Although mesenchymal stromal cells (MSCs) have significant potential in cell-based therapies, little is known about the factors that regulate their functions. While exploring regulatory molecules potentially involved in MSC activities, we found that the endogenous multifunctional factor Survivin is essential for MSC survival, expansion, lineage commitment, and migration. Pharmacological or genetic blockade of Survivin expression in mouse and human bone marrow MSC enhances caspase 3 and 7 expression and reduces proliferation resulting in fewer MSC and clonogenic colony-forming unit-fibroblasts (CFU-F), whereas ectopic Survivin overexpression in MSC results in their expansion. Survivin is also required for the MSC proliferative responses to basic fibroblast growth factor and platelet derived growth factor. In a wound healing model, Survivin inhibition results in suppression of MSC migration to the wound site. In addition, loss of Survivin in MSCs compromises their hematopoiesis-supporting capacity. These results demonstrate that Survivin is a key regulator of mouse and human MSC function, and suggest that targeted modulation of Survivin in MSCs may have clinical utility to enhance MSC recovery and activity following insult or stress. STEM CELLS 2018;36:123-129
SIGNIFICANCE STATEMENTResults of this study demonstrate that Survivin is essential for mouse and human mesenchymal stromal cell (MSC) survival, proliferation, and differentiation. The ability to enhance MSC expansion/survival by growth factor (i.e., basic fibroblast growth factor or platelet derived growth factor)-mediated Survivin modulation represents a novel therapeutic strategy particularly for hematopoietic regeneration after clinical transplantation, where HSC supportive niche forming MSCs are severely depleted as a consequence of irradiation exposure.