Mesenchymal stromal cell-derived membrane particles suppress kidney fibrosis

Abstract Background Kidney injury, typically accompanied by inflammation, is a driver for kidney fibrosis, which contributes to the development of kidney failure. Mesenchymal stromal cells (MSC) have been proposed to have anti-fibrotic potential, but challenges such as their short persistence after...

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Main Authors: Shengbing Li, Ana Merino, Sander Korevaar, Thierry P. P. van den Bosch, Carla C. Baan, Marlies E. J. Reinders, Martin J. Hoogduijn
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Stem Cell Research & Therapy
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Online Access:https://doi.org/10.1186/s13287-025-04522-z
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author Shengbing Li
Ana Merino
Sander Korevaar
Thierry P. P. van den Bosch
Carla C. Baan
Marlies E. J. Reinders
Martin J. Hoogduijn
author_facet Shengbing Li
Ana Merino
Sander Korevaar
Thierry P. P. van den Bosch
Carla C. Baan
Marlies E. J. Reinders
Martin J. Hoogduijn
author_sort Shengbing Li
collection DOAJ
description Abstract Background Kidney injury, typically accompanied by inflammation, is a driver for kidney fibrosis, which contributes to the development of kidney failure. Mesenchymal stromal cells (MSC) have been proposed to have anti-fibrotic potential, but challenges such as their short persistence after infusion and inability to cross the lung capillary system due to their large size hamper their use for treatment of kidney fibrosis. It is hypothesized that the effects of MSC are partially dependent on phagocytosis of fragments of MSC by target cells and inhibiting excessive immune activation response. To exploit this effect of MSC, we developed nanosized membrane particles (MP) from MSC and explored their anti-fibrotic activity and immunomodulation effect in mouse and human kidney fibrosis models. Methods MP were generated from culture-expanded MSC through extrusion of isolated membranes. Unilateral kidney ischemia reperfusion injury (IRI) in male Balb/c mice was used to induce kidney fibrosis. MP generated from 1 × 106 MSC were injected in the tail vein immediately after anesthesia recovery. In a second model, human induced pluripotent stem cell-derived kidney organoids were exposed to 1% O2 for 48 h and 100 ng/mL IL-1β for 96 h to mimic IRI in vitro for inducing fibrosis. MP generated from 0.5 × 106 MSC were added to the medium for 4 consecutive days. Fibrosis and immune cell markers were subsequently measured. Results IRI induced the expression of transforming growth factor beta (TGFβ) and collagen type I alpha 1(COL1A1) in mouse kidneys. MP treatment significantly reduced TGF-β mRNA at day 3 while COL1A1 mRNA and protein were downregulated at day 7. We found no evidence for an immunomodulatory effect of MP, as the number and activity of infiltrating T cells and macrophages did not change. In kidney organoids, a rise in COL1A1 and TGF-β demonstrated successful fibrosis induction by hypoxia and IL-1β. MP significantly decreased these fibrosis markers. Additionally, immunohistochemistry revealed a reduction in the myofibroblast marker alpha smooth muscle actin. Conclusions Our results demonstrate that MP have anti-fibrotic properties in mouse kidney IRI and human kidney organoid models. These results indicate that MP have potential for the development of kidney fibrosis-inhibiting therapy.
