PMID- 25108650 OWN - NLM STAT- MEDLINE DCOM- 20150416 LR - 20220408 IS - 1477-2566 (Electronic) IS - 1465-3249 (Linking) VI - 16 IP - 9 DP - 2014 Sep TI - Human umbilical cord mesenchymal stromal cells rescue mice from acetaminophen-induced acute liver failure. PG - 1207-19 LID - S1465-3249(14)00636-7 [pii] LID - 10.1016/j.jcyt.2014.05.018 [doi] AB - BACKGROUND AIMS: Acute liver failure (ALF), a life-threatening disease characterized by the sudden loss of hepatic function, can occur after an accidental or intentional acetaminophen overdose. METHODS: With the use of an ALF mouse model, we examined both the preventive and therapeutic potential of intravenously administered human umbilical cord-derived mesenchymal stromal cells (hUCMSCs). Primary hUCMSCs were purified from freshly collected full-term umbilical cords and intravenously transplanted into BALB/c mice either before and after ALF induced by acetaminophen intoxication. We found that hUCMSCs significantly improved survival rates and relative liver weight of mice in both pre-ALF and post-ALF animals. Correspondingly, serum levels of markers that reflect hepatic injury (ie, aspartate aminotransferase, alanine aminotransferase and total bilirubin) were significantly attenuated in the group receiving hUCMSC therapy. RESULTS: Mechanistically, we found that the protective potential of intravenously administered hUCMSCs was mediated by paracrine pathways that involved antioxidants (glutathione, superoxide dismutase), the reduction of inflammatory agents (tumor necrosis factor-alpha, interleukin-6) and elevated serum levels of hepatocyte growth factor. CONCLUSIONS: Through these paracrine effects, intravenously administered hUCMSCs reduced hepatic necrosis/apoptosis and enhanced liver regeneration. Thus, our data demonstrate that intravenously administered hUCMSCs may be useful in the prevention or treatment of acetaminophen-induced ALF. CI - Copyright (c) 2014 International Society for Cellular Therapy. Published by Elsevier Inc. All rights reserved. FAU - Liu, Zongcai AU - Liu Z AD - Shenzhen Beike Cell Engineering Research Institute, Yuanxing Science and Technology Building, Nanshan, Shenzhen, PR China. FAU - Meng, Fanwei AU - Meng F AD - Shenzhen Beike Cell Engineering Research Institute, Yuanxing Science and Technology Building, Nanshan, Shenzhen, PR China. FAU - Li, Chan AU - Li C AD - Shenzhen Beike Cell Engineering Research Institute, Yuanxing Science and Technology Building, Nanshan, Shenzhen, PR China. FAU - Zhou, Xin AU - Zhou X AD - Shenzhen Beike Cell Engineering Research Institute, Yuanxing Science and Technology Building, Nanshan, Shenzhen, PR China. FAU - Zeng, Xiaoping AU - Zeng X AD - Shenzhen Beike Cell Engineering Research Institute, Yuanxing Science and Technology Building, Nanshan, Shenzhen, PR China. FAU - He, Yixin AU - He Y AD - Shenzhen Beike Cell Engineering Research Institute, Yuanxing Science and Technology Building, Nanshan, Shenzhen, PR China. FAU - Mrsny, Randall J AU - Mrsny RJ AD - GMR Epigenetics, Palo Alto, California, USA; Department of Pharmacy & Pharmacology, University of Bath, Bath, England. FAU - Liu, Muyun AU - Liu M AD - Shenzhen Beike Cell Engineering Research Institute, Yuanxing Science and Technology Building, Nanshan, Shenzhen, PR China. FAU - Hu, Xiang AU - Hu X AD - Shenzhen Beike Cell Engineering Research Institute, Yuanxing Science and Technology Building, Nanshan, Shenzhen, PR China. FAU - Hu, Ji-Fan AU - Hu JF AD - VA Palo Alto Health Care System, Stanford University Medical School, Palo Alto, California, USA; GMR Epigenetics, Palo Alto, California, USA. Electronic address: jifan@stanford.edu. FAU - Li, Tao AU - Li T AD - Shenzhen Beike Cell Engineering Research Institute, Yuanxing Science and Technology Building, Nanshan, Shenzhen, PR China. Electronic address: litao@beike.cc. LA - eng GR - 1R43 CA103553-01/CA/NCI NIH HHS/United States GR - R01 DK056754-11A1/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - England TA - Cytotherapy JT - Cytotherapy JID - 100895309 RN - 362O9ITL9D (Acetaminophen) RN - EC 2.6.1.1 (Aspartate Aminotransferases) RN - EC 2.6.1.2 (Alanine Transaminase) RN - RFM9X3LJ49 (Bilirubin) SB - IM MH - Acetaminophen/administration & dosage/*toxicity MH - Administration, Intravenous MH - Alanine Transaminase/blood MH - Animals MH - Aspartate Aminotransferases/blood MH - Bilirubin/blood MH - Cell Differentiation MH - Cells, Cultured MH - Disease Models, Animal MH - Humans MH - Liver/*metabolism/pathology MH - Liver Failure, Acute/chemically induced/*therapy MH - Male MH - *Mesenchymal Stem Cell Transplantation MH - Mesenchymal Stem Cells/*physiology MH - Mice, Inbred BALB C MH - Umbilical Cord/cytology OTO - NOTNLM OT - acute liver failure OT - anti-inflammation OT - antioxidants OT - apoptosis OT - hepatic regeneration OT - umbilical cord mesenchymal stromal cells EDAT- 2014/08/12 06:00 MHDA- 2015/04/17 06:00 CRDT- 2014/08/11 06:00 PHST- 2013/10/21 00:00 [received] PHST- 2014/04/25 00:00 [revised] PHST- 2014/05/20 00:00 [accepted] PHST- 2014/08/11 06:00 [entrez] PHST- 2014/08/12 06:00 [pubmed] PHST- 2015/04/17 06:00 [medline] AID - S1465-3249(14)00636-7 [pii] AID - 10.1016/j.jcyt.2014.05.018 [doi] PST - ppublish SO - Cytotherapy. 2014 Sep;16(9):1207-19. doi: 10.1016/j.jcyt.2014.05.018.