PMID- 33726829 OWN - NLM STAT- MEDLINE DCOM- 20210708 LR - 20240331 IS - 1757-6512 (Electronic) IS - 1757-6512 (Linking) VI - 12 IP - 1 DP - 2021 Mar 16 TI - Gene engineered mesenchymal stem cells: greater transgene expression and efficacy with minicircle vs. plasmid DNA vectors in a mouse model of acute lung injury. PG - 184 LID - 10.1186/s13287-021-02245-5 [doi] LID - 184 AB - BACKGROUND: Acute lung injury (ALI) and in its severe form, acute respiratory distress syndrome (ARDS), results in increased pulmonary vascular inflammation and permeability and is a major cause of mortality in many critically ill patients. Although cell-based therapies have shown promise in experimental ALI, strategies are needed to enhance the potency of mesenchymal stem cells (MSCs) to develop more effective treatments. Genetic modification of MSCs has been demonstrated to significantly improve the therapeutic benefits of these cells; however, the optimal vector for gene transfer is not clear. Given the acute nature of ARDS, transient transfection is desirable to avoid off-target effects of long-term transgene expression, as well as the potential adverse consequences of genomic integration. METHODS: Here, we explored whether a minicircle DNA (MC) vector containing human angiopoietin 1 (MC-ANGPT1) can provide a more effective platform for gene-enhanced MSC therapy of ALI/ARDS. RESULTS: At 24 h after transfection, nuclear-targeted electroporation using an MC-ANGPT1 vector resulted in a 3.7-fold greater increase in human ANGPT1 protein in MSC conditioned media compared to the use of a plasmid ANGPT1 (pANGPT1) vector (2048 +/- 567 pg/mL vs. 552.1 +/- 33.5 pg/mL). In the lipopolysaccharide (LPS)-induced ALI model, administration of pANGPT1 transfected MSCs significantly reduced bronchoalveolar lavage (BAL) neutrophil counts by 57%, while MC-ANGPT1 transfected MSCs reduced it by 71% (p < 0.001) by Holm-Sidak's multiple comparison test. Moreover, compared to pANGPT1, the MC-ANGPT1 transfected MSCs significantly reduced pulmonary inflammation, as observed in decreased levels of proinflammatory cytokines, such as tumor necrosis factor-alpha (TNF-alpha), interferon-gamma (IFN-gamma), interleukin-6 (IL-6), monocyte chemoattractant protein-1 (MCP-1), and macrophage inflammatory protein-2 (MIP-2). pANGPT1-transfected MSCs significantly reduced BAL albumin levels by 71%, while MC-ANGPT1-transfected MSCs reduced it by 85%. CONCLUSIONS: Overall, using a minicircle vector, we demonstrated an efficient and sustained expression of the ANGPT1 transgene in MSCs and enhanced the therapeutic effect on the ALI model compared to plasmid. These results support the potential benefits of MC-ANGPT1 gene enhancement of MSC therapy to treat ARDS. FAU - Florian, Maria AU - Florian M AD - Ottawa Hospital Research Institute, Ottawa, ON, Canada. FAU - Wang, Jia-Pey AU - Wang JP AD - Ottawa Hospital Research Institute, Ottawa, ON, Canada. FAU - Deng, Yupu AU - Deng Y AD - Ottawa Hospital Research Institute, Ottawa, ON, Canada. FAU - Souza-Moreira, Luciana AU - Souza-Moreira L AD - Ottawa Hospital Research Institute, Ottawa, ON, Canada. FAU - Stewart, Duncan J AU - Stewart DJ AD - Ottawa Hospital Research Institute, Ottawa, ON, Canada. AD - The Ottawa Hospital, Ottawa, ON, Canada. AD - University of Ottawa, Ottawa, ON, Canada. FAU - Mei, Shirley H J AU - Mei SHJ AUID- ORCID: 0000-0003-4727-1177 AD - Ottawa Hospital Research Institute, Ottawa, ON, Canada. smei@ohri.ca. LA - eng GR - MOP57726/CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210316 PL - England TA - Stem Cell Res Ther JT - Stem cell research & therapy JID - 101527581 RN - 0 (Lipopolysaccharides) SB - IM MH - *Acute Lung Injury/genetics/therapy MH - Humans MH - Lipopolysaccharides MH - Lung MH - *Mesenchymal Stem Cell Transplantation MH - *Mesenchymal Stem Cells MH - Mice MH - Transgenes MH - Animals PMC - PMC7962085 OTO - NOTNLM OT - Acute lung injury OT - Acute respiratory distress syndrome OT - Mesenchymal stem cell OT - Minicircle COIS- The funding institution had no role in the conception, design or conduct of the study, data collection or analysis, interpretation or presentation of the data, or preparation, review, or approval of the manuscript. We would also like to declare the following conflicts of interest: DJS holds a patent for MSC therapy for the treatment of acute lung injury and SHJM and YD have received personal fees from Northern Therapeutics Inc. that are outside of this submitted work. The remaining authors have disclosed that they do not have any conflicts of interest. EDAT- 2021/03/18 06:00 MHDA- 2021/07/09 06:00 PMCR- 2021/03/16 CRDT- 2021/03/17 05:48 PHST- 2020/10/13 00:00 [received] PHST- 2021/02/25 00:00 [accepted] PHST- 2021/03/17 05:48 [entrez] PHST- 2021/03/18 06:00 [pubmed] PHST- 2021/07/09 06:00 [medline] PHST- 2021/03/16 00:00 [pmc-release] AID - 10.1186/s13287-021-02245-5 [pii] AID - 2245 [pii] AID - 10.1186/s13287-021-02245-5 [doi] PST - epublish SO - Stem Cell Res Ther. 2021 Mar 16;12(1):184. doi: 10.1186/s13287-021-02245-5.