Bone marrow mononuclear cells attenuate fibrosis development after severe acute kidney injury

Lab Invest. 2010 May;90(5):685-95. doi: 10.1038/labinvest.2010.45. Epub 2010 Mar 22.

Abstract

One of the early phases that lead to fibrosis progression is inflammation. Once this stage is resolved, fibrosis might be prevented. Bone marrow mononuclear cells (BMMCs) are emerging as a new therapy for several pathologies, including autoimmune diseases, because they enact immunosuppression. In this study we aimed to evaluate the role of BMMC administration in a model of kidney fibrosis induced by an acute injury. C57Bl6 mice were subjected to unilateral severe ischemia by clamping the left renal pedicle for 1h. BMMCs were isolated from femurs and tibia, and after 6h of reperfusion, 1 x 10(6) cells were administrated intraperitoneally. At 24h after surgery, treated animals showed a significant decrease in creatinine and urea levels when compared with untreated animals. Different administration routes were tested. Moreover, interferon (IFN) receptor knockout BMMCs were used, as this receptor is necessary for BMMC activation. Labeled BMMCs were found in ischemic kidney on FACS analysis. This improved outcome was associated with modulation of inflammation in the kidney and systemic modulation, as determined by cytokine expression profiling. Despite non-amelioration of functional parameters, kidney mRNA expression of interleukin (IL)-6 at 6 weeks was lower in BMMC-treated animals, as were levels of collagen 1, connective tissue growth factor (CTGF), transforming growth factor-beta (TGF-beta) and vimentin. Protective molecules, such as IL-10, heme oxygenase 1 (HO-1) and bone morphogenetic 7 (BMP-7), were increased in treated animals after 6 weeks. Moreover, Masson and Picrosirius red staining analyses showed less fibrotic areas in the kidneys of treated animals. Thus, early modulation of inflammation by BMMCs after an ischemic injury leads to reduced fibrosis through modulation of early inflammation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Animals
  • Antigens, CD34 / analysis
  • Bone Marrow Cells / cytology*
  • Bone Marrow Cells / metabolism
  • Bone Morphogenetic Protein 7 / genetics
  • Bone Morphogenetic Protein 7 / metabolism
  • Cell Transplantation / methods
  • Cells, Cultured
  • Cytokines / genetics
  • Cytokines / metabolism
  • Female
  • Fibrosis / surgery
  • Gene Expression
  • Heme Oxygenase-1 / genetics
  • Heme Oxygenase-1 / metabolism
  • Immunohistochemistry
  • Immunophenotyping
  • Ischemia / complications
  • Kidney / blood supply
  • Kidney / pathology*
  • Kidney Diseases / etiology
  • Kidney Diseases / surgery*
  • Leukocytes, Mononuclear / cytology*
  • Leukocytes, Mononuclear / metabolism
  • Leukocytes, Mononuclear / transplantation
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Proto-Oncogene Proteins c-kit / analysis
  • Reverse Transcriptase Polymerase Chain Reaction

Substances

  • Antigens, CD34
  • Bone Morphogenetic Protein 7
  • Cytokines
  • Heme Oxygenase-1
  • Proto-Oncogene Proteins c-kit