Bone marrow mesenchymal stem cells attenuate the progression of focal segmental glomerulosclerosis in rat models

Abstract Background Focal segmental glomerulosclerosis (FSGS) is the most common glomerular etiology of end-stage kidney disease (ESKD). Increasing evidence has indicated the reparative potential of mesenchymal stem cells (MSCs) in damaged diseased kidneys. However, the effect of bone marrow mesench...

Full description

Bibliographic Details
Main Authors: Ru-chun Yang, Xiao-ling Zhu, Jun Wang, Feng Wan, Hua-qin Zhang, Yi Lin, Xuan-li Tang, Bin Zhu
Format: Article
Language:English
Published: BMC 2018-11-01
Series:BMC Nephrology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12882-018-1137-5
_version_ 1818304709494046720
author Ru-chun Yang
Xiao-ling Zhu
Jun Wang
Feng Wan
Hua-qin Zhang
Yi Lin
Xuan-li Tang
Bin Zhu
author_facet Ru-chun Yang
Xiao-ling Zhu
Jun Wang
Feng Wan
Hua-qin Zhang
Yi Lin
Xuan-li Tang
Bin Zhu
author_sort Ru-chun Yang
collection DOAJ
description Abstract Background Focal segmental glomerulosclerosis (FSGS) is the most common glomerular etiology of end-stage kidney disease (ESKD). Increasing evidence has indicated the reparative potential of mesenchymal stem cells (MSCs) in damaged diseased kidneys. However, the effect of bone marrow mesenchymal stem cells (BMSCs) on the FSGS progression remains unclear. This study aimed to investigate the protective effects of BMSCs on FSGS progression. Methods A rat model of FSGS was generated via unilateral nephrectomy plus adriamycin injection. Rat BMSCs were isolated and characterized on the basis of their differentiative potential towards adipocytes and osteoblasts and via flow cytometry analysis. Thereafter, rat BMSCs were transplanted into FSGS recipients through the caudal vein. After 8 weeks, 24-h proteinuria, serum creatinine, and urea nitrogen levels were determined. Renal morphology was assessed using a light and transmission electron microscope. MMP9 and TIMP-1 positive cells were detected via immunohistochemical analysis. Expression levels of proinflammatory cytokines IL-6 and TNF-α were examined via RT-PCR. Results The isolated adherent cells from the bone marrow of rats were phenotypically and functionally equivalent to typical MSCs. Clinical examination revealed that BMSC transplantation reduced the 24-h urinary protein excretion, and serum creatinine and urea nitrogen levels. Renal morphology was ameliorated in BMSCs-transplanted rats. Mechanistically, BMSC transplantation significantly downregulated TIMP-1 and upregulated MMP9, thereby increasing the renal MMP9/TIMP-1 ratio. Moreover, BMSC transplantation also downregulated IL-6 and TNF-α. Conclusions BMSC transplantation can attenuate FSGS progression in a rat model of FSGS, thereby providing a theoretical foundation for the application of autologous BMSCs in clinical FSGS therapy.
first_indexed 2024-12-13T06:15:00Z
format Article
id doaj.art-d59522f6fcbd452a8305ee9d347ed7c0
institution Directory Open Access Journal
issn 1471-2369
language English
last_indexed 2024-12-13T06:15:00Z
publishDate 2018-11-01
publisher BMC
record_format Article
series BMC Nephrology
spelling doaj.art-d59522f6fcbd452a8305ee9d347ed7c02022-12-21T23:56:59ZengBMCBMC Nephrology1471-23692018-11-0119111010.1186/s12882-018-1137-5Bone marrow mesenchymal stem cells attenuate the progression of focal segmental glomerulosclerosis in rat modelsRu-chun Yang0Xiao-ling Zhu1Jun Wang2Feng Wan3Hua-qin Zhang4Yi Lin5Xuan-li Tang6Bin Zhu7Departmgent of Nephrology (Key laboratory of Zhejiang province, management of kidney disease), Hangzhou Hospital of Traditional Chinese MedicineDepartmgent of Nephrology (Key laboratory of Zhejiang province, management of kidney disease), Hangzhou Hospital of Traditional Chinese MedicineDepartmgent of Nephrology (Key laboratory of Zhejiang province, management of kidney disease), Hangzhou Hospital of Traditional Chinese MedicineDepartmgent of Nephrology (Key laboratory of Zhejiang province, management of kidney disease), Hangzhou Hospital of Traditional Chinese MedicineDepartmgent of Nephrology (Key laboratory of Zhejiang province, management of kidney disease), Hangzhou Hospital of Traditional Chinese MedicineDepartmgent of Nephrology (Key laboratory of Zhejiang province, management of kidney disease), Hangzhou Hospital of Traditional