PMID- 36012176 OWN - NLM STAT- MEDLINE DCOM- 20220829 LR - 20230308 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 16 DP - 2022 Aug 10 TI - Reduction of Emphysema Severity by Human Umbilical Cord-Derived Mesenchymal Stem Cells in Mice. LID - 10.3390/ijms23168906 [doi] LID - 8906 AB - Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality in chronic lung disease patients throughout the world. Mesenchymal stem cells (MSCs) have been shown to regulate immunomodulatory, anti-inflammatory, and regenerative responses. However, the effects of human-umbilical-cord-derived mesenchymal stem cells (hUC-MSCs) on the lung pathophysiology of COPD remain unclear. We aimed to investigate the role of hUC-MSCs in emphysema severity and Yes-associated protein (Yap) phosphorylation (p-Yap) in a porcine-pancreatic-elastase (PPE)-induced emphysema model. We observed that the emphysema percentages (normalized to the total lung volume) measured by chest computed tomography (CT) and exercise oxygen desaturation were significantly reduced by hUC-MSCs at 107 cells/kg body weight (BW) via intravenous administration in emphysematous mice (p < 0.05). Consistently, the emphysema index, as assessed by the mean linear intercept (MLI), significantly decreased with hUC-MSC administration at 3 x 106 and 107 cells/kg BW (p < 0.05). Changes in the lymphocytes, monocytes, and splenic cluster of differentiation 4-positive (CD4+) lymphocytes by PPE were significantly reversed by hUC-MSC administration in emphysematous mice (p < 0.05). An increasing neutrophil/lymphocyte ratio was reduced by hUC-MSCs at 3 x 106 and 107 cells/kg BW (p < 0.05). The higher levels of tumor necrosis factor (TNF)-alpha, keratinocyte chemoattractant (KC), and lactate dehydrogenase (LDH) in bronchoalveolar lavage fluid (BALF) were significantly decreased by hUC-MSC administration (p < 0.05). A decreasing p-Yap/Yap ratio in type II alveolar epithelial cells (AECII) of mice with PPE-induced emphysema was significantly increased by hUC-MSCs (p < 0.05). In conclusion, the administration of hUC-MSCs improved multiple pathophysiological features of mice with PPE-induced emphysema. The effectiveness of the treatment of pulmonary emphysema with hUC-MSCs provides an essential and significant foundation for future clinical studies of MSCs in COPD patients. FAU - Laiman, Vincent AU - Laiman V AD - International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan. AD - Department of Anatomical Pathology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada-Dr. Sardjito Hospital, Yogyakarta 55281, Indonesia. FAU - Lee, Yueh-Lun AU - Lee YL AD - Department of Microbiology and Immunology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan. FAU - Hou, Yu-Wei AU - Hou YW AD - School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei 110, Taiwan. FAU - Fang, Yu-Ting AU - Fang YT AD - Department of Biomedical Engineering, National Yang Ming Chiao Tung University, Taipei 112, Taiwan. FAU - Chen, You-Yin AU - Chen YY AUID- ORCID: 0000-0003-4869-3857 AD - Department of Biomedical Engineering, National Yang Ming Chiao Tung University, Taipei 112, Taiwan. FAU - Lo, Yu-Chun AU - Lo YC AD - Ph.D. Program for Neural Regenerative Medicine, College of Medical Science and Technology, Taipei Medical University, Taipei 110, Taiwan. FAU - Heriyanto, Didik Setyo AU - Heriyanto DS AD - Department of Anatomical Pathology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada-Dr. Sardjito Hospital, Yogyakarta 55281, Indonesia. FAU - Lan, Shu-Chi AU - Lan SC AD - School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei 110, Taiwan. FAU - Chen, Chia-Ling AU - Chen CL AD - School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei 110, Taiwan. FAU - Chen, Xiao-Yue AU - Chen XY AD - School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei 110, Taiwan. AD - Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei 110, Taiwan. FAU - Lee, Kang-Yun AU - Lee KY AD - Division of Pulmonary Medicine, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan. AD - Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235, Taiwan. FAU - Chang, Jer-Hwa AU - Chang JH AUID- ORCID: 0000-0002-1306-2089 AD - School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei 110, Taiwan. AD - Division of Pulmonary Medicine, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taipei 110, Taiwan. FAU - Chuang, Hsiao-Chi AU - Chuang HC AUID- ORCID: 0000-0003-4651-5192 AD - School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei 110, Taiwan. AD - Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei 110, Taiwan. AD - Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235, Taiwan. AD - Cell Physiology and Molecular Image Research Center, Wan Fang Hospital, Taipei Medical University, Taipei 110, Taiwan. LA - eng GR - DP2-110-21121-01-O-08/Ministry of Education/ GR - 109-2314-B-038-093-MY3/Ministry of Science and Technology of Taiwan/ PT - Journal Article DEP - 20220810 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - EC 3.4.21.36 (Pancreatic Elastase) SB - IM MH - Animals MH - *Emphysema/metabolism MH - Humans MH - *Mesenchymal Stem Cell Transplantation MH - *Mesenchymal Stem Cells/metabolism MH - Mice MH - Pancreatic Elastase/metabolism MH - *Pulmonary Disease, Chronic Obstructive/pathology MH - *Pulmonary Emphysema/metabolism/therapy MH - Swine MH - Umbilical Cord PMC - PMC9408173 OTO - NOTNLM OT - COPD OT - emphysema OT - hippo pathway OT - inflammation OT - lungs COIS- The authors declare that they have no competing interest. EDAT- 2022/08/27 06:00 MHDA- 2022/08/30 06:00 PMCR- 2022/08/10 CRDT- 2022/08/26 01:22 PHST- 2022/07/15 00:00 [received] PHST- 2022/08/02 00:00 [revised] PHST- 2022/08/06 00:00 [accepted] PHST- 2022/08/26 01:22 [entrez] PHST- 2022/08/27 06:00 [pubmed] PHST- 2022/08/30 06:00 [medline] PHST- 2022/08/10 00:00 [pmc-release] AID - ijms23168906 [pii] AID - ijms-23-08906 [pii] AID - 10.3390/ijms23168906 [doi] PST - epublish SO - Int J Mol Sci. 2022 Aug 10;23(16):8906. doi: 10.3390/ijms23168906.