Reconditioned monocytes are immunomodulatory and regulate inflammatory environment in sepsis

Kshama Jain1, K Varsha Mohan1, Gargi Roy1

  • 1National Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.

Scientific Reports
|September 11, 2023
PubMed

Insights

Reconditioned monocytes (RM) show promise in treating sepsis by reducing inflammation and improving survival rates in mice. This novel cell therapy, derived from peripheral blood mononuclear cells (PBMCs), offers a potential new avenue for sepsis management.

Area of Science:

  • Immunology
  • Regenerative Medicine
  • Cell Therapy

Background:

  • Sepsis involves a dysregulated immune response and hyperinflammation, leading to severe illness.
  • Mesenchymal stem cells (MSCs) possess immunomodulatory properties evaluated for sepsis therapy.
  • Reconditioned monocytes (RM), derived from PBMCs, exhibit both macrophage and MSC-like characteristics.

Purpose of the Study:

  • To evaluate the therapeutic potential of reconditioned monocytes (RM) in a preclinical sepsis model.
  • To assess the immunomodulatory effects of RM in vitro using peripheral blood mononuclear cells (PBMCs) from sepsis patients.

Main Methods:

  • RM were generated from healthy human PBMCs and administered at various stages in a mouse sepsis model.
  • Serum cytokine levels (IL-6, MCP-1, IL-10) and survival rates were monitored.
  • In vitro studies involved co-culturing RM with PBMCs from sepsis patients to analyze inflammatory markers and reactive oxygen species (ROS) production.

Main Results:

  • RM administration in mice reduced serum IL-6, MCP-1, and IL-10 levels, improved hypothermia, and increased survival from 0% to 66% when combined with antibiotics.
  • In vitro, RM co-culture with sepsis patient PBMCs reduced ROS production and down-regulated IL-6, IL-8, and IL-10, while up-regulating TGF-β.
  • Reduced human leucocyte antigen DR expression on RM facilitated co-culture with patient PBMCs.

Conclusions:

  • Reconditioned monocytes (RM) demonstrate significant immunomodulatory effects and enhance survival in a sepsis mouse model.
  • RM therapy holds potential for modulating the inflammatory response in sepsis patients.
  • RM represent a promising cell-based therapeutic strategy for sepsis treatment.