Chinese MedicineDepartmgent of Nephrology (Key laboratory of Zhejiang province, management of kidney disease), Hangzhou Hospital of Traditional Chinese MedicineDepartmgent of Nephrology (Key laboratory of Zhejiang province, management of kidney disease), Hangzhou Hospital of Traditional Chinese MedicineAbstract Background Focal segmental glomerulosclerosis (FSGS) is the most common glomerular etiology of end-stage kidney disease (ESKD). Increasing evidence has indicated the reparative potential of mesenchymal stem cells (MSCs) in damaged diseased kidneys. However, the effect of bone marrow mesenchymal stem cells (BMSCs) on the FSGS progression remains unclear. This study aimed to investigate the protective effects of BMSCs on FSGS progression. Methods A rat model of FSGS was generated via unilateral nephrectomy plus adriamycin injection. Rat BMSCs were isolated and characterized on the basis of their differentiative potential towards adipocytes and osteoblasts and via flow cytometry analysis. Thereafter, rat BMSCs were transplanted into FSGS recipients through the caudal vein. After 8 weeks, 24-h proteinuria, serum creatinine, and urea nitrogen levels were determined. Renal morphology was assessed using a light and transmission electron microscope. MMP9 and TIMP-1 positive cells were detected via immunohistochemical analysis. Expression levels of proinflammatory cytokines IL-6 and TNF-α were examined via RT-PCR. Results The isolated adherent cells from the bone marrow of rats were phenotypically and functionally equivalent to typical MSCs. Clinical examination revealed that BMSC transplantation reduced the 24-h urinary protein excretion, and serum creatinine and urea nitrogen levels. Renal morphology was ameliorated in BMSCs-transplanted rats. Mechanistically, BMSC transplantation significantly downregulated TIMP-1 and upregulated MMP9, thereby increasing the renal MMP9/TIMP-1 ratio. Moreover, BMSC transplantation also downregulated IL-6 and TNF-α. Conclusions BMSC transplantation can attenuate FSGS progression in a rat model of FSGS, thereby providing a theoretical foundation for the application of autologous BMSCs in clinical FSGS therapy.http://link.springer.com/article/10.1186/s12882-018-1137-5BMSCFSGSMMP9/TIMP-1Proinflammatory cytokinesRat
spellingShingle Ru-chun Yang
Xiao-ling Zhu
Jun Wang
Feng Wan
Hua-qin Zhang
Yi Lin
Xuan-li Tang
Bin Zhu
Bone marrow mesenchymal stem cells attenuate the progression of focal segmental glomerulosclerosis in rat models
BMC Nephrology
BMSC
FSGS
MMP9/TIMP-1
Proinflammatory cytokines
Rat
title Bone marrow mesenchymal stem cells attenuate the progression of focal segmental glomerulosclerosis in rat models
title_full Bone marrow mesenchymal stem cells attenuate the progression of focal segmental glomerulosclerosis in rat models
title_fullStr Bone marrow mesenchymal stem cells attenuate the progression of focal segmental glomerulosclerosis in rat models
title_full_unstemmed Bone marrow mesenchymal stem cells attenuate the progression of focal segmental glomerulosclerosis in rat models
title_short Bone marrow mesenchymal stem cells attenuate the progression of focal segmental glomerulosclerosis in rat models
title_sort bone marrow mesenchymal stem cells attenuate the progression of focal segmental glomerulosclerosis in rat models
topic BMSC
FSGS
MMP9/TIMP-1
Proinflammatory cytokines
Rat
url http://link.springer.com/article/10.1186/s12882-018-1137-5
work_keys_str_mv AT ruchunyang bonemarrowmesenchymalstemcellsattenuatetheprogressionoffocalsegmentalglomerulosclerosisinratmodels
AT xiaolingzhu bonemarrowmesenchymalstemcellsattenuatetheprogressionoffocalsegmentalglomerulosclerosisinratmodels
AT junwang bonemarrowmesenchymalstemcellsattenuatetheprogressionoffocalsegmentalglomerulosclerosisinratmodels
AT fengwan bonemarrowmesenchymalstemcellsattenuatetheprogressionoffocalsegmentalglomerulosclerosisinratmodels
AT huaqinzhang bonemarrowmesenchymalstemcellsattenuatetheprogressionoffocalsegmentalglomerulosclerosisinratmodels
AT yilin bonemarrowmesenchymalstemcellsattenuatetheprogressionoffocalsegmentalglomerulosclerosisinratmodels
AT xuanlitang bonemarrowmesenchymalstemcellsattenuatetheprogressionoffocalsegmentalglomerulosclerosisinratmodels
AT binzhu bonemarrowmesenchymalstemcellsattenuatetheprogressionoffocalsegmentalglomerulosclerosisinratmodels