Skip to main content
American Journal of Translational Research logoLink to American Journal of Translational Research
. 2017 Apr 15;9(4):1914–1921.

Low-dose radiation modulates human mesenchymal stem cell proliferation through regulating CDK and Rb

Lei Yang 1, Ziling Liu 1, Chen Chen 1, Xiaofeng Cong 1, Zhi Li 1, Shasha Zhao 1, Meng Ren 1
PMCID: PMC5411939  PMID: 28469796

Abstract

Low-dose radiation (LDR) has been known to stimulate cell proliferation. The effect of LDR on human bone marrow mesenchymal stem cells (BMSCs), however, remains to be determined. The current study, therefore, aimed to investigate the effect of LDR on human BMSC proliferation and its mechanisms. To accomplish this, human BMSCs were isolated from ribs and cultured with or without exposition to LDR (75 mGy) for 24 h. Cell proliferation was assessed by MTT assay, the cytokines secreted by the BMSCs were quantified by ELISA, and the proteins associated with cell proliferation and cell cycle were evaluated by immunoblot analysis. BMSCs isolated from human ribs were capable of differentiating into osteoblasts and adipocytes. LDR stimulated human BMSC proliferation (0.580 ± 0.106 vs 0.419 ± 0.026 on day 4, P < 0.05; 0.794 ± 0.025 vs 0.689 ± 0.047 on day 7, P < 0.05) and increased S-phase proportion. LDR significantly enhanced the production of SCF, GM-CSF, and IL-11. Moreover, BMSCs modulated T-cell proliferation, and LDR further augmented the modulatory effect of BMSCs on T-cell proliferation. Cell cycle-associated proteins, such as Rb, CDK1, and CDC25B, appeared to mediate the stimulatory effect of LDR on BMSC proliferation. The findings of the current study indicate that physical stimulants, such as LDR, could be used for the large-scale expansion of human BMSCs, and thus may be used for MSC cellular therapy in clinic.

Keywords: Low-dose radiation, bone marrow mesenchymal stem cells, CDK, Rb

Introduction

Low-dose radiation (LDR)-induced hormesis has been extensively studied in a variety of biological systems, including the immune, hematopoietic and reproductive systems [1-3]. Bone marrow mesenchymal stem cells (BMSCs) play an important role in maintaining hematopoietic homeostasis induced in response to radiation (hormesis). BMSCs have been considered not only as an attractive cell source for tissue-engineering application, but also as offering other biological significance, including anti-inflammatory and immunomodulatory functions. In this regard, MSCs have recently been pre-clinically or clinically used to treat a wide range of diseases, including stroke, myocardial disorders, spinal cord injury, graft versus host disease (GVHD), and chronic obstructive pulmonary disease (COPD) [4-7]. However, only a small amount of MSCs are present in the adult bone marrow, and their proliferation potential is weak. Therefore, it is crucial to develop a new strategy to stimulate and expand on a large scale the growth of BMSCs in vitro [4,5]. While it has been reported that LDR stimulated the proliferation of several cell types, including normal lung fibroblasts and rat mesenchymal stem cells [8,9], the effect of LDR on human bone marrow stem cells remains to be determined. The current study was, therefore, designed to investigate the potential mechanisms of action and the effect of LDR on the proliferation of human BMSCs isolated from ribs.

Materials and methods

Materials

Cell culture medium, fetal calf serum (Invitrogen), and basic fibroblast growth factor (bFGF) were purchased from PeproTech. Dexamethasone, ß-glycerophosphate, 2-ascorbic acid phosphate, indomethacin, isobutyle-methylxanthine, and insulin were purchased from Sigma (Sigma, St. Louise, USA).

Isolation and culture of human BMSCs

Bone marrow was derived from human rib after obtaining a consent form from the patient. The study protocol was approved by The Ethic Committee of Jilin University (Changchun, Jilin, China). Mononuclear cells were isolated from the bone marrow using Percoll (Pharmacia, Solarbio) following the manufacturer’s instruction. Cells were pelleted by spinning at 900 g × 30 min followed by washing twice with serum-free DMEM. The cells were then plated at a density of 5 × 107 cells/25 cm2 in DMEM supplemented with 20% fetal calf serum (FCS, Invitrogen, Gibco). Further, the cells were re-fed every four days and passaged after reaching 90% confluence.

