Induction of Immunogenic Cell Death in Lymphoma Cells by Wharton's Jelly Mesenchymal Stem Cell Conditioned Medium

Daniel Hao Lin1, Arijit Biswas1, Mahesh Choolani1

  • 1Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University Health System, National University of Singapore, Kent Ridge, Singapore, 119228, Singapore.

Insights

Human umbilical cord stem cells induce immunogenic cell death (ICD) in lymphoma cells, decreasing CD47 and PD-L1 expression. This suggests a novel therapeutic mechanism for tumor eradication via stem cell therapy.

Area of Science:

  • Immunology
  • Stem Cell Biology
  • Oncology

Background:

  • Therapeutic strategies targeting tumor eradication include inducing immunogenic cell death (ICD) or downregulating CD47 and PD-L1 expression.
  • Human umbilical cord Wharton's jelly stem cells (hWJSCs) and their conditioned medium (hWJSC-CM) have demonstrated tumoricidal effects, but the underlying mechanisms remain unclear.
  • Given the known immunomodulatory properties of hWJSCs, this study investigated their potential to induce ICD in cancer cells.

Purpose of the Study:

  • To elucidate the mechanisms behind the tumoricidal effects of hWJSC-CM.
  • To determine if hWJSC-CM induces immunogenic cell death (ICD) in human lymphoma cells.
  • To analyze the impact of hWJSC-CM on cancer cell viability, apoptosis, stress markers, and immune checkpoint proteins (CD47, PD-L1).

Main Methods:

  • Concentrated hWJSC-CM (3 kDa) was applied to human lymphoma cells at various concentrations to identify the optimal tumoricidal dose.
  • Lymphoma cells treated with the optimal hWJSC-CM concentration were analyzed for morphological and viability changes, apoptosis, mitochondrial and endoplasmic reticulum stress.
  • Analysis included the assessment of danger-associated molecular patterns (DAMPs), extracellular HMGB1, CD47 and PD-L1 expression, and dendritic cell activation.

Main Results:

  • A concentration of 500 µg/ml of the hWJSC-CM concentrate exhibited the most significant inhibitory effect on lymphoma cells.
  • Treatment led to substantial nuclear chromatin and mitochondrial alterations, decreased cell viability, and increased apoptosis.
  • Significant increases in DAMPs and extracellular HMGB1 were observed, alongside enhanced dendritic cell activation and maturation. Concurrently, CD47 and PD-L1 expression decreased.

Conclusions:

  • hWJSC-CM effectively induces immunogenic cell death (ICD) in human lymphoma cells.
  • The observed decrease in CD47 and PD-L1 expression suggests a potential role for hWJSC-CM in overcoming immune evasion mechanisms in cancer.
  • Ongoing studies indicate that tumor-suppressor molecules within hWJSC-CM may mediate these ICD effects, highlighting a promising avenue for cancer immunotherapy.