Extracorporeal membrane oxygenation (ECMO) is a well-known therapy for refractory cardiac and respiratory failure. Stem cell therapy has been investigated as an adjunctive treatment for use during ECMO, but little is known about the viability of stem cells during ECMO support. We evaluated the viability and activity of mesenchymal stem cells (MSCs) in ex vivo circulation (EVC) conditions. The experimental groups were divided into two subgroups: EVC with oxygenator (OXY group) and EVC without oxygenator (Non-OXY group). Mesenchymal stem cells (1.0 × 107) were injected into the EVC system. Cell counting, a lactate dehydrogenase (LDH) cytotoxicity assay, and the mitochondrial functions of viable MSCs were analyzed. The post-EVC oxygen consumption rate (OCR) was significantly lower than the pre-EVC OCR, regardless of whether the oxygenator was used. The LDH levels were significantly higher in the OXY group than in the Non-OXY group. The cellular loss was mainly due to lysis of the cells whereas the loss of cellular activity was attributed to the nonphysiologic condition itself, as well as the oxygenator. We concluded that direct infusion of MSCs during ECMO support did not serve as adjunctive therapy. Further studies are needed to improve the viability in an ECMO setting.
초록: PLGA는 미국 식품의약품안전청(FDA)의 승인을 받은 합성고분자로서 생체재료로 널리 쓰이고 있다. 하지 만, 분해산물인 산으로 인하여 염증반응을 일으키고, 독성물을 생산하여 세포증식률의 감소를 야기시킨다고 보고된 바 있다. 이러한 PLGA의 단점을 보완하고자 생체재료인 피브린을 사용하였는데, 피브린은 피브리노겐의 풍부함과 이 들의 정제가 비교적 용이하다는 장점을 가지고 있다. 본 연구에서는 PLGA의 염증완화에 대한 피브린의 효과를 알 아보았다. 피브린 첨가에 따른 PLGA 다공성 지지체에 염증의 발현정도를 확인하기 위해 RT-PCR을 수행하였고 지지체와 조직 간의 상호작용을 통한 염증세포의 침윤과 대식세포 발생 정도를 확인하기 위해 H&E와 ED-1 염색 을 수행하였다. 위 실험결과 천연재료인 피브린이 PLGA의 이물반응을 감소시키는데 긍정적인 영향을 미치는 것으 로 확인되었다.Abstract: In this study, we evaluated the effect of fibrin, a natural material, on the local inflammatory reaction of PLGA in vivo. PLGA degradation products can decrease the pH in the surrounding tissue, causing local inflammatory reaction. To solve this problem, fibrin/ PLGA scaffolds were implanted in 5-week-old Wister rats. To evaluate the influence of fibrin content on inflammatory cytokine expression induced by PLGA, RT-PCR analysis was used. Fibrous wall thickness and macrophage infiltration were evaluated by H&E and ED-1 immunohistochemical staining, respectively. In this study, we showed that fibrin/PLGA scaffolds reduced inflammatory reaction as compared to PLGA scaffold. We concluded that fibrin could reduce inflammatory response of PLGA.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.