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Blood, 15 November 2007, Vol. 110, No. 10, pp. 3691-3694.
Prepublished online as a Blood First Edition Paper on August 7, 2007; DOI 10.1182/blood-2007-02-075481.
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Submitted February 21, 2007
Accepted July 25, 2007
A role for heme oxygenase - 1 in the immunosuppressive effect of adult rat and human mesenchymal stem cells
Dominique Chabannes*, Marcelo Hill, Emmanuel Merieau, Julien Rossignol, Regis Brion, Jean Paul Soulillou, Ignacio Anegon, and Maria Cristina Cuturi
INSERM, U643, Nantes, France
CHU Nantes, Institut de Transplantation et de Recherche en Transplantation, ITERT, Nantes, France
Faculte de Medecine, Universite de Nantes, Nantes, France
* Corresponding author; email: dominiquechabannes{at}nantes.inserm.fr.
Mesenchymal stem cells (MSCs) display immunomodulatory properties mediated by various factors including inducible nitric oxide synthase (iNOS). Since heme oxygenase-1 (HO-1) is a potent immunosuppressive enzyme, here we tested the hypothesis that HO-1 could also mediate the immunosuppressive effects of MSCs. We generated adult rat MSCs that inhibited T cell proliferation in vitro. These MSCs expressed both HO-1 and iNOS. In vitro, whereas neither HO-1 nor iNOS inhibition alone could interfere with the immunosuppressive properties of rat MSCs, simultaneous inhibition of both enzymes restored T cell proliferation. In vivo, injection of MSCs significantly delayed heart allograft rejection, and inhibition of either both HO-1 or iNOS totally reversed the protective activity of MSCs, inducing graft rejection. Adult human MSCs also expressed HO-1 and in these cells, HO-1 inhibition was sufficient to completely block their immunosuppressive capacity. In conclusion, we show, for the first time, that HO-1 mediates the immunosuppressive properties of rat and human MSCs.

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