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Published on: January 26, 2024
Compromised Antibacterial Function of Multipotent Stromal Cells in Diabetes
Young Cho1, Reed Mitchell1, Sharada Paudel1
1Orthobiologic Laboratory, MedStar Union Memorial Hospital, Baltimore, Maryland.
Diabetic multipotent stromal cells (MSCs) show reduced antibacterial function, promoting bacterial growth and impairing macrophage phagocytosis. This compromise in diabetic MSCs necessitates consideration in developing cell therapies for diabetic infections.
Area of Science:
- Immunology
- Cell Biology
- Endocrinology
Background:
- Multipotent stromal cells (MSCs) are crucial for immune regulation.
- Diabetes mellitus is associated with impaired immune cell function.
- The impact of diabetes on MSC antibacterial properties remains unclear.
Purpose of the Study:
- To investigate the antibacterial function of MSCs from diabetic donors.
- To compare the antibacterial activity and immune regulatory capacity of diabetic MSCs versus control MSCs.
- To identify molecular mechanisms underlying potential MSC dysfunction in diabetes.
Main Methods:
- Isolation and culture of MSCs from diabetic and non-diabetic donors.
- Assessment of MSC supernatant's effect on Escherichia coli growth.
- Co-culture of MSCs with human macrophages followed by bacterial phagocytosis assays.
- Gene expression analysis of antibacterial peptides (LL-37) and indoleamine 2,3-dioxygenase (IDO).
- Cytokine profiling using a 42-cytokine antibody array.
Main Results:
- Supernatant from diabetic MSCs (MSCs-dia) promoted E. coli growth compared to control MSCs (MSCs-c).
- Macrophages co-cultured with MSCs-dia exhibited reduced phagocytosis of E. coli.
- MSCs-dia showed decreased expression of LL-37 and IDO compared to MSCs-c.
- LPS stimulation revealed distinct cytokine profiles for MSCs-dia, notably altered MCP-1 and IL-6 production.
Conclusions:
- Diabetic MSCs possess compromised antibacterial capabilities and impaired regulation of macrophage phagocytosis.
- Reduced expression of key antibacterial molecules (IDO, LL-37) and altered cytokine profiles contribute to MSC dysfunction in diabetes.
- Findings highlight the need to account for MSC functional deficits in cell-based therapies for diabetic patients, particularly concerning infection risk.
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