Mesenchymal stem cells cultured in serum-free medium ameliorate experimental peritoneal fibrosis

Kohei Nagasaki1, Ayumu Nakashima2,3, Ryo Tamura1

  • 1Department of Nephrology, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima, Hiroshima, 734-8551, Japan.

Abstract

Insights

Serum-free cultured mesenchymal stem cells (SF-MSCs) show enhanced antifibrotic effects in peritoneal fibrosis models. These SF-MSCs significantly reduce fibrosis and inflammation compared to serum-cultured MSCs, offering a promising therapeutic strategy.

Area of Science:

  • Regenerative Medicine
  • Cell Therapy
  • Fibrosis Research

Background:

  • Mesenchymal stem cells (MSCs) are investigated for peritoneal fibrosis treatment.
  • Serum-containing media for MSC culture pose infection and other risks.
  • This study compares serum-free MSCs (SF-MSCs) with serum-cultured MSCs (10%MSCs) for peritoneal fibrosis.

Purpose of the Study:

  • To evaluate the efficacy of SF-MSCs in treating peritoneal fibrosis.
  • To compare the antifibrotic potential of SF-MSCs versus MSCs cultured in serum.
  • To investigate the underlying mechanisms of SF-MSC antifibrotic activity.

Main Methods:

  • Peritoneal fibrosis was induced using chlorhexidine gluconate (CG) in a rat model.
  • SF-MSCs and 10%MSCs were administered intraperitoneally post-induction.
  • Histological analysis, peritoneal equilibrium testing, and in vitro TGF-β1 assays were performed.

Main Results:

  • SF-MSCs significantly suppressed CG-induced peritoneal fibrosis, including cell accumulation and thickening.
  • SF-MSCs reduced mesenchymal cell markers, extracellular matrix deposition, and inflammatory cell infiltration.
  • Peritoneal equilibration tests showed SF-MSCs improved peritoneal membrane function more than 10%MSCs.

Conclusions:

  • Serum-free culture enhances MSC antifibrotic properties by suppressing inflammation.
  • Ex vivo expanded SF-MSCs represent a potential therapy for preventing peritoneal fibrotic progression.
  • SF-MSCs offer a safer and more effective alternative to serum-cultured MSCs for peritoneal fibrosis.