Abstract
Introduction
The effect of bone marrow-derived mesenchymal stem cells (BMSCs) on asthma treatment was shown in our previous study. Several studies have shown the effect of statins on BMSC preservation and migration to sites of inflammation. In this study, the effects of simvastatin and BMSC combination therapy in an ovalbumin-induced asthma model in mouse were examined.
Methods
Four groups of BALB/c mice were studied including control group (animals were not sensitized), asthma group (animals were sensitized by ovalbumin), asthma + simvastatin group (asthmatic animals were treated with simvastatin), and asthma + BMSC + simvastatin group (asthmatic animals were treated with simvastatin and BMSCs). BMSCs were isolated, characterized, labeled with BrdU, and transferred into asthmatic mice. BMSC migration, airways histopathology, and total and differential white blood cell (WBC) count in bronchoalveolar lavage (BAL) fluid were evaluated.
Results
A significant increase in the number of BrdU-BMSCs was found in the lungs of mice treated with simvastatin + BMSCs compared to mice treated with BMSCs. The histopathological changes, BAL total WBC counts, and the percentage of neutrophils and eosinophils were increased in asthma group compared to the control group. Treatment with simvastatin significantly decreased airway inflammation and inflammatory cell infiltration. Combination therapy improved all measured parameters higher than simvastatin. Goblet cell hyperplasia and subepithelial fibrosis were also decreased in combination therapy group.
Conclusion
These results indicated that simvastatin and BMSC combination therapy was superior to simvastatin therapy and BMSC therapy alone in reduction of airway remodeling and lung inflammation in the ovalbumin-induced asthma model in mouse.
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References
Nakagome K, Nagata M (2011) Pathogenesis of airway inflammation in bronchial asthma. Auris Nasus Larynx 38:555–563
Bloemen K, Verstraelen S, Van Den Heuvel R et al (2007) The allergic cascade: review of the most important molecules in the asthmatic lung. Immunol Lett 113:6–18
Al-Muhsen S, Johnson JR, Hamid Q (2011) Remodeling in asthma. J Allergy Clin Immunol. 128:451–462
Bonnet D (2003) Biology of human bone marrow stem cells. Clin Exp Med 3:140–149
Bonfield TL, Caplan AI (2010) Adult mesenchymal stem cells: an innovative therapeutic for lung diseases. Discov Med 9:337–345
Mohammadian M, Boskabady MH, Ragerdi Kashani IR et al (2015) Effect of bone marrow derived mesenchymal stem cells on lung pathology and inflammation in ovalbumin- induced asthma in mouse. Iran J Basic Med Sc. 19:55–63
Boskabady MH, Keyhanmanesh R, Khamneh S et al (2011) Potential immunomodulation effect of Nigella sativa on ovalbumin sensitized guinea pigs. J Zhejiang Univ Sci B 12:201–209
Boskabady MH, Shahmohammadi Mehrjardi S, Rezaee A et al (2013) The impact of Zataria multiflora Boiss extract on in vitro and in vivo Th1/Th2 cytokine (IFN-γ/IL4) balance. J Ethnopharmacpol 150:1024–1031
Bayrami G, Boskabady MH, Jalali S et al (2013) The effect of the extract of Crocus sativus on tracheal responsiveness and plasma levels of IL-4, IFN-γ, total NO and nitrite in ovalbumin sensitized Guinea-pigs. J Ethnopharmacol 147:530–535
Mahmood A, Lu D, Lu M et al (2003) Treatment of traumatic brain injury in adult rats with intravenous administration of human bone marrow stromal cells. Neurosurgery 53:697–702
Muller-Ehmsen J, Krausgrill B, Burst V et al (2006) Effective engraftment but poor mid-term persistence of mononuclear and mesenchymal bone marrow cells in acute and chronic rat myocardial infarction. J Mol Cell Cardiol 41:876–884
Borlongan CV, Lind JG, Dillon-Carter O et al (2004) Bone marrow grafts restore cerebral blood flow and blood brain barrier in stroke rats. Brain Res 1010:108–116
Zhang Q, Yang YJ, Wang H et al (2012) Autophagy activation: a novel mechanism of atorvastatin to protect mesenchymal stem cells from hypoxia and serum deprivation via AMP-activated protein kinase/mammalian target of rapamycin pathway. Stem Cells Dev 21:1321–1332
Zhang Y, Zhang R, Li Y et al (2012) Simvastatin augments the efficacy of therapeutic angiogenesis induced by bone marrow-derived mesenchymal stem cells in a murine model of hindlimb ischemia. Mol Biol Rep 39:285–293
