Nitric oxide plays a critical role in suppression of T-cell proliferation by mesenchymal stem cells

Abstract

The molecular mechanisms by which mesenchymal stem cells (MSCs) suppress T-cell proliferation are poorly understood, and whether a soluble factor plays a major role remains controversial. Here we demonstrate that the T-cell-receptor complex is not a target for the suppression, suggesting that downstream signals mediate the suppression. We found that Stat5 phosphorylation in T cells is suppressed in the presence of MSCs and that nitric oxide (NO) is involved in the suppression of Stat5 phosphorylation and T-cell proliferation. The induction of inducible NO synthase (NOS) was readily detected in MSCs but not T cells, and a specific inhibitor of NOS reversed the suppression of Stat5 phosphorylation and T-cell proliferation. This production of NO in the presence of MSCs was mediated by CD4 or CD8 T cells but not by CD19 B cells. Furthermore, inhibitors of prostaglandin synthase or NOS restored the proliferation of T cells, whereas an inhibitor of indoleamine 2,3-dioxygenase and a transforming growth factor-␤-neutralizing antibody had no effect. Finally, MSCs from inducible NOS ؊/؊ mice had a reduced ability to suppress T-cell proliferation. Taken IntroductionBecause mesenchymal stem cells (MSCs) differentiate into osteocytes, chondrocytes, myotubes, and adipocytes, 1-3 they are expected to become a source of cells for regenerative therapy. Also, MSCs support hematopoietic stem cell engraftment 4-9 and modulate immunologic responses by unknown mechanisms. [9][10][11][12][13][14] Here, we investigated the molecular mechanisms by which MSCs suppress T-cell proliferation.Transforming growth factor-␤ (TGF-␤), hepatocyte growth factor, indoleamine 2,3-dioxygenase (IDO), and prostaglandin E2 (PGE 2 ) have been reported to mediate T-cell suppression by MSCs. [13][14][15] Specifically, neutralizing antibodies against TGF-␤ or hepatocyte growth factor, 13 an inhibitor of IDO,14 or an inhibitor of prostaglandin production reverse the inhibition of T-cell proliferation by MSCs. 15 In addition, some reports have shown that a soluble factor is the major mediator of suppression, [13][14][15][16][17] whereas some reports have demonstrated that T-cell-MSC contact is required for this suppression. [12][13][14]16,17 In the current study, we sought to resolve these conflicting results by using a mouse bone marrow-derived MSC system.One candidate soluble factor for T-cell suppression is nitric oxide (NO) because it is known to inhibit T-cell proliferation. [18][19][20][21][22][23][24][25] NO is produced by NO synthases (NOSs), of which there are 3 subtypes: inducible NOS (iNOS), endothelial NOS, and neuronal NOS. Like MSCs, it has been known that macrophages suppress T-cell proliferation. This suppression was reported to be mediated by NO inhibition of Stat5 phosphorylation. 18,19 Also, MSCs were reported to produce NO when they differentiate into chondrocytes. 26 We therefore investigated whether MSCs can produce NO and whether NO is involved in their ability to suppress T-cell proliferation. Materials and methods MaterialsN-nitro-L-a...

Treatment of experimental arthritis by inducing immune tolerance with human adipose‐derived mesenchymal stem cells

“…Similar to BM-MSCs (23,(40)(41)(42), PGE 2 and IL-10 seem to play a critical role in the suppressive effect of human AD-MSCs. Importantly, human AD-MSCs express various Toll-like receptors and become activated in response to different inflammatory mediators and bacterial products (43).…”

Multipotent mesenchymal stromal cells for autoimmune diseases: teaching new dogs old tricks

“…[26][27][28]38 Whether this effect is mediated by cell contact mechanisms or soluble factors is still not fully understood. However, transwell experiments have shown putative paracrine soluble factors (Table 1) including hepatocyte growth factor (HGF) and transforming growth factor-b1 (TGF-b1), 22 prostaglandin E 2 39,30 indoleamine 2,3-deoxygenase, 40 inducible NO synthetase resulting in Stat 5 inhibition in lymphocytes, 41 soluble HLA-G 42 and soluble IL-1 receptor. 43 Current data, however, show that these molecules play only a limited role and others are yet to be discovered.…”

Comparative study of immune regulatory properties of stem cells derived from different tissues

“…In response to these stimuli, MSCs migrate to the site of injury, and become immune modulatory by affecting inflammation and tissue repair in a positive manner. The paracrine mechanisms underlying the impact of MSCs on the local immune adaptation include a broad panel of molecular pathways, such as IFN-g, IL-1b, transforming growth factorb, indoleamine-2,3-dioxygenase (IDO), IL-6, IL-10, prostaglandin-E2 (PGE2), hepatocyte growth factor, TNF-a, nitric oxide (NO), heme oxygenase-1 (HO-1), HLA-G5 [21,22,[31][32][33][34][35][36][37][38][39][40][41][42][43], and others, some of which are still unknown.…”