PMID- 36707501 OWN - NLM STAT- MEDLINE DCOM- 20230131 LR - 20230324 IS - 2041-4889 (Electronic) VI - 14 IP - 1 DP - 2023 Jan 28 TI - Interleukin-18-primed human umbilical cord-mesenchymal stem cells achieve superior therapeutic efficacy for severe viral pneumonia via enhancing T-cell immunosuppression. PG - 66 LID - 10.1038/s41419-023-05597-3 [doi] LID - 66 AB - Coronavirus disease 2019 (COVID-19) treatments are still urgently needed for critically and severely ill patients. Human umbilical cord-mesenchymal stem cells (hUC-MSCs) infusion has therapeutic benefits in COVID-19 patients; however, uncertain therapeutic efficacy has been reported in severe patients. In this study, we selected an appropriate cytokine, IL-18, based on the special cytokine expression profile in severe pneumonia of mice induced by H1N1virus to prime hUC-MSCs in vitro and improve the therapeutic effect of hUC-MSCs in vivo. In vitro, we demonstrated that IL-18-primed hUC-MSCs (IL18-hUCMSC) have higher proliferative ability than non-primed hUC-MSCs (hUCMSCcon). In addition, VCAM-1, MMP-1, TGF-beta1, and some chemokines (CCL2 and CXCL12 cytokines) are more highly expressed in IL18-hUCMSCs. We found that IL18-hUCMSC significantly enhanced the immunosuppressive effect on CD3(+) T-cells. In vivo, we demonstrated that IL18-hUCMSC infusion could reduce the body weight loss caused by a viral infection and significantly improve the survival rate. Of note, IL18-hUCMSC can also significantly attenuate certain clinical symptoms, including reduced activity, ruffled fur, hunched backs, and lung injuries. Pathologically, IL18-hUCMSC transplantation significantly enhanced the inhibition of inflammation, viral load, fibrosis, and cell apoptosis in acute lung injuries. Notably, IL18-hUCMSC treatment has a superior inhibitory effect on T-cell exudation and proinflammatory cytokine secretion in bronchoalveolar lavage fluid (BALF). Altogether, IL-18 is a promising cytokine that can prime hUC-MSCs to improve the efficacy of precision therapy against viral-induced pneumonia, such as COVID-19. CI - (c) 2023. The Author(s). FAU - Liao, Yan AU - Liao Y AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. FAU - Fu, Zeqin AU - Fu Z AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. FAU - Huang, Yinfu AU - Huang Y AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. FAU - Wu, Shiduo AU - Wu S AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. FAU - Wang, Zhen AU - Wang Z AD - College of Veterinary Medicine, South China Agricultural University, Guangzhou, 510642, China. FAU - Ye, Shaotang AU - Ye S AD - College of Veterinary Medicine, South China Agricultural University, Guangzhou, 510642, China. FAU - Zeng, Weijie AU - Zeng W AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. FAU - Zeng, Guifang AU - Zeng G AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. FAU - Li, Duanduan AU - Li D AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. FAU - Yang, Yulin AU - Yang Y AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. FAU - Pei, Ke AU - Pei K AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. FAU - Yang, Jian AU - Yang J AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. FAU - Hu, Zhiwei AU - Hu Z AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. FAU - Liang, Xiao AU - Liang X AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. FAU - Hu, Junyuan AU - Hu J AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. hujunyuan2020@163.com. FAU - Liu, Muyun AU - Liu M AD - National-Local Associated Engineering Laboratory for Personalized Cell Therapy, Shenzhen, 518054, China. liumuyun@nlelpct.com. FAU - Jin, Juan AU - Jin J AD - Department of Nephrology, the First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), Hangzhou, 310000, China. lang_018@163.com. FAU - Cai, Cheguo AU - Cai C AUID- ORCID: 0000-0002-3712-1696 AD - Shenzhen Beike Biotechnology Co., Ltd, Shenzhen, 518054, China. cheguo_cai@whu.edu.cn. AD - Key Laboratory of Systems Health Science of Zhejiang Province, School of Life Science, Hangzhou Institute for Advanced Study, University of Chinese Academy of Sciences, Hangzhou, 310024, China. cheguo_cai@whu.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230128 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - 0 (Interleukin-18) RN - 0 (Cytokines) SB - IM MH - Humans MH - Mice MH - Animals MH - Interleukin-18/metabolism MH - Umbilical Cord/metabolism MH - T-Lymphocytes/metabolism MH - *COVID-19/metabolism MH - Cytokines/metabolism MH - *Pneumonia, Viral/therapy/metabolism MH - Immunosuppression Therapy MH - *Mesenchymal Stem Cells/metabolism MH - *Mesenchymal Stem Cell Transplantation PMC - PMC9883134 COIS- The authors declare no competing interests. EDAT- 2023/01/28 06:00 MHDA- 2023/02/01 06:00 PMCR- 2023/01/28 CRDT- 2023/01/27 23:23 PHST- 2022/08/30 00:00 [received] PHST- 2023/01/16 00:00 [accepted] PHST- 2023/01/12 00:00 [revised] PHST- 2023/01/28 06:00 [pubmed] PHST- 2023/02/01 06:00 [medline] PHST- 2023/01/27 23:23 [entrez] PHST- 2023/01/28 00:00 [pmc-release] AID - 10.1038/s41419-023-05597-3 [pii] AID - 5597 [pii] AID - 10.1038/s41419-023-05597-3 [doi] PST - epublish SO - Cell Death Dis. 2023 Jan 28;14(1):66. doi: 10.1038/s41419-023-05597-3.