Cui X, Chopp M, Zacharek A et al (2009) Chemokine, vascular and therapeutic effects of combination Simvastatin and BMSC treatment of stroke. Neurobiol Dis 36:35–41
Ou XM, Wen FQ, Uhal BD et al (2009) Simvastatin attenuates experimental small airway remodelling in rats. Respirology 14:734–745
Zeki AA, Franzi L, Last J et al (2009) Simvastatin inhibits airway hyperreactivity: implications for the mevalonate pathway and beyond. Am J Respir Crit Care Med 180:731–740
Firinci F, Karaman M, Baran Y et al (2011) Mesenchymal stem cells ameliorate the histopathological changes in a murine model of chronic asthma. Int Immunopharmacol 11:1120–1126
Pirzad Jahromi G, Seidi S, Sadr SS et al (2012) Therapeutic effects of a combinatorial treatment of simvastatin and bone marrow stromal cells on experimental embolic stroke. Basic Clin Pharmacol Toxicol 110:487–493
Kashani IR, Golipoor Z, Akbari M et al (2011) Schwann-like cell differentiation from rat bone marrow stem cells. Arch Med Sci 7:45–52
Song X, Xie S, Lu K et al (2015) Mesenchymal stem cells alleviate experimental asthma by inducing polarization of alveolar macrophages. Inflammation 38:485–492
Zaminy A, Kashani IR, Barbarestani M et al (2008) Osteogenic differentiation of rat mesenchymal stem cells from adipose tissue in comparison with bone marrow mesenchymal stem cells: melatonin as a differentiation Factor. Iran Biomed J 12:133–141
Pachón-Peña G, Yu G, Tucker A et al (2011) Stromal stem cells from adipose tissue and bone marrow of age-matched female donors display distinct immunophenotypic profiles. J Cell Physiol 226:843–851
Qian C, Tio RA, Roks AJ et al (2007) A promising technique for transplantation of bone marrow-derived endothelial progenitor cells into rat heart. Cardiovasc Pathol. 16:127–135
Khakzad MR, Mirsadraee M, Mohammadpour A et al (2012) Effect of verapamil on bronchial goblet cells of asthma: an experimental study on sensitized animals. Pulm Pharmacol Ther 25:163–168
Cao R, Dong XW, Jiang JX et al (2011) M(3) muscarinic receptor antagonist bencycloquidium bromide attenuates allergic airway inflammation, hyperresponsiveness and remodeling in mice. Eur J Pharmacol 655:83–90
Ou-Yang HF, Huang Y, Hu XB et al (2011) Suppression of allergic airway inflammation in a mouse model of asthma by exogenous mesenchymal stem cells. Exp Biol Med 236:1461–1477
Cui X, Chopp M, Zacharek A et al (2009) Chemokine, vascular and therapeutic effects of combination Simvastatin and BMSC treatment of stroke. Neurobiol Dis 361:35–41
Neamati A, Boskabady MH, Mohaghegh Hazrati S, Khakzad MR, Moosavi SH (2013) The effect of natural adjuvants (G2, G2F) on lung inflammation of sensitized guinea pigs. Avicenna J Phytomed 3:364–370
Bonfield TL, Koloze M, Lennon DP et al (2010) Human mesenchymal stem cells suppress chronic airway inflammation in the murine ovalbumin asthma model. Am J Physiol 299:760–770
Xu L, Dong XW, Shen LL et al (2012) Simvastatin delivery via inhalation attenuates airway inflammation in a murine model of asthma. Int Immunopharmacol 12:556–564
Kim DY, Ryu SY, Lim JE et al (2007) Anti-inflammatory mechanism of simvastatin in mouse allergic asthma model. Eur J Pharmacol 557:76–86
Kim SE, Thanh Thuy TT, Lee JH et al (2009) Simvastatin inhibits induction of matrix metalloproteinase-9 in rat alveolar macrophages exposed to cigarette smoke extract. Exp Mol Med 41:277–287
Braganza G, Chaudhuri R, McSharry C et al (2011) Effects of short-term treatment with atorvastatin in smokers with asthma–a randomized controlled trial. BMC Pulm Med 11:16
Acknowledgments
This study was financially supported by the Research Department of Tehran University of Medical Sciences. The results described in this paper were a part of Ph.D. student research.
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Mohammadian, M., Sadeghipour, H.R., Kashani, I.R. et al. Evaluation of Simvastatin and Bone Marrow-Derived Mesenchymal Stem Cell Combination Therapy on Airway Remodeling in a Mouse Asthma Model. Lung 194, 777–785 (2016). https://doi.org/10.1007/s00408-016-9884-1
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DOI: https://doi.org/10.1007/s00408-016-9884-1