Antimicrobial activity of adipose-derived mesenchymal stromal cell secretome against methicillin-resistant Staphylococcus aureus

Abstract Background Methicillin-resistant Staphylococcus aureus (MRSA) is still a growing concern in the field of antimicrobial resistance due to its resistance to conventional antibiotics and its association with high mortality rates. Mesenchymal stromal cells (MSCs) have been shown as a promising...

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Main Authors: Fatimah Shaaban, Elie Salem Sokhn, Charbel Khalil, Fatima A. Saleh
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Stem Cell Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13287-025-04138-3
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author Fatimah Shaaban
Elie Salem Sokhn
Charbel Khalil
Fatima A. Saleh
author_facet Fatimah Shaaban
Elie Salem Sokhn
Charbel Khalil
Fatima A. Saleh
author_sort Fatimah Shaaban
collection DOAJ
description Abstract Background Methicillin-resistant Staphylococcus aureus (MRSA) is still a growing concern in the field of antimicrobial resistance due to its resistance to conventional antibiotics and its association with high mortality rates. Mesenchymal stromal cells (MSCs) have been shown as a promising and attractive alternative treatment for bacterial infections, due to their antibacterial properties and potential to bypass traditional resistance mechanisms. This study aims to shed light on the antibacterial potential of adipose-derived mesenchymal stromal cell (AD-MSC) secretome against clinical isolates of Staphylococcus spp., including MRSA strains. Methods Using the Kirby-Bauer disk diffusion method, broth microdilution assays, and colony-forming unit (CFU) counting, the antibacterial activity of AD-MSC secretome was assessed. These tests were first conducted on Staphylococcus (S.) aureus ATCC 25923, then on 73 clinical isolates including MRSA strains. Further molecular analysis was performed to identify resistant genes in MRSA isolates. Results The AD-MSC secretome demonstrated significant antibacterial activity against S. aureus ATCC with a 32 mm inhibition zone. 96% of the collected staphylococcal clinical isolates showed susceptibility to the secretome with 87.5% inhibition observed in MRSA isolates, along with 100% in MSSA, MSSE, and MRSE strains. Molecular analysis revealed that MRSA strains resistant to the secretome harbored mecA, ermA, and ermB genes. Additionally, the mecA-negative MRSA strains remained susceptible to the secretome, suggesting alternative resistance mechanisms. Conclusion These findings emphasize the ability of AD-MSCs secretome as a promising alternative for treating antibiotic-resistant infections, with potential applications in combating MRSA. However, further research is required to explore its clinical applications as a complementary or standalone therapy for resistant infections.
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spelling doaj-art-72dd86a4b7354bae87f538c6f4ea11b82025-01-26T12:18:11ZengBMCStem Cell Research & Therapy1757-65122025-01-0116111010.1186/s13287-025-04138-3Antimicrobial activity of adipose-derived mesenchymal stromal cell secretome against methicillin-resistant Staphylococcus aureusFatimah Shaaban0Elie Salem Sokhn1Charbel Khalil2Fatima A. Saleh3Department of Medical Laboratory Technology, Faculty of Health Sciences, Beirut Arab UniversityDepartment of Medical Laboratory Technology, Faculty of Health Sciences, Beirut Arab UniversityReviva Regenerative Medicine CenterDepartment of Medical Laboratory Technology, Faculty of Health Sciences, Beirut Arab UniversityAbstract Background Methicillin-resistant Staphylococcus aureus (MRSA) is still a growing concern in the field of antimicrobial resistance due to its resistance to conventional antibiotics and its association with high mortality rates. Mesenchymal stromal cells (MSCs) have been shown as a promising and attractive alternative treatment for bacterial infections, due to their antibacterial properties and potential to bypass traditional resistance mechanisms. This study aims to shed light on the antibacterial potential of adipose-derived mesenchymal stromal cell (AD-MSC) secretome against clinical isolates of Staphylococcus spp., including MRSA strains. Methods Using the Kirby-Bauer disk diffusion method, broth microdilution assays, and colony-forming unit (CFU) counting, the antibacterial activity of AD-MSC secretome was assessed. These tests were first conducted on Staphylococcus (S.) aureus ATCC 25923, then on 73 clinical isolates including MRSA strains. Further molecular analysis was performed to identify resistant genes in MRSA isolates. Results The AD-MSC secretome demonstrated significant antibacterial activity against S. aureus ATCC with a 32 mm inhibition zone. 96% of the collected staphylococcal clinical isolates showed susceptibility to the secretome with 87.5% inhibition observed in MRSA isolates, along with 100% in MSSA, MSSE, and MRSE strains. Molecular analysis revealed that MRSA strains resistant to the secretome harbored mecA, ermA, and ermB genes. Additionally, the mecA-negative MRSA strains remained susceptible to the secretome, suggesting alternative resistance mechanisms. Conclusion These findings emphasize the ability of AD-MSCs secretome as a promising alternative for treating antibiotic-resistant infections, with potential applications in combating MRSA. However, further research is required to explore its clinical applications as a complementary or standalone therapy for resistant infections.https://doi.org/10.1186/s13287-025-04138-3Mesenchymal stromal cellsSecretomeBacterial infectionMethicillin-resistant Staphylococcus aureusStem cell therapyAntibiotic resistance
spellingShingle Fatimah Shaaban
Elie Salem Sokhn
Charbel Khalil
Fatima A. Saleh
Antimicrobial activity of adipose-derived mesenchymal stromal cell secretome against methicillin-resistant Staphylococcus aureus
Stem Cell Research & Therapy
Mesenchymal stromal cells
Secretome
Bacterial infection
Methicillin-resistant Staphylococcus aureus
Stem cell therapy
Antibiotic resistance
title Antimicrobial activity of adipose-derived mesenchymal stromal cell secretome against methicillin-resistant Staphylococcus aureus
title_full Antimicrobial activity of adipose-derived mesenchymal stromal cell secretome against methicillin-resistant Staphylococcus aureus
title_fullStr Antimicrobial activity of adipose-derived mesenchymal stromal cell secretome against methicillin-resistant Staphylococcus aureus
title_full_unstemmed Antimicrobial activity of adipose-derived mesenchymal stromal cell secretome against methicillin-resistant Staphylococcus aureus
title_short Antimicrobial activity of adipose-derived mesenchymal stromal cell secretome against methicillin-resistant Staphylococcus aureus
title_sort antimicrobial activity of adipose derived mesenchymal stromal cell secretome against methicillin resistant staphylococcus aureus
topic Mesenchymal stromal cells
Secretome
Bacterial infection
Methicillin-resistant Staphylococcus aureus
Stem cell therapy
Antibiotic resistance
url https://doi.org/10.1186/s13287-025-04138-3
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AT charbelkhalil antimicrobialactivityofadiposederivedmesenchymalstromalcellsecretomeagainstmethicillinresistantstaphylococcusaureus
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