Oxygen and mechanical ventilation impede the functional properties of resident lung mesenchymal stromal cells

Alvaro G Moreira1, Sartaj K Siddiqui1, Rolando Macias1

  • 1Division of Neonatology, Department of Pediatrics, University of Texas Health Science Center San Antonio, San Antonio, Texas, United States of America.

Plos One
|March 7, 2020
PubMed

Insights

Routine neonatal care, including oxygen and ventilation, negatively impacts lung mesenchymal stromal cells (L-MSCs) in preterm rabbits. These changes affect cell function and genomic profiles, potentially impairing tissue repair.

Area of Science:

  • Neonatal physiology
  • Mesenchymal stromal cell biology
  • Respiratory medicine

Background:

  • Mesenchymal stromal cells (MSCs) are crucial for tissue development, growth, and repair.
  • The impact of neonatal intensive care interventions on endogenous lung MSCs (L-MSCs) in preterm infants is largely unknown.
  • Understanding these effects is vital for optimizing care for premature neonates.

Purpose of the Study:

  • To investigate the effects of short-term mechanical ventilation and oxygen exposure on L-MSCs from preterm rabbits.
  • To characterize changes in L-MSC biological properties and gene expression following neonatal care simulations.

Main Methods:

  • Preterm rabbits were divided into fetal, spontaneous breathing (SB) with 50% O2, and mechanical ventilation (MV) with 50% O2 groups.
  • L-MSCs were isolated and analyzed for differentiation capacity, colony formation, vascular endothelial growth factor (VEGF) mRNA expression, and gene expression profiles.
  • Cellular morphology, including mitochondrial and endoplasmic reticulum structure, was examined.

Main Results:

  • L-MSCs from the MV group exhibited reduced differentiation capacity and colony-forming ability.
  • VEGF mRNA expression was lower in L-MSCs from the MV group.
  • Significant genomic alterations were observed in L-MSCs from both SB and MV groups, affecting cell cycle and angiogenesis pathways; cellular ultrastructure changes were also noted.

Conclusions:

  • Short-term exposure to hyperoxia and mechanical ventilation post-birth significantly alters the biological characteristics of L-MSCs.
  • These alterations include impaired functional properties and substantial genomic changes.
  • The observed modifications in L-MSCs may compromise their regenerative potential in preterm neonates.