PMID- 29280872 OWN - NLM STAT- MEDLINE DCOM- 20180112 LR - 20230812 IS - 1529-4242 (Electronic) IS - 0032-1052 (Print) IS - 0032-1052 (Linking) VI - 141 IP - 1 DP - 2018 Jan TI - PHD-2 Suppression in Mesenchymal Stromal Cells Enhances Wound Healing. PG - 55e-67e LID - 10.1097/PRS.0000000000003959 [doi] AB - BACKGROUND: Cell therapy with mesenchymal stromal cells is a promising strategy for tissue repair. Restoration of blood flow to ischemic tissues is a key step in wound repair, and mesenchymal stromal cells have been shown to be proangiogenic. Angiogenesis is critically regulated by the hypoxia-inducible factor (HIF) superfamily, consisting of transcription factors targeted for degradation by prolyl hydroxylase domain (PHD)-2. The aim of this study was to enhance the proangiogenic capability of mesenchymal stromal cells and to use these modified cells to promote wound healing. METHODS: Mesenchymal stromal cells harvested from mouse bone marrow were transduced with short hairpin RNA (shRNA) against PHD-2; control cells were transduced with scrambled shRNA (shScramble) construct. Gene expression quantification, human umbilical vein endothelial cell tube formation assays, and wound healing assays were used to assess the effect of PHD knockdown mesenchymal stromal cells on wound healing dynamics. RESULTS: PHD-2 knockdown mesenchymal stromal cells overexpressed HIF-1alpha and multiple angiogenic factors compared to control (p < 0.05). Human umbilical vein endothelial cells treated with conditioned medium from PHD-2 knockdown mesenchymal stromal cells exhibited increased formation of capillary-like structures and enhanced migration compared with human umbilical vein endothelial cells treated with conditioned medium from shScramble-transduced mesenchymal stromal cells (p < 0.05). Wounds treated with PHD-2 knockdown mesenchymal stromal cells healed at a significantly accelerated rate compared with wounds treated with shScramble mesenchymal stromal cells (p < 0.05). Histologic studies revealed increased blood vessel density and increased cellularity in the wounds treated with PHD-2 knockdown mesenchymal stromal cells (p < 0.05). CONCLUSIONS: Silencing PHD-2 in mesenchymal stromal cells augments their proangiogenic potential in wound healing therapy. This effect appears to be mediated by overexpression of HIF family transcription factors and up-regulation of multiple downstream angiogenic factors. FAU - Ko, Sae Hee AU - Ko SH AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Nauta, Allison C AU - Nauta AC AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Morrison, Shane D AU - Morrison SD AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Hu, Michael S AU - Hu MS AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Zimmermann, Andrew S AU - Zimmermann AS AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Chung, Michael T AU - Chung MT AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Glotzbach, Jason P AU - Glotzbach JP AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Wong, Victor W AU - Wong VW AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Walmsley, Graham G AU - Walmsley GG AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Peter Lorenz, H AU - Peter Lorenz H AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Chan, Denise A AU - Chan DA AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Gurtner, Geoffrey C AU - Gurtner GC AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Giaccia, Amato J AU - Giaccia AJ AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. FAU - Longaker, Michael T AU - Longaker MT AD - Stanford, San Diego, and San Francisco, Calif.; Portland, Ore.; and New York, N.Y. AD - From the Hagey Laboratory for Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, the Department of Radiation Oncology, and the Institute of Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine; the Division of Vascular Surgery, Department of Surgery, University of California, San Diego; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Sciences University; the Division of Cardiothoracic Surgery, Department of Surgery, New York Presbyterian Hospital; and the Department of Radiation Oncology, University of California, San Francisco. LA - eng GR - R01 GM087609/GM/NIGMS NIH HHS/United States GR - U01 HL099776/HL/NHLBI NIH HHS/United States GR - R00 AG049958/AG/NIA NIH HHS/United States GR - R56 DK074095/DK/NIDDK NIH HHS/United States GR - R01 DE019434/DE/NIDCR NIH HHS/United States GR - R01 DE021683/DE/NIDCR NIH HHS/United States GR - R01 DK074095/DK/NIDDK NIH HHS/United States GR - R01 CA088480/CA/NCI NIH HHS/United States GR - R37 CA088480/CA/NCI NIH HHS/United States PT - Journal Article PL - United States TA - Plast Reconstr Surg JT - Plastic and reconstructive surgery JID - 1306050 RN - 0 (Biomarkers) RN - 0 (Hif1a protein, mouse) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - EC 1.14.11.29 (Egln1 protein, mouse) RN - EC 1.14.11.29 (Hypoxia-Inducible Factor-Proline Dioxygenases) SB - IM MH - Animals MH - Biomarkers/metabolism MH - Blotting, Western MH - Enzyme-Linked Immunosorbent Assay MH - Gene Knockdown Techniques MH - *Gene Silencing MH - Human Umbilical Vein Endothelial Cells/physiology MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/metabolism MH - Hypoxia-Inducible Factor-Proline Dioxygenases/*genetics MH - Male MH - *Mesenchymal Stem Cell Transplantation MH - Mesenchymal Stem Cells/*physiology MH - Mice MH - Mice, Inbred C57BL MH - Neovascularization, Physiologic/*physiology MH - Random Allocation MH - Reverse Transcriptase Polymerase Chain Reaction MH - Up-Regulation MH - Wound Healing/*physiology PMC - PMC5747314 MID - NIHMS902095 EDAT- 2017/12/28 06:00 MHDA- 2018/01/13 06:00 PMCR- 2019/01/01 CRDT- 2017/12/28 06:00 PHST- 2017/12/28 06:00 [entrez] PHST- 2017/12/28 06:00 [pubmed] PHST- 2018/01/13 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 00006534-201801000-00024 [pii] AID - 10.1097/PRS.0000000000003959 [doi] PST - ppublish SO - Plast Reconstr Surg. 2018 Jan;141(1):55e-67e. doi: 10.1097/PRS.0000000000003959.