Differentiation and characterization of BMSCs

Cells were plated into 24-well tissue culture plates at a density of 104/well. Osteogenic differentiation of the cells was induced in low-glucose DMEM supplemented with 10% FCS, 2.0 ng/mL basic fibroblasts growth factor (bFGF), 100 nM dexamethasone, 10 mM ß-glycerophosphate, and 0.05 mM 2-ascorbic acid phosphate. Osteogenesis was induced for three weeks with the changing medium every two days. Cells were then fixed with 90% ethanol, and von Kossa staining was performed to confirm osteogenic differentiation.

For the adipogenic differentiation, cells were plated into 24-well tissue culture plates at a density of 4 × 104/well and induced in high-glucose DMEM supplemented with 10% FCS, 0.5 mM isobutyle-methylxanthine, 200 µM indomethacin, 1 µM dexamethasone, and 10 mg/mL insulin. Adipogenesis was induced for two weeks with changing the medium every two days. Cells were then fixed with 10% formalin and stained with Oil Red to visualize the adipocytes.

Cell proliferation and cell cycle assessment

Cell proliferation was assessed by MTT assay. After the treatment with or without low-dose radiation, cells were plated into a 96-well plate at a density of 103/well/100 µL and were then treated with or without 75 mGy for 24 h. MTT assay was performed on day 0, 1, 2, 4, 7, and 10. Briefly, 20 µL of MTT (5 µg/mL) was added into each well of the 96-well plate. After four hours of incubation, 150 µL/well of dimethyl sulfoxide (DMSO) was added and allowed to dissolve the MTT under shaking for 10 min. Then, the optical density at a wavelength of 490 nm was measured.

Lymphocyte proliferation assay

BMSCs were plated into a 96-well plate in triplicate for each treatment condition, at a density of 5 × 104/well, 1 × 105/well, and 2 × 105/well. After 72 h of culture, the cells were treated with mitomycin (20 µg/well/) for 30 min.

T lymphocytes were purified from peripheral blood mononuclear cells (PBMC) by the nylon wool fiber column purification method. The flow cytometry assay results revealed that CD3+ T cells constituted 70-80% of the cells. Next, the T cells were plated into the 96-well plates (1 × 106 cells/well), in which BMSCs were grown, followed by mitomycin treatment as aforementioned. Further, the cells were treated with Con A (5 ug/mL) for 72 h, after which, MTT (20 µL/well, 5 mg/mL) was added and allowed to be absorbed for 4 h. After spinning at 900 g × 5 min, the supernatant was discarded, and 150 µL/well DMSO was added by shaking for 10 min. Then, the optical density was measured at a wavelength of 492 nm.

Immunoblotting analysis

BMSCs were treated with or without 75 mGy for 24 h. After washing twice with cold PBS, the cells were harvested with lysis buffer containing a cocktail of a phosphatase inhibitor, proteinase inhibitor, and phenylmethane sulfonyl fluoride (PMSF) [10,11]. After brief sonication, the protein concentration was determined using a BCA protein Assay Kit (PIERCE, Rockford, IL, USA). A total of 300 µg ligated protein was loaded in one well across the entire width of 10% SDS polyacrylamide and electrophoresed. After transferring to a PVDF membrane, Rb, phosph-Rb, p21, and ß-actin were blotted with primary antibodies overnight at 4°C. After washing and incubation with HRP-conjugated secondary antibody, the band was visualized with ECL reagents.

Results

Primary culture and directed differentiation

After 48 h of plating, a population of cells was adherent to the culture plate and grown for 12-14 days until confluence. These cells were fibroblast-like-shaped (Figure 1A) and ready to be detached by trypsin.

Figure 1.

Figure 1

BMSC culture and differentiation. Mouse BMSCs were isolated and cultured as described in the methods: A. Morphology of BMSCs at confluence; B. von Kossa staining following osteogenic differentiation; C. Oil red staining following adipogenic differentiation. Data presented was one representative of five separate experiments.

The fibroblast-like cells were induced to differentiation into osteoblasts or adipocytes. After three weeks of culture in the osteogenic differentiation, multilayer colonies started to form that were stained positively by von Kossa staining (Figure 1B). The BMSCs also differentiated into adipocytes after two weeks of culture in the adipogenic differentiation medium. These adipocytes were positively stained by Oil Red staining (Figure 1C).

