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Cornea Derived MSCs Therapeutically Modulate Macrophage Immunophenotype And Angiogenic Function.

Author
Abstract
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Macrophages are crucial drivers of inflammatory corneal neovascularization and thus are potential targets for immunomodulatory therapies. We hypothesized that therapeutic use of cornea derived mesenchymal stromal cells (cMSCs) may alter the function of macrophages. We found that cMSCs can modulate the phenotype and angiogenic function of macrophages. In vitro, cMSCs induce apoptosis of macrophages while preferentially promoting a distinct CD14hi CD16hi CD163hi CD206hi immunophenotype that has significantly reduced angiogenic effects based on in vitro angiogenesis assays. In vivo, application of cMSCs to murine corneas after injury leads to reduced macrophage infiltration and higher expression of CD206 in macrophages. Macrophages co-cultured ("educated") by cMSCs express significantly higher levels of anti-angiogenic and anti-inflammatory factors compared to control macrophages. In vivo, injured corneas treated with cMSC-educated macrophages demonstrate significantly less neovascularization compared to corneas treated with control macrophages. Knocking down the expression of PEDF in cMSCs significantly abrogates its modulating effects on macrophages, as shown by the reduced rate of apoptosis, decreased expression of sFLT-1/PEDF, and increased expression of VEGF-A in the co-cultured macrophages. Similarly, cMSCs isolated from PEDF knockout mice are less effective compared to wild type cMSCs at inhibiting macrophage infiltration when applied to wild type corneas after injury. Overall, these results demonstrate that cMSCs therapeutically suppress the angiogenic capacity of macrophages and highlight the role of cMSC secreted PEDF in the modulation of macrophage phenotype and function. This article is protected by copyright. All rights reserved.

Year of Publication
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2018
Journal
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Stem cells (Dayton, Ohio)
Date Published
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2018
ISSN Number
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1066-5099
URL
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http://dx.doi.org/10.1002/stem.2781
DOI
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10.1002/stem.2781
Short Title
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Stem Cells
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