decreases in total number of alveoli, total surface area of alveolar air spaces, and proliferation index, together with increases in mean alveolar volume, mean linear intercept and fibrosis percentage; all these morphometric changes were prevented by MSC-EVs treatment. The medial thickness index for &lt;100 µm vessels was higher for hyperoxia-exposed/sham-treated than for normoxia-exposed rats; MSC-EV treatment significantly reduced this index. There were no significant differences in interstitial/alveolar and perivascular F4/8-positive and CD86-positive macrophages. Conversely, hyperoxia exposure reduced CD163-positive macrophages both in interstitial/alveolar and perivascular populations and MSC-EV prevented these hyperoxia-induced reductions. These findings further support that IT-administered EVs could be an effective approach to prevent/treat BPD, ameliorating the impaired alveolarization and pulmonary artery remodeling also in a long-term model. M2 macrophage polarization could play a role through anti-inflammatory and proliferative mechanisms.</description><identifier>ISSN: 1040-0605</identifier><identifier>EISSN: 1522-1504</identifier><identifier>DOI: 10.1152/ajplung.00148.2020</identifier><identifier>PMID: 33502939</identifier><language>eng</language><publisher>United States: American Physiological Society</publisher><subject>Administration, Inhalation ; Alveolar air ; Alveoli ; Animals ; Animals, Newborn ; Bronchopulmonary Dysplasia - complications ; CD163 antigen ; CD86 antigen ; Disease Models, Animal ; Dysplasia ; Exposure ; Extracellular vesicles ; Extracellular Vesicles - physiology ; Female ; Fibrosis ; Hyperoxia ; Hyperoxia - physiopathology ; Inflammation ; Injury prevention ; Lung diseases ; Lung Injury - etiology ; Lung Injury - pathology ; Lung Injury - therapy ; Macrophages ; Male ; Mesenchymal Stem Cell Transplantation - methods ; Mesenchymal stem cells ; Mesenchymal Stem Cells - cytology ; Pulmonary Alveoli - cytology ; Pulmonary Alveoli - metabolism ; Pulmonary arteries ; Pulmonary artery ; Pulmonary Artery - cytology ; Pulmonary Artery - metabolism ; Rats ; Rats, Sprague-Dawley ; Saline solutions ; Stem cell transplantation ; Stem cells ; Trachea ; Vesicles</subject><ispartof>American journal of physiology. 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Lung cellular and molecular physiology</title><addtitle>Am J Physiol Lung Cell Mol Physiol</addtitle><description>Early therapeutic effect of intratracheally (IT)-administered extracellular vesicles secreted by mesenchymal stem cells (MSC-EVs) has been demonstrated in a rat model of bronchopulmonary dysplasia (BPD) involving hyperoxia exposure in the first 2 postnatal weeks. The aim of this study was to evaluate the protective effects of IT-administered MSC-EVs in the long term. EVs were produced from MSCs following GMP standards. At birth, rats were distributed in three groups: (a) animals raised in ambient air for 6 weeks ( = 10); and animals exposed to 60% hyperoxia for 2 weeks and to room air for additional 4 weeks and treated with (b) IT-administered saline solution ( = 10), or (c) MSC-EVs ( = 10) on postnatal days 3, 7, 10, and 21. 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Lung cellular and molecular physiology</jtitle><addtitle>Am J Physiol Lung Cell Mol Physiol</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>320</volume><issue>5</issue><spage>L688</spage><epage>L704</epage><pages>L688-L704</pages><issn>1040-0605</issn><eissn>1522-1504</eissn><abstract>Early therapeutic effect of intratracheally (IT)-administered extracellular vesicles secreted by mesenchymal stem cells (MSC-EVs) has been demonstrated in a rat model of bronchopulmonary dysplasia (BPD) involving hyperoxia exposure in the first 2 postnatal weeks. The aim of this study was to evaluate the protective effects of IT-administered MSC-EVs in the long term. EVs were produced from MSCs following GMP standards. 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subjects Administration, Inhalation
Alveolar air
Alveoli
Animals
Animals, Newborn
Bronchopulmonary Dysplasia - complications
CD163 antigen
CD86 antigen
Disease Models, Animal
Dysplasia
Exposure
Extracellular vesicles
Extracellular Vesicles - physiology
Female
Fibrosis
Hyperoxia
Hyperoxia - physiopathology
Inflammation
Injury prevention
Lung diseases
Lung Injury - etiology
Lung Injury - pathology
Lung Injury - therapy
Macrophages
Male
Mesenchymal Stem Cell Transplantation - methods
Mesenchymal stem cells
Mesenchymal Stem Cells - cytology
Pulmonary Alveoli - cytology
Pulmonary Alveoli - metabolism
Pulmonary arteries
Pulmonary artery
Pulmonary Artery - cytology
Pulmonary Artery - metabolism
Rats
Rats, Sprague-Dawley
Saline solutions
Stem cell transplantation
Stem cells
Trachea
Vesicles
title Intratracheal administration of mesenchymal stem cell-derived extracellular vesicles reduces lung injuries in a chronic rat model of bronchopulmonary dysplasia
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