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Published on: September 20, 2020
In vitro MSC function is related to clinical reaction in vivo
Aileen L Rowland1, Jiajie Jessica Xu1, Amanda Jo Joswig1
1Department of Large Animal Clinical Sciences, Texas A&M University, College Station, TX, USA.
Background:
We recently demonstrated that intracellular xenogen-contaminated autologous MSCs (FBS) and non-xenogen-contaminated allogeneic (ALLO) MSCs caused an adverse clinical response after repeated intra-articular injection in horses, whereas autologous (AUTO) MSCs did not. Our current objective was to use clinical data from the previous study to compare MSC stemness against adverse response indicated by synovial total nucleated cell count (TNCC) following intra-articular MSC injection.
Methods:
Stemness, quantified by a trilineage differentiation (TLD) score; immunomodulation, quantified by mixed lymphocyte reactions (MLRs); and degree of MHCI expression, quantified by mean fluorescent intensity (MFI); were correlated to the synovial TNCC 24 h after naïve and primed injection.
Results:
There was a trend of a negative correlation (p = 0.21, r = - 0.44) between TLD score and TNCC after primed injection in the ALLO group. Within the ALLO group only, there was a significant positive correlation (p = 0.05, r = 0.77) between MHCI MFI and TNCC after naïve injection and a trend (p = 0.16, r = 0.49) of a positive association of MHCI MFI to TNCC after primed injection. Within the FBS group only, there was a positive correlation (p = 0.04, r = 1) between TNCC and lymphocyte proliferation after both injections.
Conclusions:
The trend of a negative correlation of TLD score and TNCC in the ALLO, but not the FBS group, together with the association of MHCI expression and TNCC in the ALLO group, indicates that improved stemness is associated with reduced MSC immunogenicity. When inflammation was incited by xenogen, there was a strong correlation of lymphocyte activation in vitro to adverse response in vivo, confirming that MLRs in vitro reflect MSC immunomodulatory activity in vivo. The relationship of stemness in vitro, suppression of lymphocyte activation in vitro, MHCI expression in vitro, and clinical response in vivo should be further investigated.
Insights
Mesenchymal stem cells (MSCs) with higher stemness showed reduced immunogenicity in horses, unlike xenogen-contaminated cells. This suggests improved stemness may correlate with a better clinical response after intra-articular injection.
Area of Science:
- Veterinary Medicine
- Regenerative Medicine
- Immunology
Background:
- Previous studies showed xenogen-contaminated autologous MSCs (FBS) and allogeneic MSCs (ALLO) caused adverse responses in horses after intra-articular injection.
- Autologous (AUTO) MSCs, free from xenogen contamination, did not elicit adverse reactions.
- This study aimed to correlate MSC stemness with adverse clinical responses, using synovial total nucleated cell count (TNCC) as an indicator.
Purpose of the Study:
- To compare mesenchymal stem cell (MSC) stemness against adverse clinical responses in horses post-injection.
- To evaluate the relationship between MSC stemness, immunomodulation, MHCI expression, and synovial total nucleated cell count (TNCC).
Main Methods:
- Stemness was quantified using a trilineage differentiation (TLD) score.
- Immunomodulation was assessed via mixed lymphocyte reactions (MLRs).
- MHCI expression was measured by mean fluorescent intensity (MFI) and correlated with TNCC post-injection.
Main Results:
- A trend of negative correlation between TLD score and TNCC was observed in the allogeneic (ALLO) group after primed injection.
- A significant positive correlation between MHCI MFI and TNCC was found in the ALLO group after naïve injection.
- Lymphocyte proliferation positively correlated with TNCC in the xenogen-contaminated autologous MSCs (FBS) group.
Conclusions:
- Improved MSC stemness appears associated with reduced immunogenicity, as indicated by a trend of negative correlation with TNCC in the ALLO group.
- In vitro immunomodulatory activity (MLRs) correlated with in vivo adverse responses, especially when xenogen contamination was present.
- Further investigation is warranted to elucidate the relationship between in vitro stemness, immunomodulation, MHCI expression, and in vivo clinical outcomes.
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