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Updated: May 28, 2026

Mesenchymal Stem Cell Regulation of Macrophage Phagocytosis; Quantitation and Imaging
Published on: July 16, 2021
Mesenchymal stem/stromal cells (MSCs): role as guardians of inflammation
Darwin J Prockop1, Joo Youn Oh
1Institute for Regenerative Medicine, Texas A&M Health Science Center College of Medicine at Scott & White, Temple, Texas 76502, USA. Prockop@medicine.tamhsc.edu
Abstract:
Recent observations have demonstrated that one of the functions of mesenchymal stem/stromal cells (MSCs) is to serve as guardians against excessive inflammatory responses. One mode of action of the cells is that they are activated to express the interleukin (IL)-1 receptor antagonist. A second mode of action is to create a negative feedback loop in which tumor necrosis factor-α (TNF-α) and other proinflammatory cytokines from resident macrophages activate MSCs to secrete the multifunctional anti-inflammatory protein TNF-α stimulated gene/protein 6 (TSG-6). The TSG-6 then reduces nuclear factor-κB (NF-κB) signaling in the resident macrophages and thereby modulates the cascade of proinflammatory cytokines. A third mode of action is to create a second negative feedback loop whereby lipopolysaccharide, TNF-α, nitric oxide, and perhaps other damage-associated molecular patterns (DAMPs) from injured tissues and macrophages activate MSCs to secrete prostaglandin E(2) (PGE(2)). The PGE(2) converts macrophages to the phenotype that secretes IL-10. There are also suggestions that MSCs may produce anti-inflammatory effects through additional modes of action including activation to express the antireactive oxygen species protein stanniocalcin-1.
Insights
Mesenchymal stem/stromal cells (MSCs) act as inflammation guardians by releasing anti-inflammatory proteins like TSG-6 and PGE2. These molecules modulate macrophage signaling, reducing excessive inflammatory responses and promoting healing.
Area of Science:
- Immunology
- Cell Biology
- Regenerative Medicine
Background:
- Mesenchymal stem/stromal cells (MSCs) play a crucial role in modulating immune responses.
- Excessive inflammation contributes to various pathologies.
- Understanding MSCs' anti-inflammatory mechanisms is key for therapeutic development.
Purpose of the Study:
- To elucidate the multifaceted anti-inflammatory functions of MSCs.
- To identify key molecular mediators involved in MSC-driven immune suppression.
- To explore MSCs' role in regulating macrophage polarization and signaling pathways.
Main Methods:
- Review of recent observations on MSC-mediated immune modulation.
- Analysis of molecular pathways including IL-1 receptor antagonist, TSG-6, and PGE2 secretion.
- Investigation of feedback loops involving TNF-α, NF-κB, and macrophage phenotypes.
Main Results:
- MSCs express IL-1 receptor antagonist to counteract inflammation.
- MSCs secrete TNF-α stimulated gene/protein 6 (TSG-6) in response to inflammatory cytokines, which inhibits NF-κB signaling in macrophages.
- MSCs produce prostaglandin E2 (PGE2) that polarizes macrophages towards an IL-10 secreting phenotype.
Conclusions:
- MSCs employ multiple strategies to suppress excessive inflammation.
- TSG-6 and PGE2 are critical mediators of MSC anti-inflammatory effects.
- MSCs represent a promising therapeutic target for inflammatory diseases.
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