The effect of meconium exposure on the expression and differentiation of amniotic fluid mesenchymal stem cells

T J Jensen1, J E Shui2, C M Finck3

  • 1Department of Pediatrics, UConn Health, Farmington, CT, USA.

Abstract

Insights

Meconium exposure alters amniotic fluid mesenchymal stem cells (AF-MSCs) phenotype but does not prevent differentiation into distal airway cells. These findings suggest progenitor cells in amniotic fluid can adapt to meconium presence.

Area of Science:

  • Stem cell biology
  • Developmental biology
  • Neonatal medicine

Background:

  • Amniotic fluid mesenchymal stem cells (AF-MSCs) are progenitor cells with potential therapeutic applications.
  • Meconium exposure in utero is a significant event in neonatal care.
  • Understanding the impact of meconium on AF-MSCs is crucial for assessing fetal lung development.

Purpose of the Study:

  • To investigate how meconium exposure affects the phenotype of AF-MSCs.
  • To determine if meconium-exposed AF-MSCs retain their differentiation capacity into distal airway cells.

Main Methods:

  • AF-MSCs were exposed to varying concentrations of meconium (high, medium, low) for 8 hours.
  • Gene expression analysis was performed after initial meconium exposure.
  • Meconium-exposed AF-MSCs underwent a 14-day differentiation protocol towards distal airway cells using modified small airway growth medium (mSAGM).

Main Results:

  • Short-term meconium exposure (8 hours) increased distal airway gene expression (AQP5, SPC) and pluripotency genes (NANOG, OCT4) in AF-MSCs.
  • AF-MSCs exposed to low and medium meconium concentrations successfully differentiated into distal airway cells, showing upregulation of TTF1, SPC, and AQP5 after 14 days.
  • High meconium concentration impacted distal airway gene expression levels after 14 days, while prolonged culture in AF medium without mSAGM led to downregulation of key markers.

Conclusions:

  • Meconium exposure modulates the phenotype of AF-MSCs, including initial changes in pluripotency and distal airway gene expression.
  • Despite phenotypic modulation, AF-MSCs retain the ability to differentiate into cells expressing distal airway markers.
  • These findings support the presence of adaptable progenitor cells in amniotic fluid that can respond to environmental cues like meconium.