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Updated: Jul 19, 2026

Mesenchymal Stem Cell Regulation of Macrophage Phagocytosis; Quantitation and Imaging
Published on: July 16, 2021
Nitric oxide plays a critical role in suppression of T-cell proliferation by mesenchymal stem cells
Kazuya Sato1, Katsutoshi Ozaki, Iekuni Oh
1Division of Hematology, Jichi Medical University, 3311-1 Yakushiji, Tochigi 329-0498, Japan.
Abstract:
The molecular mechanisms by which mesenchymal stem cells (MSCs) suppress T-cell proliferation are poorly understood, and whether a soluble factor plays a major role remains controversial. Here we demonstrate that the T-cell-receptor complex is not a target for the suppression, suggesting that downstream signals mediate the suppression. We found that Stat5 phosphorylation in T cells is suppressed in the presence of MSCs and that nitric oxide (NO) is involved in the suppression of Stat5 phosphorylation and T-cell proliferation. The induction of inducible NO synthase (NOS) was readily detected in MSCs but not T cells, and a specific inhibitor of NOS reversed the suppression of Stat5 phosphorylation and T-cell proliferation. This production of NO in the presence of MSCs was mediated by CD4 or CD8 T cells but not by CD19 B cells. Furthermore, inhibitors of prostaglandin synthase or NOS restored the proliferation of T cells, whereas an inhibitor of indoleamine 2,3-dioxygenase and a transforming growth factor-beta-neutralizing antibody had no effect. Finally, MSCs from inducible NOS-/- mice had a reduced ability to suppress T-cell proliferation. Taken together, these results suggest that NO produced by MSCs is one of the major mediators of T-cell suppression by MSCs.
Insights
Mesenchymal stem cells (MSCs) suppress T-cell proliferation via nitric oxide (NO). This NO production, mediated by inducible NO synthase (NOS) in MSCs, inhibits Stat5 phosphorylation, a key downstream signal in T cells.
Area of Science:
- Immunology
- Cell Biology
- Biochemistry
Background:
- Mesenchymal stem cells (MSCs) possess immunomodulatory properties, including the suppression of T-cell proliferation.
- The precise molecular mechanisms and soluble factors responsible for MSC-mediated T-cell suppression remain incompletely understood and debated.
Purpose of the Study:
- To elucidate the molecular pathways involved in T-cell suppression by MSCs.
- To identify key soluble mediators, particularly nitric oxide (NO), in MSC-induced T-cell inhibition.
Main Methods:
- Investigated T-cell proliferation and Stat5 phosphorylation in co-cultures of MSCs and T cells.
- Utilized specific inhibitors for inducible NO synthase (NOS), prostaglandin synthase, and indoleamine 2,3-dioxygenase.
- Employed neutralizing antibodies against transforming growth factor-beta.
- Examined MSCs derived from inducible NOS knockout (iNOS-/-) mice.
Main Results:
- MSCs suppressed T-cell proliferation and Stat5 phosphorylation, independent of the T-cell receptor complex.
- Nitric oxide (NO) was identified as a critical mediator, with inducible NOS (iNOS) detected in MSCs.
- Inhibition of NOS reversed T-cell suppression, while prostaglandin synthase inhibition also restored proliferation.
- MSCs from iNOS-/- mice exhibited significantly reduced T-cell suppressive capacity.
Conclusions:
- Nitric oxide (NO) produced by mesenchymal stem cells (MSCs) is a major mediator of T-cell suppression.
- The suppression mechanism involves downstream signaling pathways, including the inhibition of Stat5 phosphorylation.
- These findings clarify the role of NO in MSC immunomodulation and T-cell regulation.
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