Human liver stem cells and derived extracellular vesicles protect from sepsis-induced acute lung injury and restore bone marrow myelopoiesis in a murine model of sepsis

Abstract Background Sepsis is a condition with high mortality and morbidity, characterized by deregulation of the immune response against the pathogen. Current treatment strategies rely mainly on antibiotics and supportive care. However, there is growing interest in exploring cell-based therapies as...

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Main Authors: Andrea Costamagna, Chiara Pasquino, Sara Lamorte, Victor Navarro-Tableros, Luisa Delsedime, Vito Fanelli, Giovanni Camussi, Lorenzo Del Sorbo
Format: Article
Language:English
Published: SpringerOpen 2024-12-01
Series:Intensive Care Medicine Experimental
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Online Access:https://doi.org/10.1186/s40635-024-00701-z
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author Andrea Costamagna
Chiara Pasquino
Sara Lamorte
Victor Navarro-Tableros
Luisa Delsedime
Vito Fanelli
Giovanni Camussi
Lorenzo Del Sorbo
author_facet Andrea Costamagna
Chiara Pasquino
Sara Lamorte
Victor Navarro-Tableros
Luisa Delsedime
Vito Fanelli
Giovanni Camussi
Lorenzo Del Sorbo
author_sort Andrea Costamagna
collection DOAJ
description Abstract Background Sepsis is a condition with high mortality and morbidity, characterized by deregulation of the immune response against the pathogen. Current treatment strategies rely mainly on antibiotics and supportive care. However, there is growing interest in exploring cell-based therapies as complementary approaches. Human liver stem cells (HLSCs) are pluripotent cells of mesenchymal origin, showing some advantages compared to mesenchymal stem cells in terms of immunomodulatory properties. HSLC-derived extracellular vesicles (EVs) exhibited a superior efficacy profile compared to cells due to their potential to get through biological barriers and possibly to avoid tumorigenicity and showed to be effective in vivo and ex vivo models of liver and kidney disease. The potential of HLSCs and their EVs in recovering damage to distal organs due to sepsis other than the kidney remains unknown. This study aimed to investigate the therapeutic potential of the intravenous administration of HSLCs or HSLCs-derived EVs in a murine model of sepsis. Results Sepsis was induced by caecal ligation and puncture (CLP) on C57/BL6 mice. After CLP, mice were assigned to receive either normal saline, HLSCs or their EVs and compared to a sham group which underwent only laparotomy. Survival, persistence of bacteraemia, lung function evaluation, histology and bone marrow analysis were performed. Administration of HLSCs or HLSC-EVs resulted in improved bacterial clearance and lung function in terms of lung elastance and oedema. Naïve murine hematopoietic progenitors in bone marrow were enhanced after treatment as well. Administration of HLSCs and HLSC-EVs after CLP to significantly improved survival. Conclusions Treatment with HLSCs or HLSC-derived EVs was effective in improving acute lung injury, dysmyelopoiesis and ultimately survival in this experimental murine model of lethal sepsis.
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spelling doaj-art-c05cd6811354436fa5c1c3e4f09de01a2024-12-08T12:06:56ZengSpringerOpenIntensive Care Medicine Experimental2197-425X2024-12-0112111410.1186/s40635-024-00701-zHuman liver stem cells and derived extracellular vesicles protect from sepsis-induced acute lung injury and restore bone marrow myelopoiesis in a murine model of sepsisAndrea Costamagna0Chiara Pasquino1Sara Lamorte2Victor Navarro-Tableros3Luisa Delsedime4Vito Fanelli5Giovanni Camussi6Lorenzo Del Sorbo7Department of Surgical Sciences, University of TurinMolecular Biotechnology Center, University of TurinPrincess Margaret Cancer Center, University Health Network2i3T – Scarl.-Molecular Biotechnology Center (MBC), University of TurinPathology Unit, A.O.U, Città Della Salute E Della Scienza Di TorinoDepartment of Surgical Sciences, University of TurinDepartment of Medical Sciences, University of TurinInterdepartmental Division of Critical Care Medicine, University Health Network, University of TorontoAbstract Background Sepsis is a condition with high mortality and morbidity, characterized by deregulation of the immune response against the pathogen. Current treatment strategies rely mainly on antibiotics and supportive care. However, there is growing interest in exploring cell-based therapies as complementary approaches. Human liver stem cells (HLSCs) are pluripotent cells of mesenchymal origin, showing some advantages compared to mesenchymal stem cells in terms of immunomodulatory properties. HSLC-derived extracellular vesicles (EVs) exhibited a superior efficacy profile compared to cells due to their potential to get through biological barriers and possibly to avoid tumorigenicity and showed to be effective in vivo and ex vivo models of liver and kidney disease. The potential of HLSCs and their EVs in recovering damage to distal organs due to sepsis other than the kidney remains unknown. This study aimed to investigate the therapeutic potential of the intravenous administration of HSLCs or HSLCs-derived EVs in a murine model of sepsis. Results Sepsis was induced by caecal ligation and puncture (CLP) on C57/BL6 mice. After CLP, mice were assigned to receive either normal saline, HLSCs or their EVs and compared to a sham group which underwent only laparotomy. Survival, persistence of bacteraemia, lung function evaluation, histology and bone marrow analysis were performed. Administration of HLSCs or HLSC-EVs resulted in improved bacterial clearance and lung function in terms of lung elastance and oedema. Naïve murine hematopoietic progenitors in bone marrow were enhanced after treatment as well. Administration of HLSCs and HLSC-EVs after CLP to significantly improved survival. Conclusions Treatment with HLSCs or HLSC-derived EVs was effective in improving acute lung injury, dysmyelopoiesis and ultimately survival in this experimental murine model of lethal sepsis.https://doi.org/10.1186/s40635-024-00701-zShockSepticMesenchymal stem cellsExtracellular vesiclesAcute lung injuryMyelopoiesis
spellingShingle Andrea Costamagna
Chiara Pasquino
Sara Lamorte
Victor Navarro-Tableros
Luisa Delsedime
Vito Fanelli
Giovanni Camussi
Lorenzo Del Sorbo
Human liver stem cells and derived extracellular vesicles protect from sepsis-induced acute lung injury and restore bone marrow myelopoiesis in a murine model of sepsis
Intensive Care Medicine Experimental
Shock
Septic
Mesenchymal stem cells
Extracellular vesicles
Acute lung injury
Myelopoiesis
title Human liver stem cells and derived extracellular vesicles protect from sepsis-induced acute lung injury and restore bone marrow myelopoiesis in a murine model of sepsis
title_full Human liver stem cells and derived extracellular vesicles protect from sepsis-induced acute lung injury and restore bone marrow myelopoiesis in a murine model of sepsis
title_fullStr Human liver stem cells and derived extracellular vesicles protect from sepsis-induced acute lung injury and restore bone marrow myelopoiesis in a murine model of sepsis
title_full_unstemmed Human liver stem cells and derived extracellular vesicles protect from sepsis-induced acute lung injury and restore bone marrow myelopoiesis in a murine model of sepsis
title_short Human liver stem cells and derived extracellular vesicles protect from sepsis-induced acute lung injury and restore bone marrow myelopoiesis in a murine model of sepsis
title_sort human liver stem cells and derived extracellular vesicles protect from sepsis induced acute lung injury and restore bone marrow myelopoiesis in a murine model of sepsis
topic Shock
Septic
Mesenchymal stem cells
Extracellular vesicles
Acute lung injury
Myelopoiesis
url https://doi.org/10.1186/s40635-024-00701-z
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