Oligodendrocyte precursor cell-derived exosomes combined with cell therapy promote clinical recovery by immunomodulation and gliosis attenuation

Multiple sclerosis is a chronic inflammatory disease of the central nervous system characterized by autoimmune destruction of the myelin sheath, leading to irreversible and progressive functional deficits in patients. Pre-clinical studies involving the use of neural stem cells (NSCs) have already de...

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Main Authors: Sarah Ingrid Pinto Santos, Santiago José Ortiz-Peñuela, Alessandro de Paula Filho, Ana Laura Midori Rossi Tomiyama, Lilian de Oliveira Coser, Juliano Coelho da Silveira, Daniele dos Santos Martins, Adriano Polican Ciena, Alexandre Leite Rodrigues de Oliveira, Carlos Eduardo Ambrósio
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-07-01
Series:Frontiers in Cellular Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fncel.2024.1413843/full
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author Sarah Ingrid Pinto Santos
Santiago José Ortiz-Peñuela
Alessandro de Paula Filho
Ana Laura Midori Rossi Tomiyama
Lilian de Oliveira Coser
Juliano Coelho da Silveira
Daniele dos Santos Martins
Adriano Polican Ciena
Alexandre Leite Rodrigues de Oliveira
Carlos Eduardo Ambrósio
author_facet Sarah Ingrid Pinto Santos
Santiago José Ortiz-Peñuela
Alessandro de Paula Filho
Ana Laura Midori Rossi Tomiyama
Lilian de Oliveira Coser
Juliano Coelho da Silveira
Daniele dos Santos Martins
Adriano Polican Ciena
Alexandre Leite Rodrigues de Oliveira
Carlos Eduardo Ambrósio
author_sort Sarah Ingrid Pinto Santos
collection DOAJ
description Multiple sclerosis is a chronic inflammatory disease of the central nervous system characterized by autoimmune destruction of the myelin sheath, leading to irreversible and progressive functional deficits in patients. Pre-clinical studies involving the use of neural stem cells (NSCs) have already demonstrated their potential in neuronal regeneration and remyelination. However, the exclusive application of cell therapy has not proved sufficient to achieve satisfactory therapeutic levels. Recognizing these limitations, there is a need to combine cell therapy with other adjuvant protocols. In this context, extracellular vesicles (EVs) can contribute to intercellular communication, stimulating the production of proteins and lipids associated with remyelination and providing trophic support to axons. This study aimed to evaluate the therapeutic efficacy of the combination of NSCs and EVs derived from oligodendrocyte precursor cells (OPCs) in an animal model of multiple sclerosis. OPCs were differentiated from NSCs and had their identity confirmed by gene expression analysis and immunocytochemistry. Exosomes were isolated by differential ultracentrifugation and characterized by Western, transmission electron microscopy and nanoparticle tracking analysis. Experimental therapy of C57BL/6 mice induced with experimental autoimmune encephalomyelitis (EAE) were grouped in control, treated with NSCs, treated with OPC-derived EVs and treated with a combination of both. The treatments were evaluated clinically using scores and body weight, microscopically using immunohistochemistry and immunological profile by flow cytometry. The animals showed significant clinical improvement and weight gain with the treatments. However, only the treatments involving EVs led to immune modulation, changing the profile from Th1 to Th2 lymphocytes. Fifteen days after treatment revealed a reduction in reactive microgliosis and astrogliosis in the groups treated with EVs. However, there was no reduction in demyelination. The results indicate the potential therapeutic use of OPC-derived EVs to attenuate inflammation and promote recovery in EAE, especially when combined with cell therapy.