Low-dose radiation stimulated BMSC proliferation

Cell proliferation was assessed by MTT assay. As shown in Figure 2A, from day 4 to day 7, the proliferation of the BMSCs exposed to low-dose radiation was significantly faster than that of the cells without exposure to low-dose radiation (0.580 ± 0.106 vs 0.419 ± 0.026 on day 4, P < 0.05; 0.794 ± 0.025 vs 0.689 ± 0.047 on day 7, P < 0.05).

Figure 2.

Figure 2

Effect of low-dose radiation on BMSC proliferation and cell cycle. BMSCs were exposed to low-dose radiation (LDR), and cell proliferation was measured by MTT as described in the methods. A. Cell proliferation assessed by MTT. Vertical axis: OD value; horizontal axis: time (days). Open circle: non-treated cells (control); slide square: low-dose radiation-treated cells; B. Cell cycle assessment by flow cytometry. Vertical axis: percentage; horizontal axis: cell cycles.

To further confirm the effect of low-dose radiation on cell proliferation, the cell cycle was assessed by flow cytometry after 24 h of low-dose radiation treatment. As illustrated in Figure 2B, the S phase increased by 6.98 ± 0.25%, while the quantity of G1 phase cells decreased by 10.22 ± 1.02% in the BMSCs exposed to low-dose radiation.

Effect of low-dose radiation on cytokine release and T-lymphocyte proliferation

As depicted in Figure 3, low-dose radiation stimulated the stem-cell factor (SCF) release by BMSCs after 48 h (0.311 ± 0.014 vs 0.270 ± 0.018, P < 0.05) and 72 h (0.319 ± 0.086 vs 0.281 ± 0.016, P < 0.05, Figure 3A) of exposure; GM-CSF release after 48 h (0.338 ± 0.009 vs 0.318 ± 0.004, P < 0.05) and 72 h (0.346 ± 0.315 ± 0.086, P < 0.05, Figure 3B) exposure; and IL-11 release after 48 h (0.351 ± 0.006 vs 0.273 ± 0.005, P < 0.05), 72 h (0.324 ± 0.006 vs 0.277 ± 0.011, P < 0.05) and 96 h (0.315 ± 0.002 vs 0.258 ± 0.014, P < 0.05, Figure 3D). Low-dose radiation, however, had no effect on IL-6 release (Figure 3C).

Figure 3.

Figure 3

Effect of low-dose radiation on cytokine release. BMSCs were exposed to low-dose radiation for 24 h, and the medium was harvested for quantification of the cytokines by ELISA as described in the methods. A. Stem-cell factor (SFC); B. Granulocyte macrophage colony-stimulating factor (GM-CSF); C. Interleukin-6 (IL-6); D. Interleukin-11 (IL-11). Vertical axes: OD value; horizontal axes: time (day).

BMSCs inhibited T-lymphocyte proliferation in response to the Con A stimulation in a cell density-dependent manner (Figure 4). Low-dose radiation-treated BMSCs further significantly suppressed T-lymphocyte proliferation (P < 0.05).

Figure 4.

Figure 4

Modulation of lymphocyte proliferation by BMSCs exposed to low-dose radiation. BMSCs were treated with or without low-dose radiation followed by plating in 96-well plates at a density of 5 × 104/well, 1 × 105/well, and 2 × 105/well and allowed to attach for 72 h. T lymphocytes were then plated in the 96-well plates and treated with Con A as described in the methods. The number of T lymphocytes was determined by MTT assay. Vertical axis: OD value; horizontal axes: BMSC cell density. Data presented are the average of five separate experiments.

Mechanism of low-dose radiation stimulation on BMSC proliferation

To investigate the mechanism of action of low-dose radiation on cell proliferation, the effects of phospho-Rb, phospho-CDK, cyclin B1, cyclin E, and CDC25 were assessed by immunoblotting. Low-dose radiation not only induced the phosphorylation of Rb (Figure 5A) and CDK1 (Figure 5C), but also upregulated the protein levels of α-cyclin E (Figure 5B), α-cyclin B1 (Figure 5C), and CDC25 (Figure 5D). However, the radiation, did not affect α-CDK2 expression (Figure 5B).

Figure 5.

Figure 5

Effect of low-dose radiation on the phosphorylation of Rb and CDK1, and protein levels of cyclin E, CDK2, and CDC25B. BMSCs were treated with or without low-dose radiation as described in the methods. Total cell lysates were subjected for immunoblotting as described in the methods. ß-actin or α-tubulin was used as an internal control. A. Phospho-Rb; B. α-cyclin E and α-CDK2; C. Phospho-CDK1, and α-cyclin B1; D. CDC25B. Data presented are representative of five separate experiments.

