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Blood, 15 February 2005, Vol. 105, No. 4, pp. 1815-1822.
Prepublished online as a Blood First Edition Paper on October 19, 2004; DOI 10.1182/blood-2004-04-1559.


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Submitted April 26, 2004
Accepted September 26, 2004

Human mesenchymal stem cells modulate allogeneic immune cell responses

Sudeepta Aggarwal and Mark F Pittenger*

Osiris Therapeutics, Inc., Baltimore, MD, USA

* Corresponding author; email: mpittenger{at}osiristx.com.

Mesenchymal stem cells (MSCs) are multipotent cells found in several adult tissues. Transplanted allogeneic MSCs can be detected in recipients at extended time points, indicating a lack of immune recognition and clearance. As well, a role for bone-marrow derived MSCs in reducing the incidence and severity of graft versus host disease (GVHD) during allogeneic transplantation has recently been reported; however, the mechanisms remain to be investigated. We examined the immuno-modulatory functions of human MSCs (hMSCs) by co-culturing them with purified sub-populations of immune cells and report here that hMSCs altered the cytokine secretion profile of dendritic cells (DCs), naive and effector T cells (TH1 and TH2), and natural killer (NK) cells to induce a more anti-inflammatory or tolerant phenotype. Specifically, the hMSCs caused mature DC1 to decrease TNF-{alpha} secretion and mature DC2 to increase IL-10 secretion; hMSCs caused TH1 cells to decrease IFN-{gamma} and caused the TH2 cells to increase secretion of IL-4; hMSCs caused an increase in the proportion of regulatory T cells (TReg) present; and hMSCs decreased secretion of IFN-{gamma} from the NK cells. Mechanistically, the hMSCs constitutively produced prostaglandin E2 (PGE2) in culture and inhibitors of PGE2 production mitigated hMSC-mediated immune modulation. This data offers insight into the interactions between allogeneic MSCs and immune cells and provides mechanisms likely involved with the in vivo MSC-mediated induction of tolerance that could be therapeutic for reduction of GVHD, rejection and modulation of inflammation.


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