PMID- 22837858 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20120823 LR - 20211021 IS - 2045-8940 (Electronic) IS - 2045-8932 (Print) IS - 2045-8932 (Linking) VI - 2 IP - 2 DP - 2012 Apr-Jun TI - Mesenchymal stem cell-mediated reversal of bronchopulmonary dysplasia and associated pulmonary hypertension. PG - 170-81 LID - 10.4103/2045-8932.97603 [doi] AB - Clinical trials have failed to demonstrate an effective preventative or therapeutic strategy for bronchopulmonary dysplasia (BPD), a multifactorial chronic lung disease in preterm infants frequently complicated by pulmonary hypertension (PH). Mesenchymal stem cells (MSCs) and their secreted components have been shown to prevent BPD and pulmonary fibrosis in rodent models. We hypothesized that treatment with conditioned media (CM) from cultured mouse bone marrow-derived MSCs could reverse hyperoxia-induced BPD and PH. Newborn mice were exposed to hyperoxia (FiO(2)=0.75) for two weeks, were then treated with one intravenous dose of CM from either MSCs or primary mouse lung fibroblasts (MLFs), and placed in room air for two to four weeks. Histological analysis of lungs harvested at four weeks of age was performed to determine the degree of alveolar injury, blood vessel number, and vascular remodeling. At age six weeks, pulmonary artery pressure (PA acceleration time) and right ventricular hypertrophy (RVH; RV wall thickness) were assessed by echocardiography, and pulmonary function tests were conducted. When compared to MLF-CM, a single dose of MSC-CM-treatment (1) reversed the hyperoxia-induced parenchymal fibrosis and peripheral PA devascularization (pruning), (2) partially reversed alveolar injury, (3) normalized lung function (airway resistance, dynamic lung compliance), (4) fully reversed the moderate PH and RVH, and (5) attenuated peripheral PA muscularization associated with hyperoxia-induced BPD. Reversal of key features of hyperoxia-induced BPD and its long-term adverse effects on lung function can be achieved by a single intravenous dose of MSC-CM, thereby pointing toward a new therapeutic intervention for chronic lung diseases. FAU - Hansmann, Georg AU - Hansmann G AD - Department of Pediatrics, Division of Newborn Medicine, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts, USA. FAU - Fernandez-Gonzalez, Angeles AU - Fernandez-Gonzalez A FAU - Aslam, Muhammad AU - Aslam M FAU - Vitali, Sally H AU - Vitali SH FAU - Martin, Thomas AU - Martin T FAU - Mitsialis, S Alex AU - Mitsialis SA FAU - Kourembanas, Stella AU - Kourembanas S LA - eng GR - P50 HL067669/HL/NHLBI NIH HHS/United States GR - R01 HL055454/HL/NHLBI NIH HHS/United States GR - R01 HL085446/HL/NHLBI NIH HHS/United States GR - T32 HD007466/HD/NICHD NIH HHS/United States PT - Journal Article PL - United States TA - Pulm Circ JT - Pulmonary circulation JID - 101557243 PMC - PMC3401871 OTO - NOTNLM OT - airway hyperresponsiveness OT - chronic lung disease of infancy OT - hyperoxia OT - lung injury OT - lung vascular pruning COIS- Conflict of Interest: None declared. EDAT- 2012/07/28 06:00 MHDA- 2012/07/28 06:01 PMCR- 2012/04/01 CRDT- 2012/07/28 06:00 PHST- 2012/07/28 06:00 [entrez] PHST- 2012/07/28 06:00 [pubmed] PHST- 2012/07/28 06:01 [medline] PHST- 2012/04/01 00:00 [pmc-release] AID - PC-2-170 [pii] AID - 10.4103/2045-8932.97603 [doi] PST - ppublish SO - Pulm Circ. 2012 Apr-Jun;2(2):170-81. doi: 10.4103/2045-8932.97603.