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spelling doaj-art-ba9f89b82f2748a78f16afa7cc7aa4ed2025-08-20T04:01:53ZengBMCStem Cell Research & Therapy1757-65122025-07-0116111510.1186/s13287-025-04522-zMesenchymal stromal cell-derived membrane particles suppress kidney fibrosisShengbing Li0Ana Merino1Sander Korevaar2Thierry P. P. van den Bosch3Carla C. Baan4Marlies E. J. Reinders5Martin J. Hoogduijn6Division of Nephrology and Transplantation, Department of Internal Medicine, Erasmus MC Transplant Institute, Erasmus University Medical CenterThermo Fisher ScientificDivision of Nephrology and Transplantation, Department of Internal Medicine, Erasmus MC Transplant Institute, Erasmus University Medical CenterDepartment of Pathology and Clinical Bioinformatics, Erasmus University Medical CenterDivision of Nephrology and Transplantation, Department of Internal Medicine, Erasmus MC Transplant Institute, Erasmus University Medical CenterDivision of Nephrology and Transplantation, Department of Internal Medicine, Erasmus MC Transplant Institute, Erasmus University Medical CenterDivision of Nephrology and Transplantation, Department of Internal Medicine, Erasmus MC Transplant Institute, Erasmus University Medical CenterAbstract Background Kidney injury, typically accompanied by inflammation, is a driver for kidney fibrosis, which contributes to the development of kidney failure. Mesenchymal stromal cells (MSC) have been proposed to have anti-fibrotic potential, but challenges such as their short persistence after infusion and inability to cross the lung capillary system due to their large size hamper their use for treatment of kidney fibrosis. It is hypothesized that the effects of MSC are partially dependent on phagocytosis of fragments of MSC by target cells and inhibiting excessive immune activation response. To exploit this effect of MSC, we developed nanosized membrane particles (MP) from MSC and explored their anti-fibrotic activity and immunomodulation effect in mouse and human kidney fibrosis models. Methods MP were generated from culture-expanded MSC through extrusion of isolated membranes. Unilateral kidney ischemia reperfusion injury (IRI) in male Balb/c mice was used to induce kidney fibrosis. MP generated from 1 × 106 MSC were injected in the tail vein immediately after anesthesia recovery. In a second model, human induced pluripotent stem cell-derived kidney organoids were exposed to 1% O2 for 48 h and 100 ng/mL IL-1β for 96 h to mimic IRI in vitro for inducing fibrosis. MP generated from 0.5 × 106 MSC were added to the medium for 4 consecutive days. Fibrosis and immune cell markers were subsequently measured. Results IRI induced the expression of transforming growth factor beta (TGFβ) and collagen type I alpha 1(COL1A1) in mouse kidneys. MP treatment significantly reduced TGF-β mRNA at day 3 while COL1A1 mRNA and protein were downregulated at day 7. We found no evidence for an immunomodulatory effect of MP, as the number and activity of infiltrating T cells and macrophages did not change. In kidney organoids, a rise in COL1A1 and TGF-β demonstrated successful fibrosis induction by hypoxia and IL-1β. MP significantly decreased these fibrosis markers. Additionally, immunohistochemistry revealed a reduction in the myofibroblast marker alpha smooth muscle actin. Conclusions Our results demonstrate that MP have anti-fibrotic properties in mouse kidney IRI and human kidney organoid models. These results indicate that MP have potential for the development of kidney fibrosis-inhibiting therapy.https://doi.org/10.1186/s13287-025-04522-zKidney fibrosisMesenchymal stromal cellMembrane particleHuman kidney organoidIschemia reperfusion injuryRegenerative medicine
spellingShingle Shengbing Li
Ana Merino
Sander Korevaar
Thierry P. P. van den Bosch
Carla C. Baan
Marlies E. J. Reinders
Martin J. Hoogduijn
Mesenchymal stromal cell-derived membrane particles suppress kidney fibrosis
Stem Cell Research & Therapy
Kidney fibrosis
Mesenchymal stromal cell
Membrane particle
Human kidney organoid
Ischemia reperfusion injury
Regenerative medicine
title Mesenchymal stromal cell-derived membrane particles suppress kidney fibrosis
title_full Mesenchymal stromal cell-derived membrane particles suppress kidney fibrosis
title_fullStr Mesenchymal stromal cell-derived membrane particles suppress kidney fibrosis
title_full_unstemmed Mesenchymal stromal cell-derived membrane particles suppress kidney fibrosis
title_short Mesenchymal stromal cell-derived membrane particles suppress kidney fibrosis
title_sort mesenchymal stromal cell derived membrane particles suppress kidney fibrosis
topic Kidney fibrosis
Mesenchymal stromal cell
Membrane particle
Human kidney organoid
Ischemia reperfusion injury
Regenerative medicine
url https://doi.org/10.1186/s13287-025-04522-z
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AT carlacbaan mesenchymalstromalcellderivedmembraneparticlessuppresskidneyfibrosis
AT marliesejreinders mesenchymalstromalcellderivedmembraneparticlessuppresskidneyfibrosis
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