Discussion

It has been hypothesized that low-dose radiation is beneficial through its stimulatory effect on the activation of repair mechanisms that protect against disease. Previous studies have demonstrated that LDR stimulated the proliferation of several cell types, including normal lung fibroblasts and Chinese hamster fibroblasts [8,12]. Consistently, the current study demonstrated that LDR stimulated the proliferation of BMSCs, increased the S-phase proportion, and stimulated the secretion of SCF and IL-11. The underlying mechanisms of the stimulatory influence of LDR on BMSC proliferation seem to be mediated by proteins and molecules associated with cell-cycle arrests, such as Rb, cyclin E, CDK1, and CDC25B.

While the effects of high and acute doses of ionizing radiation in humans are easily observed and understood, the impact of low-dose radiation is highly controversial and exceedingly difficult to observe. In this regard, several studies have reported the observation of LDR-induced cell proliferation in certain types of cells, including normal human diploid cells, 2BS cell line, lung fibroblasts, and rat mesenchymal stem cells [8,9,12,13]. In contrast, it has also been reported that LDR induces apoptosis in other cell types, including tumor cells, such HeLa cells, and other human cells [14,15]. Here, we report that LDR stimulated the proliferation and increase of the S-phase proportion in BMSCs, suggesting that the effect of LDR on cell proliferation or death may vary in different cell types.

A large number of researchers have used the immune system to evaluate the effects of LDR since it is one of the biological systems that are most sensitive to radiation. Moreover, LDR has been reported to induce hematopoietic hormesis, such as hematopoietic progenitor cell proliferation, peripheral blood mobilization, and hematopoietic reconstitution [16,17]. Thus, it may be interesting to determine if LDR affects the capacity of bone marrow mesenchymal stem cell proliferation and differentiation. Since previous studies have reported that LDR stimulated cell proliferation in a variety of cell types, including rat bone marrow mesenchymal stem cells [9], and that low-dose radiation activates several types of immune cells, including T cells, dendritic cells, natural killer cells, and macrophages [18,19], the current examination was designed to investigate the LDR-induced effect of BMSC proliferation and modulation on T-cell proliferation. We found that LDR stimulated the proliferation, increased the S-phase proportion of BMSC, and modulated the proliferation of T cells, suggesting that through modulating BMSCs, LDR may be beneficial in modulating the immune response to foreign pathogens and autoimmune diseases.

BMSCs are capable of differentiating into a wide range of cell types including osteoblasts, adipocytes, and chondrocytes. Initially, the initial interest in the application of MSC therapy for the treatment of a great variety of diseases was focused on the capacity for multilineage differentiation of this cell type. However, recently, BMSCs have been considered as potent modulators of disease-associated tissue microenvironments [20], taking into account their valuable anti-inflammatory and immunomodulatory properties. Thus, in the past decade, studies on BMSCs have been centered on not only the direct tissue and organ regeneration, but also on the modulatory effects on chronic inflammation and autoimmune diseases [21]. The reports on the anti-inflammatory and immunomodulatory properties of MSCs have been prevalent in the recently published literature sources [22-24]. These findings indicate that BMSCs are a potential candidate for effective cellular therapy in a variety of chronic diseases.

To obtain clinically meaningful numbers of MSCs, approaches such as genetic immortalization and formulation of growth media have been used to maintain the’ lifespan of MSC and ensure expansion that is sufficient for their clinical use. Few investigations have used physical stimulation to enhance the proliferation of stem cells. In the present study, we demonstrated that 75-mGy X-ray irradiation significantly stimulated MSC proliferation, indicated by the increased total cell numbers and S-phase cells in the cycling cells. Compared to other methods for stem cell expansion, LDR is more convenient to use, cheaper, and with a low risk of contamination of stem cells with the residuals of the reagents used to stimulate cell proliferation. The findings of the current study further support the conception of physical stimulation of BMSCs in vitro, which may be used for the application of MSC therapy in clinical settings.

