Gliko BMSC: A potential strategy of treatment for renal fibrosis

Long Shi1, Xiang Gao1, Yue Bi2

  • 1Department of Vascular Surgery, The Second Hospital of Hebei Medical University, China.

Abstract

Insights

Gli1 gene knockout in bone marrow mesenchymal stem cells (BMSCs) enhanced their ability to repair acute kidney injury (AKI) and reduce renal fibrosis in mice. These modified BMSCs (BMSCs-Gliko) showed superior protective effects compared to standard BMSCs.

Area of Science:

  • Stem Cell Biology
  • Renal Physiology
  • Molecular Medicine

Background:

  • Bone marrow mesenchymal stem cells (BMSCs) show therapeutic potential for acute kidney injury (AKI), but their precise mechanisms remain unclear.
  • Glioma-associated oncogene homolog 1 (Gli1) is implicated in promoting cell proliferation, migration, and renal fibrosis.
  • Investigating Gli1's role in BMSCs is crucial for understanding and improving AKI treatment strategies.

Purpose of the Study:

  • To investigate the influence of Gli1-regulated BMSCs on repairing AKI and renal fibrosis.
  • To evaluate the therapeutic efficacy of BMSCs with Gli1 gene knockout (BMSCs-Gliko) in an ischemia-reperfusion (I/R) induced AKI mouse model.

Main Methods:

  • Gli1 gene was knocked out in mouse BMSCs using CRISPR-Cas9 technology, creating BMSCs-Gliko.
  • Cellular assays assessed proliferation, apoptosis, and cell cycle of BMSCs and BMSCs-Gliko.
  • Mice with I/R-induced AKI were treated with BMSCs or BMSCs-Gliko; kidney injury markers (IL-1, IL-1B, TNF-a, Scr, BUN), fibrosis markers (α-SMA, SMAD2, SMAD4), and BMSC retention were analyzed.

Main Results:

  • Both BMSCs and BMSCs-Gliko reduced AKI damage, but BMSCs-Gliko demonstrated superior protection of renal tubules and anti-fibrotic effects.
  • BMSCs-Gliko exhibited prolonged retention in the bloodstream of mice compared to standard BMSCs.
  • Gli1 knockout in BMSCs significantly improved their therapeutic outcomes in the AKI model.

Conclusions:

  • Gli1 is a critical target for enhancing the therapeutic potential of BMSCs in AKI treatment.
  • Gli1-knockout BMSCs offer improved protection against renal tubule damage and fibrosis in AKI.
  • Enhanced retention of BMSCs-Gliko may contribute to their superior efficacy in AKI repair.

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