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In dieser Arbeit wurde der Einfluss mesenchymaler Stammzellen (MSC) auf verschiedene T-Zellsubpopulationen in vitro untersucht. Dazu wurden Naive- und Nicht-Naive CD4+ T-Zellen aus humanen PBMCs von gesunden Probanden und Patienten mit Autoimmun-Arthritis bei rheumatischen Erkrankungen isoliert und im Beisein/in Abwesenheit von MSCs unter Th-17-polarisierenden Bedingungen kultiviert. Nach einer 6 Tage umfassenden Inkubationszeit erfolgte die flowzytometrische Bestimmung des Phänotyps, der Proliferation, der Apoptose, des Zytokinprofils und der Chemokinrezeptorexpression Naiver und Nicht-Naiver-CD4+ T-Zellen im Beisein/in Abwesenheit von MSCs. Die Phänotypen wurden als CD45RA+CD27+ Naive-, CD45RA-CD27+ Gedächtnis-, CD45RA- CD27- Effektor- und CD45RA+CD27- TEMRA-Zellen definiert und ihre jeweiligen prozentualen Anteile an allen CD4+ T-Zellen bestimmt. Nach Beurteilung der Proliferation und Apoptose, erfolgte die Analyse der IFNγ-, IL-17-, IL-9- und IL-13-Produktion für jeden der vier Phänotypen. Zusätzlich wurde der prozentuale Anteil an FoxP3+CD25+CD127- Tregs und deren IL-10-Produktion bestimmt. Abschließend erfolgte die Messung der CCR5-, CCR6- und CXCR3- Expression. Insgesamt konnte sowohl in der Naiven CD4+- als auch in der Nicht-Naiven CD4+ T- Zellfraktion eine Hemmung der Proliferation und Apoptose CD4+ T-Zellen durch MSCs gemessen werden. Zudem supprimierten MSCs die Produktion der Zytokine IFNγ, IL-17, IL-9 und IL-10 und steigerten teilweise die Produktion von antiinflammatorischem IL-13. In den vier untersuchten Phänotypen verhielt sich die Zytokinproduktion variabel und war bei CD45RA-CD27+ Gedächtnis- und CD45RA-CD27- Effektor-Zellen am größten. Der hemmende Einfluss der MSCs war auf diese beiden Phänotypen ebenfalls am stärksten ausgeprägt. CD45RA+CD27+ Naive- und CD45RA+CD27- TEMRA-Zellen produzierten in Kultur mit MSCs mitunter vermehrt proinflammatorische Zytokine. Analog zur Proliferation und Apoptose verminderten MSCs die Expression von CCR5, CCR6 und CXCR3 auf CD4+ T-Zellen. Die beschriebenen Effekte der MSCs konnten sowohl bei gesunden Probanden, als auch bei Patienten mit rheumatischen Erkrankungen nachgewiesen werden. Durch die Verwendung eines Transwell®-Systems konnte gezeigt werden, dass MSCs ihre Wirkung auf T-Lymphozyten nicht nur durch direkten Zell-Zell-Kontakt, sondern auch über lösliche Faktoren ausüben. Die Resultate dieser Arbeit verdeutlichen den immunsuppressiven Charakter der MSCs auf Naive und Nicht-Naive CD4+ T-Zellen unter Th17-polarisierenden Bedingungen in vitro. Jedoch zeigt die Analyse der Zytokinproduktion in den untersuchten T-Zell-Phänotypen, dass MSCs neben ihrer immunsuppressiven Eigenschaft die Zytokinantwort einzelner T-Zellphänotypen steigern können. MSCs scheinen daher am ehesten eine immunmodulatorische Rolle zu spielen, indem sie übersteigerte Immunreaktionen herabsetzen und bei Bedarf immunstimulierend wirken. / In this thesis the influence of mesenchymal stem cells (MSCs) on different T cell subsets was investigated in vitro. Naive- and Non-Naive CD4+ T cells were isolated from human PBMCs of healthy donors and patients with rheumatic diseases and cultured in presence/in absence of MSCs under Th17 polarizing conditions. After incubation for six days phenotype, proliferation, apoptosis, cytokine profile and expression of chemokine receptors of Naive- and Non-Naive CD4+ T cells in presence/in absence of MSCs was determined by flow cytometry. T cell subsets were defined as CD45RA+CD27+ Naive, CD45RA-CD27+ Memory, CD45RA-CD27- Effektor and CD45RA+CD27- TEMRA cells and the percentage of total CD4+ T cells was calculated. After assessing proliferation and apoptosis, production of IFNγ, IL-17, IL-9 and IL-13 was analyzed for each of the four subsets. Additionally, the percentages of FoxP3+CD25+CD127- Tregs and the corresponding production of IL-10 were determined. Finally, the expression of chemokine receptors CCR5, CCR6 and CXCR3 was measured. In both the Naive and Non-Naive CD4+ cell fraction an inhibition of proliferation and apoptosis of CD4+ T cells through MSCs was analyzed. Moreover, MSCs suppressed the production of the cytokines IFNγ, IL-17, IL-9 and IL-10 and partially enhanced the production of IL-13. The cytokine production varied in the four analyzed T cell subsets, with the highest cytokine production among CD45RA-CD27+ Memory and CD45RA-CD27- Effector cells. The inhibiting influence of MSCs on these two subsets was most prominent. CD45RA+CD27+ Naive and CD45RA+CD27- TEMRA cells occasionally produced more proinflammatory cytokines in culture with MSCs. Like similar effects of MSCs on proliferation and apoptosis, MSCs diminished the expression of CCR5, CCR6 and CXCR3 on CD4+ T cells. The effects of MSCs were demonstrated in both, healthy donors and patients with rheumatic diseases. By the use of a Transwell®-System it was shown that MSCs exert their effects not only through direct cell-cell-contact but also by soluble factors. The results of this thesis elucidate the immunosuppressive character of MSCs on Naive and Non-Naive CD4+ T cells under Th17-polarizing conditions in vitro. However, the analysis of the cytokine production in the investigated T cell subsets showed, that MSCs are able to enhance the immune response besides their immunosuppressive properties. Therefore, MSCs most likely seem to play an immunomodulatory role, by reducing exaggerated immune reactions and, if required are also able to act immune stimulating.

