Tohoku J. Exp. Med., 2015 July, 236(3)

Therapeutic Potential of Umbilical Cord Mesenchymal Stem Cells for Inhibiting Myofibroblastic Differentiation of Irradiated Human Lung Fibroblasts

CHUNYANG ZHANG,1,2 YAN ZHU,1 YAN ZHANG,1 LIANRU GAO,3 NINGKUN ZHANG3 and HUASONG FENG1

1Respiratory Department, Navy General Hospital, Beijing, P.R. China
2China Medical School of Chinese PLA, Beijing, P.R. China
3Center of Cardiology, Navy General Hospital, Beijing, P.R. China

Radiation-induced lung injury (RILI) limits the benefits of radiotherapy in patients with lung cancer. Radiation-induced differentiation of lung fibroblasts to myofibroblasts plays a key role in RILI. Recent studies have shown that mesenchymal stem cells (MSCs) can protect against lung fibrosis and that Wnt/β-catenin signaling is involved in fibrotic processes. In the present study, we explored the therapeutic potential of human umbilical cord MSCs (HUMSCs) for preventing radiation-induced differentiation of human lung fibroblasts (HLFs) to myofibroblasts. There are two advantages in the use of HUMSCs; namely, they are easily obtained and have low immunogenicity. Irradiated HLFs were co-cultured with HUMSCs. Expression of α-smooth muscle actin (α-SMA), a myofibroblast marker, was measured by Western blot analysis and immunohistochemistry. Irradiation (X-rays, 5 Gy) induced the differentiation of HLFs into myofibroblasts, which was inhibited by co-culture with HUMSCs. Irradiation also caused activation of the canonical Wnt/β-catenin signaling in HLFs, as judged by increased phosphorylation of glycogen synthase kinase 3β, nuclear accumulation of β-catenin, and elevated levels of Wnt-inducible signaling protein-1 (WISP-1) in the conditioned medium. However, co-culture with HUMSCs attenuated the radiation-induced activation of the Wnt/β-catenin signaling. We also measured the expression of FRAT1 that can enhance the Wnt/β-catenin signaling by stabilizing β-catenin. Co-culture with HUMSCs decreased FRAT1 protein levels in irradiated nHLFs. Thus, co-culture with HUMSCs attenuated the radiation-induced activation of Wnt/β-catenin signaling in HLFs, thereby inhibiting myofibroblastic differentiation of HLFs. Wnt/β-catenin signaling is a potential therapeutic target for limiting RILI in patients receiving radiotherapy for lung cancer.

keywords —— Keywords: lung fibroblasts; radiation-induced lung injury; transwell co-culture; umbilical cord mesenchymal stem cells; Wnt/β-catenin signaling

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Tohoku J. Exp. Med., 2015, 236, 209-217

Correspondence: Huasong Feng, Respiratory Department, Navy General Hospital, No.6 Fucheng Road, Haidian District, Beijing 100048, P.R. China.

e-mail: fenghsmedsci@126.com