PMID- 32339220 OWN - NLM STAT- MEDLINE DCOM- 20220104 LR - 20240226 IS - 1755-3245 (Electronic) IS - 0008-6363 (Print) IS - 0008-6363 (Linking) VI - 117 IP - 3 DP - 2021 Feb 22 TI - Ex vivo Ikkbeta ablation rescues the immunopotency of mesenchymal stromal cells from diabetics with advanced atherosclerosis. PG - 756-766 LID - 10.1093/cvr/cvaa118 [doi] AB - AIMS: Diabetes is a conventional risk factor for atherosclerotic cardiovascular disease and myocardial infarction (MI) is the most common cause of death among these patients. Mesenchymal stromal cells (MSCs) in patients with type 2 diabetes mellitus (T2DM) and atherosclerosis have impaired ability to suppress activated T-cells (i.e. reduced immunopotency). This is mediated by an inflammatory shift in MSC-secreted soluble factors (i.e. pro-inflammatory secretome) and can contribute to the reduced therapeutic effects of autologous T2DM and atherosclerosis-MSC post-MI. The signalling pathways driving the altered secretome of atherosclerosis- and T2DM-MSC are unknown. Specifically, the effect of IkappaB kinase beta (IKKbeta) modulation, a key regulator of inflammatory responses, on the immunopotency of MSCs from T2DM patients with advanced atherosclerosis has not been studied. METHODS AND RESULTS: MSCs were isolated from adipose tissue obtained from patients with (i) atherosclerosis and T2DM (atherosclerosis+T2DM MSCs, n = 17) and (ii) atherosclerosis without T2DM (atherosclerosis MSCs, n = 17). MSCs from atherosclerosis+T2DM individuals displayed an inflammatory senescent phenotype and constitutively expressed active forms of effectors of the canonical IKKbeta nuclear factor-kappaB transcription factors inflammatory pathway. Importantly, this constitutive pro-inflammatory IKKbeta signature resulted in an altered secretome and impaired in vitro immunopotency and in vivo healing capacity in an acute MI model. Notably, treatment with a selective IKKbeta inhibitor or IKKbeta knockdown (KD) (clustered regularly interspaced short palindromic repeats/Cas9-mediated IKKbeta KD) in atherosclerosis+T2DM MSCs reduced the production of pro-inflammatory secretome, increased survival, and rescued their immunopotency both in vitro and in vivo. CONCLUSIONS: Constitutively active IKKbeta reduces the immunopotency of atherosclerosis+T2DM MSC by changing their secretome composition. Modulation of IKKbeta in atherosclerosis+T2DM MSCs enhances their myocardial repair ability. CI - Published on behalf of the European Society of Cardiology. All rights reserved. (c) The Author(s) 2020. For permissions, please email: journals.permissions@oup.com. FAU - Kizilay Mancini, Ozge AU - Kizilay Mancini O AD - Faculty of Pharmacy, University of Montreal, C.P. 6128, Succursale Centre-Ville, Montreal, QC H3C 3J7, Canada. FAU - Huynh, David N AU - Huynh DN AD - Faculty of Pharmacy, University of Montreal, C.P. 6128, Succursale Centre-Ville, Montreal, QC H3C 3J7, Canada. FAU - Menard, Liliane AU - Menard L AD - Faculty of Pharmacy, University of Montreal, C.P. 6128, Succursale Centre-Ville, Montreal, QC H3C 3J7, Canada. FAU - Shum-Tim, Dominique AU - Shum-Tim D AD - Division of Cardiac Surgery Department of Surgery, McGill University, Montreal, QC H4A 3J1, Canada. AD - Division of Surgical Research, Department of Surgery, McGill University, Montreal, QC H4A 3J1, Canada. FAU - Ong, Huy AU - Ong H AD - Faculty of Pharmacy, University of Montreal, C.P. 6128, Succursale Centre-Ville, Montreal, QC H3C 3J7, Canada. FAU - Marleau, Sylvie AU - Marleau S AD - Faculty of Pharmacy, University of Montreal, C.P. 6128, Succursale Centre-Ville, Montreal, QC H3C 3J7, Canada. FAU - Colmegna, Ines AU - Colmegna I AD - Division of Rheumatology, Department of Medicine, McGill University, Montreal, QC H4A 3J1, Canada. FAU - Servant, Marc J AU - Servant MJ AD - Faculty of Pharmacy, University of Montreal, C.P. 6128, Succursale Centre-Ville, Montreal, QC H3C 3J7, Canada. LA - eng GR - MOP-123482/CIHR/Canada GR - MOP 125857/CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Cardiovasc Res JT - Cardiovascular research JID - 0077427 RN - 0 (Inflammation Mediators) RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.11.10 (I-kappa B Kinase) RN - EC 2.7.11.10 (IKBKB protein, human) SB - IM MH - Aged MH - Animals MH - Atherosclerosis/*enzymology/genetics/immunology MH - Case-Control Studies MH - Cell Proliferation MH - Cells, Cultured MH - Cellular Senescence MH - Coculture Techniques MH - Diabetes Mellitus, Type 2/*enzymology/genetics/immunology MH - Disease Models, Animal MH - Female MH - Humans MH - I-kappa B Kinase/antagonists & inhibitors/genetics/*metabolism MH - Inflammation Mediators/*metabolism MH - Lymphocyte Activation MH - Male MH - Mesenchymal Stem Cell Transplantation MH - Mesenchymal Stem Cells/drug effects/*enzymology/immunology MH - Mice, Inbred C57BL MH - Middle Aged MH - Myocardial Infarction/enzymology/immunology/surgery MH - Phenotype MH - Protein Kinase Inhibitors/pharmacology MH - Secretome MH - Signal Transduction MH - T-Lymphocytes/immunology/metabolism MH - Mice PMC - PMC7898947 OTO - NOTNLM OT - IKK beta signalling OT - Immunopotency OT - Inflammation OT - Mesenchymal stromal cells EDAT- 2020/04/28 06:00 MHDA- 2022/01/05 06:00 PMCR- 2021/07/01 CRDT- 2020/04/28 06:00 PHST- 2020/03/25 00:00 [received] PHST- 2020/04/16 00:00 [revised] PHST- 2020/04/21 00:00 [accepted] PHST- 2020/04/28 06:00 [pubmed] PHST- 2022/01/05 06:00 [medline] PHST- 2020/04/28 06:00 [entrez] PHST- 2021/07/01 00:00 [pmc-release] AID - 5825728 [pii] AID - cvaa118 [pii] AID - 10.1093/cvr/cvaa118 [doi] PST - ppublish SO - Cardiovasc Res. 2021 Feb 22;117(3):756-766. doi: 10.1093/cvr/cvaa118.