Stem cells and stem cells conditioned medium for inflammatory bowel disease treatment

Inflammatory bowel disease (IBD) is a complex of pathological processes occurring in the intestine. Chemically induced IBD in rodent usually used for study of drug therapy efficacy. Mesenchymal stem cells (MSC) was used as alternative method for IBD treatment.

Animal model of IBD was done on male C57Bl/6J and GFP-C57Bl/6J (GFP-B6) mice (carriers of the fluorescent protein). For induction of the inflammatory process in the intestine, 3.5% DSS solution (~40 kDa; Sigma-Aldrich) was added to drinking water for 7 days. On day 8, the animals were divided into 3 groups (5 mice per group): in control group mice received 0.2 mL of phosphate buffer saline (PBS), in experimental groups a part of mice received 0.2 mL of CM and other part of mice received 2×105 MSCs in 0.2 mL of PBS intravenously. On day 14 and day 21 mice were sacrificed, the small intestine was removed for histological examination and immunofluorescent analysis. MSC were separated from nucleated bone marrow cells of male GEP-B6 mice obtained routinely from femoral bones. Conditioned medium (CM) of passage 4 cultures was used for treatment.

Stem cells. Atlas of Science

Fig. 1. Structure of the small intestinal wall in DSS-induced inflammation. Hematoxylin and eosin staining, 40. a) Shortening of intestinal villi in the control group on day 21; b) normal length of the small intestinal villi on day 14 in the MSC group; c) structure of the small intestinal mucosa in the MSC group on day 21 did not differ from normal; d) is the length of the villi of the small intestine in the cs group on the 14th day of the experiment; e) structure of the small intestinal mucosa in the CM group on day 21 is comparable with the normal.

DSS intake with drinking water for 7 days led to the development of the inflammatory process in the intestine, which was seen from body weight loss (up to 5% of the initial body weight) by day 8 of the experiment and diarrhea. Single intravenous injection of MSC or CM reduced the severity of clinical signs of intestinal inflammation in comparison with the control, in particular, which manifested in normalization of body weight and the absence of diarrhea. In the control group, body weight deficit reached 10% by day 21. The intensity of the inflammatory process in the small intestine induced by drinking water with DSS was also assessed by the results of histological analysis on days 14 and 21 of the experiment. For instance, after single injection of MSC (Fig. 1, b, c) and CM (Fig. 1, d, e), the length of intestinal villi increased in comparison with the control (Fig. 1, a). In the control group, lymphocytic infiltration was somewhere seen in the lamina propria at the base of intestinal villi on day 21 of the experiment, the content of intraepithelial lymphocytes remained elevated. In the MSC group, only few intestinal villi of the small intestine contained neutrophils and signs of increased intraepithelial lymphocyte infiltration in the lamina propria. In CM group, no sites with inflammatory infiltration and increased content of intraepithelial lymphocytes were found. The destructive processes in the small intestinal mucosa was assessed by the dynamics of the number of Paneth cells involved in the regeneration/repair of the intestinal mucosa. For instance, the content of Paneth cells at the base of intestinal crypts and the number of mitoses in crypts were higher in the MSC and CM groups (primarily after single administration of CM). The results of morphological analysis indicate that the structure of the small intestine is closer to normal in animals receiving CM. At next stage, we analyzed migration of MSC from the peripheral blood to the depth of the small intestinal mucosa in DDS-induced inflammatory process. MSC migrated from the peripheral blood to the intestinal mucosa (Fig. 2, a, b) and were incorporate into the small intestinal villi (Fig. 2, c).

Stem Cells. Atlas of Science

Fig. 2. Bone marrow MSC of male GFP-C57Bl/6J mice (carriers of fluorescent protein) in the thickness of the small intestine mucosa of mice with DSS-induced inflammatory process (native preparation). MSC in the thickness of the small intestine mucosa: x10 (a), x40 (b); MSC in the thickness of the small intestinal villi, x400 (c).

Thus, administration of the biomedical cell product (MSC and CM from MSC) in DSS-induced inflammatory process in the intestine promoted recovery of the small intestinal mucosa and can be recommended for the treatment of inflammatory diseases of the intestinal mucosa.

Alexander P. Lykov, Olga V. Poveshchenko, Natalia A. Bondarenko, Maria A. Surovtseva,
Irina I. Kim, Natalia P. Bgatova

Research Institute of Clinical and Experimental Lymphology-Branch of the Institute of Cytology and Genetics Siberian Branch of the Russian Academy of Sciences, Novosibirsk, Russia


Therapeutic Potential of Biomedical Cell Product in DSS-Induced Inflammation in the Small Intestine of C57Bl/6J Mice.
Lykov AP, Poveshchenko OV, Bondarenko NA, Surovtseva MA, Kim II, Bgatova NP
Bull Exp Biol Med. 2018 Aug


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