In the current investigation, we also found that LDR induced changes in the secretion of SCF, GM-CSF, and IL-11. These factors may influence the hematopoietic and immune systems since they are generally regulated by cytokines, chemokines, and growth factors. Although other factors were not examined in our study, it is still possible that low-dose radiation may modulate the activities of other cytokines, chemokines, and growth factors, inducing effects on the hematopoietic and immune systems. Nevertheless, this may need to be further elucidated in the future.

Taken together, we conclude that BMSCs isolated from human ribs are capable of differentiating into osteoblasts and adipocytes. Low-dose radiation stimulated BMSC proliferation and increased the S-phase proportion of BMSCs. LDR modulated cytokine and growth factor secretion through the activities of BMSCs. LDR further augmented the inhibition of T-cell proliferation by BMSCs. These findings suggest that LDR may be beneficial to patients with chronic inflammation or autoimmune diseases through modulation of BMSC proliferation and immune modulation.

Disclosure of conflict of interest

None.

References

  • 1.Liu G, Gong P, Zhao H, Wang Z, Gong S, Cai L. Effect of low-level radiation on the death of male germ cells. Radiat Res. 2006;165:379–389. doi: 10.1667/rr3528.1. [DOI] [PubMed] [Google Scholar]
  • 2.Ina Y, Tanooka H, Yamada T, Sakai K. Suppression of thymic lymphoma induction by lifelong low-dose-rate irradiation accompanied by immune activation in C57BL/6 mice. Radiat Res. 2005;163:153–158. doi: 10.1667/rr3289. [DOI] [PubMed] [Google Scholar]
  • 3.Olivieri G, Bodycote J, Wolff S. Adaptive response of human lymphocytes to low concentrations of radioactive thymidine. Science. 1984;223:594–597. doi: 10.1126/science.6695170. [DOI] [PubMed] [Google Scholar]
  • 4.Sensebe L, Bourin P. Mesenchymal stem cells for therapeutic purposes. Transplantation. 2009;87(Suppl):S49–53. doi: 10.1097/TP.0b013e3181a28635. [DOI] [PubMed] [Google Scholar]
  • 5.Liu ZJ, Zhuge Y, Velazquez OC. Trafficking and differentiation of mesenchymal stem cells. J Cell Biochem. 2009;106:984–991. doi: 10.1002/jcb.22091. [DOI] [PubMed] [Google Scholar]
  • 6.Nemeth K, Keane-Myers A, Brown JM, Metcalfe DD, Gorham JD, Bundoc VG, Hodges MG, Jelinek I, Madala S, Karpati S, Mezey E. Bone marrow stromal cells use TGF-beta to suppress allergic responses in a mouse model of ragweed-induced asthma. Proc Natl Acad Sci U S A. 2010;107:5652–5657. doi: 10.1073/pnas.0910720107. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Weiss DJ, Casaburi R, Flannery R, LeRoux-Williams M, Tashkin DP. A placebo-controlled, randomized trial of mesenchymal stem cells in COPD. Chest. 2013;143:1590–1598. doi: 10.1378/chest.12-2094. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8.Kim CS, Kim JM, Nam SY, Yang KH, Jeong M, Kim HS, Lim YK, Kim CS, Jin YW, Kim J. Low-dose of ionizing radiation enhances cell proliferation via transient ERK1/2 and p38 activation in normal human lung fibroblasts. J Radiat Res. 2007;48:407–415. doi: 10.1269/jrr.07032. [DOI] [PubMed] [Google Scholar]
  • 9.Liang X, So YH, Cui J, Ma K, Xu X, Zhao Y, Cai L, Li W. The low-dose ionizing radiation stimulates cell proliferation via activation of the MAPK/ERK pathway in rat cultured mesenchymal stem cells. J Radiat Res. 2011;52:380–386. doi: 10.1269/jrr.10121. [DOI] [PubMed] [Google Scholar]
  • 10.Shu C, Liu Z, Cui L, Wei C, Wang S, Tang JJ, Cui M, Lian G, Li W, Liu X, Xu H, Jiang J, Lee P, Zhang DY, He J, Ye F. Protein profiling of preeclampsia placental tissues. PLoS One. 2014;9:e112890. doi: 10.1371/journal.pone.0112890. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Ye F, Che Y, McMillen E, Gorski J, Brodman D, Saw D, Jiang B, Zhang DY. The effect of Scutellaria baicalensis on the signaling network in hepatocellular carcinoma cells. Nutr Cancer. 2009;61:530–537. doi: 10.1080/01635580902803719. [DOI] [PubMed] [Google Scholar]
