PMID- 28276602 OWN - NLM STAT- MEDLINE DCOM- 20180223 LR - 20220414 IS - 1549-4918 (Electronic) IS - 1066-5099 (Print) IS - 1066-5099 (Linking) VI - 35 IP - 6 DP - 2017 Jun TI - Multifactorial Experimental Design to Optimize the Anti-Inflammatory and Proangiogenic Potential of Mesenchymal Stem Cell Spheroids. PG - 1493-1504 LID - 10.1002/stem.2606 [doi] AB - Mesenchymal stem cell therapies promote wound healing by manipulating the local environment to enhance the function of host cells. Aggregation of mesenchymal stem cells (MSCs) into three-dimensional spheroids increases cell survival and augments their anti-inflammatory and proangiogenic potential, yet there is no consensus on the preferred conditions for maximizing spheroid function in this application. The objective of this study was to optimize conditions for forming MSC spheroids that simultaneously enhance their anti-inflammatory and proangiogenic nature. We applied a design of experiments (DOE) approach to determine the interaction between three input variables (number of cells per spheroid, oxygen tension, and inflammatory stimulus) on MSC spheroids by quantifying secretion of prostaglandin E(2) (PGE(2) ) and vascular endothelial growth factor (VEGF), two potent molecules in the MSC secretome. DOE results revealed that MSC spheroids formed with 40,000 cells per spheroid in 1% oxygen with an inflammatory stimulus (Spheroid 1) would exhibit enhanced PGE(2) and VEGF production versus those formed with 10,000 cells per spheroid in 21% oxygen with no inflammatory stimulus (Spheroid 2). Compared to Spheroid 2, Spheroid 1 produced fivefold more PGE(2) and fourfold more VEGF, providing the opportunity to simultaneously upregulate the secretion of these factors from the same spheroid. The spheroids induced macrophage polarization, sprout formation with endothelial cells, and keratinocyte migration in a human skin equivalent model-demonstrating efficacy on three key cell types that are dysfunctional in chronic non-healing wounds. We conclude that DOE-based analysis effectively identifies optimal culture conditions to enhance the anti-inflammatory and proangiogenic potential of MSC spheroids. Stem Cells 2017;35:1493-1504. CI - (c) 2017 AlphaMed Press. FAU - Murphy, Kaitlin C AU - Murphy KC AD - Department of Biomedical Engineering, University of California Davis, Davis, California, USA. FAU - Whitehead, Jacklyn AU - Whitehead J AD - Department of Biomedical Engineering, University of California Davis, Davis, California, USA. FAU - Falahee, Patrick C AU - Falahee PC AD - Department of Biomedical Engineering, University of California Davis, Davis, California, USA. FAU - Zhou, Dejie AU - Zhou D AD - Department of Biomedical Engineering, University of California Davis, Davis, California, USA. FAU - Simon, Scott I AU - Simon SI AD - Department of Biomedical Engineering, University of California Davis, Davis, California, USA. FAU - Leach, J Kent AU - Leach JK AUID- ORCID: 0000-0002-1673-3335 AD - Department of Biomedical Engineering, University of California Davis, Davis, California, USA. AD - Department of Orthopaedic Surgery, School of Medicine, University of California Davis, Sacramento, California, USA. LA - eng GR - R01 AI047294/AI/NIAID NIH HHS/United States GR - R01 AI129302/AI/NIAID NIH HHS/United States GR - R01 DE025475/DE/NIDCR NIH HHS/United States PT - Journal Article DEP - 20170327 PL - England TA - Stem Cells JT - Stem cells (Dayton, Ohio) JID - 9304532 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Culture Media, Conditioned) RN - 0 (NF-kappa B) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Anti-Inflammatory Agents/*metabolism MH - Cell Polarity/drug effects MH - Cell Size/drug effects MH - Cellular Microenvironment/drug effects MH - Colony-Forming Units Assay MH - Culture Media, Conditioned/pharmacology MH - Humans MH - Macrophage Activation/drug effects MH - Mesenchymal Stem Cells/cytology/drug effects/*metabolism MH - NF-kappa B/metabolism MH - *Neovascularization, Physiologic/drug effects MH - Phenotype MH - Reproducibility of Results MH - Research Design MH - Signal Transduction/drug effects MH - Skin, Artificial MH - Spheroids, Cellular/cytology/drug effects/*metabolism MH - Tumor Necrosis Factor-alpha/metabolism MH - Wound Healing/drug effects PMC - PMC5446296 MID - NIHMS857404 OTO - NOTNLM OT - Design of experiments OT - Inflammation OT - Mesenchymal stem cell OT - Proangiogenic OT - Prostaglandin E2 COIS- DISCLOSURE STATEMENT The authors indicate no potential conflicts of interest. EDAT- 2017/03/10 06:00 MHDA- 2018/02/24 06:00 PMCR- 2018/06/01 CRDT- 2017/03/10 06:00 PHST- 2015/11/13 00:00 [received] PHST- 2017/02/13 00:00 [revised] PHST- 2017/02/19 00:00 [accepted] PHST- 2017/03/10 06:00 [pubmed] PHST- 2018/02/24 06:00 [medline] PHST- 2017/03/10 06:00 [entrez] PHST- 2018/06/01 00:00 [pmc-release] AID - 10.1002/stem.2606 [doi] PST - ppublish SO - Stem Cells. 2017 Jun;35(6):1493-1504. doi: 10.1002/stem.2606. Epub 2017 Mar 27.