1. A Novel Cellular Therapy to Treat Pancreatic Pain in Experimental Chronic Pancreatitis Using Human Alpha-1 Antitrypsin Overexpressing Mesenchymal Stromal Cells
- Author
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Erica Green, Kevin Nguyen, William P. Lancaster, Wenyu Gou, Hongjun Wang, Kristi L. Helke, Katherine A. Morgan, Rebecca P. Chow, and Charlie Strange
- Subjects
Abdominal pain ,Pathology ,medicine.medical_specialty ,QH301-705.5 ,TRPV1 ,Medicine (miscellaneous) ,mast cells ,Inflammation ,Article ,General Biochemistry, Genetics and Molecular Biology ,chronic pancreatitis ,Cell therapy ,medicine ,pain ,antitrypsin ,Biology (General) ,business.industry ,Mesenchymal stem cell ,Visceral pain ,Mast cell ,medicine.disease ,medicine.anatomical_structure ,inflammation ,Pancreatitis ,medicine.symptom ,mesenchymal stromal cells ,business - Abstract
Chronic pancreatitis (CP) is characterized by pancreatic inflammation, fibrosis, and abdominal pain that is challenging to treat. Mesenchymal stromal cells (MSCs) overexpressing human alpha-1 antitrypsin (hAAT-MSCs) showed improved mobility and protective functions over native MSCs in nonobese diabetic mice. We investigated whether hAAT-MSCs could mitigate CP and its associated pain using trinitrobenzene sulfonic acid (TNBS)-induced CP mouse models. CP mice were given native human MSCs or hAAT-MSCs (0.5 × 106 cells/mouse, i.v., n = 6–8/group). The index of visceral pain was measured by graduated von Frey filaments. Pancreatic morphology and pancreatic mast cell count were analyzed by morphological stains. Nociceptor transient receptor potential vanilloid 1 (TRPV1) expression in dorsal root ganglia (DRG) was determined by immunohistochemistry. hAAT-MSC-treated CP mice best preserved pancreatic morphology and histology. MSC or hAAT-MSC infusion reduced abdominal pain sensitivities. hAAT-MSC therapy also suppressed TRPV1 expression in DRG and reduced pancreatic mast cell density induced by TNBS. Overall, hAAT-MSCs reduced pain and mitigated pancreatic inflammation in CP equal to MSCs with a trend toward a higher pancreatic weight and better pain relief in the hAAT-MSC group compared to the MSC group. Both MSCs and hAAT-MSCs might be used as a novel therapeutic tool for CP-related pain.
- Published
- 2021
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