  • 12.Kornasio R, Riederer I, Butler-Browne G, Mouly V, Uni Z, Halevy O. Beta-hydroxy-beta-methylbutyrate (HMB) stimulates myogenic cell proliferation, differentiation and survival via the MAPK/ERK and PI3K/Akt pathways. Biochim Biophys Acta. 2009;1793:755–763. doi: 10.1016/j.bbamcr.2008.12.017. [DOI] [PubMed] [Google Scholar]
  • 13.Liang X, Gu J, Yu D, Wang G, Zhou L, Zhang X, Zhao Y, Chen X, Zheng S, Liu Q, Cai L, Cui J, Li W. Low-dose radiation induces cell proliferation in human embryonic lung fibroblasts but not in lung cancer cells: importance of ERK1/2 and AKT signaling pathways. Dose Response. 2016;14:1559325815622174. doi: 10.1177/1559325815622174. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Mirzaie-Joniani H, Eriksson D, Sheikholvaezin A, Johansson A, Lofroth PO, Johansson L, Stigbrand T. Apoptosis induced by low-dose and low-dose-rate radiation. Cancer. 2002;94(Suppl):1210–1214. doi: 10.1002/cncr.10287. [DOI] [PubMed] [Google Scholar]
  • 15.Shimura T, Kunugita N. Mitochondrial reactive oxygen species-mediated genomic instability in low-dose irradiated human cells through nuclear retention of cyclin D1. Cell Cycle. 2016;15:1410–1414. doi: 10.1080/15384101.2016.1170271. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Zhang L, Tian Y, Wu Y, Zhang H, Wang Z, Huo H, Zhang Y, Zhang M, Ning P, Jiang J. Lowdose radiation-induced hormetic effect on hematopoietic reconstitution. Int J Radiat Biol. 2010;86:329–333. doi: 10.3109/09553000903564018. [DOI] [PubMed] [Google Scholar]
  • 17.Li W, Wang G, Cui J, Xue L, Cai L. Low-dose radiation (LDR) induces hematopoietic hormesis: LDR-induced mobilization of hematopoietic progenitor cells into peripheral blood circulation. Exp Hematol. 2004;32:1088–1096. doi: 10.1016/j.exphem.2004.07.015. [DOI] [PubMed] [Google Scholar]
  • 18.Cao M, Cabrera R, Xu Y, Liu C, Nelson D. Different radiosensitivity of CD4(+)CD25(+) regulatory T cells and effector T cells to lowdose gamma irradiation in vitro. Int J Radiat Biol. 2011;87:71–80. doi: 10.3109/09553002.2010.518208. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Reissfelder C, Timke C, Schmitz-Winnenthal H, Rahbari NN, Koch M, Klug F, Roeder F, Edler L, Debus J, Buchler MW, Beckhove P, Huber PE, Weitz J. A randomized controlled trial to investigate the influence of low-dose radiotherapy on immune stimulatory effects in liver metastases of colorectal cancer. BMC Cancer. 2011;11:419. doi: 10.1186/1471-2407-11-419. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.Caplan AI. Why are MSCs therapeutic? New data: new insight. J Pathol. 2009;217:318–324. doi: 10.1002/path.2469. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.Bianco P, Cao X, Frenette PS, Mao JJ, Robey PG, Simmons PJ, Wang CY. The meaning, the sense and the significance: translating the science of mesenchymal stem cells into medicine. Nat Med. 2013;19:35–42. doi: 10.1038/nm.3028. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Griffin MD, Ryan AE, Alagesan S, Lohan P, Treacy O, Ritter T. Anti-donor immune responses elicited by allogeneic mesenchymal stem cells: what have we learned so far? Immunol Cell Biol. 2013;91:40–51. doi: 10.1038/icb.2012.67. [DOI] [PubMed] [Google Scholar]
  • 23.Le Blanc K, Mougiakakos D. Multipotent mesenchymal stromal cells and the innate immune system. Nat Rev Immunol. 2012;12:383–396. doi: 10.1038/nri3209. [DOI] [PubMed] [Google Scholar]
  • 24.Prockop DJ, Oh JY. Mesenchymal stem/stromal cells (MSCs): role as guardians of inflammation. Mol Ther. 2012;20:14–20. doi: 10.1038/mt.2011.211. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from American Journal of Translational Research are provided here courtesy of e-Century Publishing Corporation

RESOURCES