Hypoxia-preconditioned mesenchymal stem cells attenuate peritoneal adhesion through TGF-β inhibition

Background Peritoneal adhesions (PAs) are generally described as fibrous bands between intra-abdominal organs following an abdominal surgical operation. The definitive treatments of PAs are currently ineffective yet. Hypoxia-mesenchymal stem cells (H-MSCs) have a higher capability to survive at the...

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Main Authors: Setyo Trisnadi, Adi Muradi Muhar, Agung Putra, Azizah Retno Kustiyah
Format: Article
Language:English
Published: Faculty of Medicine Trisakti University 2020-07-01
Series:Universa Medicina
Subjects:
Online Access:https://univmed.org/ejurnal/index.php/medicina/article/view/902
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author Setyo Trisnadi
Adi Muradi Muhar
Agung Putra
Azizah Retno Kustiyah
author_facet Setyo Trisnadi
Adi Muradi Muhar
Agung Putra
Azizah Retno Kustiyah
author_sort Setyo Trisnadi
collection DOAJ
description Background Peritoneal adhesions (PAs) are generally described as fibrous bands between intra-abdominal organs following an abdominal surgical operation. The definitive treatments of PAs are currently ineffective yet. Hypoxia-mesenchymal stem cells (H-MSCs) have a higher capability to survive at the site of injury than normoxia-MSCs (N-MSCs) to repair injured tissue without fibrosis. This study aimed to analyze the effect of H-MSCs in controlling formation of PAs by reducing TGF-β level in a rat model. Methods A study of post-test only control group design was conducted, involving eighteen PA rat models weighing 250 ± 25 g that were randomly assigned into 3 groups, comprising control group (C), and groups T1 and T2 receiving H-MSC treatment at doses of 3 x 106 and 1.5 x 106, respectively. To induce H-MSCs, MSCs were incubated in hypoxic conditions at 5% O2 and 37oC for 24 hours. Expression level of TGF-β was analyzed by enzyme-linked immunosorbent assay (ELISA) at 450 nm and adhesion formation was described macroscopically. The Kruskal-Wallis variance analysis was used to analyze significant differences among the groups. Results The results of this study showed that H-MSCs in group T1 inhibited TGF-β expression significantly on day 8 (p<0.001) and day 14 (p<0.05). Moreover, there was almost no adhesion apparent following H-MSC administration in group T1. Conclusions Based on this study, we conclude that H-MSCs may attenuate PA formation following inhibition of TGF-β expression in the PA rat model.
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spelling doaj.art-513a838719fe45a9b4d03e3edc21eb392022-12-21T20:07:13ZengFaculty of Medicine Trisakti UniversityUniversa Medicina1907-30622407-22302020-07-0139210.18051/UnivMed.2020.v39.97-104406Hypoxia-preconditioned mesenchymal stem cells attenuate peritoneal adhesion through TGF-β inhibitionSetyo Trisnadi0Adi Muradi Muhar1Agung Putra2Azizah Retno Kustiyah3Department of Forensic Medicine, Medical Faculty, Sultan Agung Islamic University (UNISSULA), Semarang, Central JavaDepartment of Surgical, Medical Faculty, Universitas Sumatera Utara (USU), Semarang, Central JavaStem Cell and Cancer Research, Sultan Agung Islamic University (UNISSULA), Semarang, Central JavaDepartment of Pediatric, Medical Faculty, Sultan Agung Islamic University (UNISSULA), Semarang, Central JavaBackground Peritoneal adhesions (PAs) are generally described as fibrous bands between intra-abdominal organs following an abdominal surgical operation. The definitive treatments of PAs are currently ineffective yet. Hypoxia-mesenchymal stem cells (H-MSCs) have a higher capability to survive at the site of injury than normoxia-MSCs (N-MSCs) to repair injured tissue without fibrosis. This study aimed to analyze the effect of H-MSCs in controlling formation of PAs by reducing TGF-β level in a rat model. Methods A study of post-test only control group design was conducted, involving eighteen PA rat models weighing 250 ± 25 g that were randomly assigned into 3 groups, comprising control group (C), and groups T1 and T2 receiving H-MSC treatment at doses of 3 x 106 and 1.5 x 106, respectively. To induce H-MSCs, MSCs were incubated in hypoxic conditions at 5% O2 and 37oC for 24 hours. Expression level of TGF-β was analyzed by enzyme-linked immunosorbent assay (ELISA) at 450 nm and adhesion formation was described macroscopically. The Kruskal-Wallis variance analysis was used to analyze significant differences among the groups. Results The results of this study showed that H-MSCs in group T1 inhibited TGF-β expression significantly on day 8 (p<0.001) and day 14 (p<0.05). Moreover, there was almost no adhesion apparent following H-MSC administration in group T1. Conclusions Based on this study, we conclude that H-MSCs may attenuate PA formation following inhibition of TGF-β expression in the PA rat model.https://univmed.org/ejurnal/index.php/medicina/article/view/902Peritoneal adhesionshypoxiamesenchymal stem cellsTGF-β
spellingShingle Setyo Trisnadi
Adi Muradi Muhar
Agung Putra
Azizah Retno Kustiyah
Hypoxia-preconditioned mesenchymal stem cells attenuate peritoneal adhesion through TGF-β inhibition
Universa Medicina
Peritoneal adhesions
hypoxia
mesenchymal stem cells
TGF-β
title Hypoxia-preconditioned mesenchymal stem cells attenuate peritoneal adhesion through TGF-β inhibition
title_full Hypoxia-preconditioned mesenchymal stem cells attenuate peritoneal adhesion through TGF-β inhibition
title_fullStr Hypoxia-preconditioned mesenchymal stem cells attenuate peritoneal adhesion through TGF-β inhibition
title_full_unstemmed Hypoxia-preconditioned mesenchymal stem cells attenuate peritoneal adhesion through TGF-β inhibition
title_short Hypoxia-preconditioned mesenchymal stem cells attenuate peritoneal adhesion through TGF-β inhibition
title_sort hypoxia preconditioned mesenchymal stem cells attenuate peritoneal adhesion through tgf β inhibition
topic Peritoneal adhesions
hypoxia
mesenchymal stem cells
TGF-β
url https://univmed.org/ejurnal/index.php/medicina/article/view/902
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AT agungputra hypoxiapreconditionedmesenchymalstemcellsattenuateperitonealadhesionthroughtgfbinhibition
AT azizahretnokustiyah hypoxiapreconditionedmesenchymalstemcellsattenuateperitonealadhesionthroughtgfbinhibition