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spelling doaj-art-07ea32763e8741e3ba59bebbe086ecd02025-01-06T14:31:05ZengFrontiers Media S.A.Frontiers in Cellular Neuroscience1662-51022024-07-011810.3389/fncel.2024.14138431413843Oligodendrocyte precursor cell-derived exosomes combined with cell therapy promote clinical recovery by immunomodulation and gliosis attenuationSarah Ingrid Pinto Santos0Santiago José Ortiz-Peñuela1Alessandro de Paula Filho2Ana Laura Midori Rossi Tomiyama3Lilian de Oliveira Coser4Juliano Coelho da Silveira5Daniele dos Santos Martins6Adriano Polican Ciena7Alexandre Leite Rodrigues de Oliveira8Carlos Eduardo Ambrósio9Faculty of Animal Science and Food Engineering, University of São Paulo (FZEA/USP), São Paulo, BrazilInstitute of Biology, University of Campinas (IB/UNICAMP), Campinas, BrazilFaculty of Animal Science and Food Engineering, University of São Paulo (FZEA/USP), São Paulo, BrazilInstitute of Biology, University of Campinas (IB/UNICAMP), Campinas, BrazilInstitute of Biology, University of Campinas (IB/UNICAMP), Campinas, BrazilFaculty of Animal Science and Food Engineering, University of São Paulo (FZEA/USP), São Paulo, BrazilFaculty of Animal Science and Food Engineering, University of São Paulo (FZEA/USP), São Paulo, BrazilInstitute of Biosciences, São Paulo State University, Rio Claro, BrazilInstitute of Biology, University of Campinas (IB/UNICAMP), Campinas, BrazilFaculty of Animal Science and Food Engineering, University of São Paulo (FZEA/USP), São Paulo, BrazilMultiple sclerosis is a chronic inflammatory disease of the central nervous system characterized by autoimmune destruction of the myelin sheath, leading to irreversible and progressive functional deficits in patients. Pre-clinical studies involving the use of neural stem cells (NSCs) have already demonstrated their potential in neuronal regeneration and remyelination. However, the exclusive application of cell therapy has not proved sufficient to achieve satisfactory therapeutic levels. Recognizing these limitations, there is a need to combine cell therapy with other adjuvant protocols. In this context, extracellular vesicles (EVs) can contribute to intercellular communication, stimulating the production of proteins and lipids associated with remyelination and providing trophic support to axons. This study aimed to evaluate the therapeutic efficacy of the combination of NSCs and EVs derived from oligodendrocyte precursor cells (OPCs) in an animal model of multiple sclerosis. OPCs were differentiated from NSCs and had their identity confirmed by gene expression analysis and immunocytochemistry. Exosomes were isolated by differential ultracentrifugation and characterized by Western, transmission electron microscopy and nanoparticle tracking analysis. Experimental therapy of C57BL/6 mice induced with experimental autoimmune encephalomyelitis (EAE) were grouped in control, treated with NSCs, treated with OPC-derived EVs and treated with a combination of both. The treatments were evaluated clinically using scores and body weight, microscopically using immunohistochemistry and immunological profile by flow cytometry. The animals showed significant clinical improvement and weight gain with the treatments. However, only the treatments involving EVs led to immune modulation, changing the profile from Th1 to Th2 lymphocytes. Fifteen days after treatment revealed a reduction in reactive microgliosis and astrogliosis in the groups treated with EVs. However, there was no reduction in demyelination. The results indicate the potential therapeutic use of OPC-derived EVs to attenuate inflammation and promote recovery in EAE, especially when combined with cell therapy.https://www.frontiersin.org/articles/10.3389/fncel.2024.1413843/fullextracellular vesiclesmultiple sclerosisneural stem cellneurodegenerationimmunomodulationoligodendrocyte precursor cell
spellingShingle Sarah Ingrid Pinto Santos
Santiago José Ortiz-Peñuela
Alessandro de Paula Filho
Ana Laura Midori Rossi Tomiyama
Lilian de Oliveira Coser
Juliano Coelho da Silveira
Daniele dos Santos Martins
Adriano Polican Ciena
Alexandre Leite Rodrigues de Oliveira
Carlos Eduardo Ambrósio
Oligodendrocyte precursor cell-derived exosomes combined with cell therapy promote clinical recovery by immunomodulation and gliosis attenuation
Frontiers in Cellular Neuroscience
extracellular vesicles
multiple sclerosis
neural stem cell
neurodegeneration
immunomodulation
oligodendrocyte precursor cell
title Oligodendrocyte precursor cell-derived exosomes combined with cell therapy promote clinical recovery by immunomodulation and gliosis attenuation
title_full Oligodendrocyte precursor cell-derived exosomes combined with cell therapy promote clinical recovery by immunomodulation and gliosis attenuation
title_fullStr Oligodendrocyte precursor cell-derived exosomes combined with cell therapy promote clinical recovery by immunomodulation and gliosis attenuation
title_full_unstemmed Oligodendrocyte precursor cell-derived exosomes combined with cell therapy promote clinical recovery by immunomodulation and gliosis attenuation
title_short Oligodendrocyte precursor cell-derived exosomes combined with cell therapy promote clinical recovery by immunomodulation and gliosis attenuation
title_sort oligodendrocyte precursor cell derived exosomes combined with cell therapy promote clinical recovery by immunomodulation and gliosis attenuation
topic extracellular vesicles
multiple sclerosis
neural stem cell
neurodegeneration
immunomodulation
oligodendrocyte precursor cell
url https://www.frontiersin.org/articles/10.3389/fncel.2024.1413843/full
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