Virtually all signaling pathways that play key roles in development such as the transfroming growth factor (TGF)-beta, notch, and wnt pathways also influence tumor formation, implying that cancer is in a sense development gone awry. Therefore, identification and elucidation of developmental pathways has great potential for generating new diagnostic tools and molecular therapy targets. Singleminded-2s (SIM2s), a splice variant of the basic helilx-loop-helix / PER-ARNT-SIM (bHLH/PAS) transcriptional repressor Singleminded-2, is lost or repressed in approximately 70% of human breast tumors and has a profound influence on normal mammary development. In order to gain a better understanding of the mechanisms by which SIM2s restricts malignant transformation and progression in breast cancer, we depleted SIM2 RNA in MCF-7 cells using a retroviral shRNA system and examined gene expression and functional abilities of the SIM2-depleted MCF-7 cells (SIM2i) relative to a control MCF line expressing a non-specific “scrambled” shRNA (SCR). Depletion of SIM2 resulted in an epithelial-mesenchymal transition (EMT)-like effect characterized by increased migration and invasion, altered morphology, and loss of epithelial markers concomitant with gain of mesenchymal markers. The root of this effect may be loss of SIM2- mediated repression of the E-cadherin repressor slug, as SIM2 is able to bind and repress transcription from the slug promoter, and slug expression is dramatically elevated in SIM2i MCF-7 cells. Consistent with the previously established role of slug in resistance to various cancer therapies, SIM2i cells are resistant to the radiomimetic doxorubicin and appear to have elevated self-renewal capacity under certain conditions. Intriguingly, SIM2 protein levels are elevated by treatment with DNA damaging agents, and SIM2 interacts with the p53 complex via co-regulation of specific p53- target gene such as p21/WAF1/CIP1. These results provide a plausible mechanism for the tumor suppressor activity of SIM2, and provide insight into a novel tumor suppressive transcriptional circuit that may have utility as a therapeutic target.

abstract / Medicine / Doctoral / Doctor of Philosophy

Despite major advances in pharmacological and surgical treatments of cardiovascular diseases (CVDs), clinical outcomes of patients with severe CVDs remain very poor. Most of medication and interventions currently available are only playing roles of preventing further damage to myocardium, declining the risk of on-going cardiovascular events, lifting the cardiac pumping efficiency and lower early mortality rates, none of these treatments can regenerate or repair damaged cardiac tissue or restore heart function. As a result, several new strategies have been explored to overcome limitations of current therapeutic approaches. One prospective is to replace dead cardiac vascular cells with young and green cells to repair or regenerate damaged heart myocardium. Several types of stem cells, including bone marrow hematopoietic stem cells, mesenchymal stem cells (MSCs), embryonic stem cell (ESCs)and induced pluripotent stem cells (iPSCs),have been tested as the candidates for treatment of CVDs. Among a myriad of types of stem cells, bone marrow derived MSCs(BM-MSCs) has received great attention based on several unique properties such as easy isolation and expansion, stable genetic background and low immunogenicity. However, the therapeutic efficacy of BM-MSCs derived from aging or diseased donors is impaired. The differentiation potential of BM-MSCs is gradually reduced with the increased culture time. Thus, it is urgent to identify some novel alternative sources for MSCs. Moreover, the potential mechanisms of MSCs therapy have not been understood totally. This thesis is designed to investigate the therapeutic efficacy and potential mechanisms of several novel types of MSCs, including hESC-MSCs and hiPSC-MSCs and Rap1-/--BM-MSCson several types of CVDs, including pulmonary arterial hypertension (PAH), dilated cardiomyopathy (DCM)and myocardial infarction (MI). In Chapter 4, it disclosed that hESC-MSCs have a better therapeutic efficacy than BM-MSCs in attenuation of PAH induced by monocrotaline in mice. The greater therapeutic potential of hESC-MSCs on PAH was not only attributed to the higher capacity of differentiation into de-novo vascular cells, but also attributed to higher cell survival rate and greater paracrine effects post-transplantation. In Chapter 5, it demonstrated that compared with BM-MSCs, iPSC-MSCs have a better therapeutic effect on doxorubicin-induced cardiomyopathy. Several potential mechanisms of action were involved in iPSC-MSCs-based therapy for cardiomyopathy. It demonstrated that iPSC-MSCs transplantation not only attenuated the generation of reactive oxygen species(ROS)and the level of inflammation, but also restored depletion of cardiac progenitor cells and promoted endogenous myocardial regeneration against doxorubicin induced cardiomyopathy. Moreover, mitochondrial transfer and paracrine actions of iPSC-MSCs played critical roles in the rescue for doxorubicin-induced cardiomyopathy. In Chapter 6, it uncovered that compared with wild type BM-MSCs,Rap1-/--BM-MSCs transplantation achieved a better benefit to MI induced by ligation of left anterior descending (LAD)coronary artery. Rap1-mediated NF-κB activity plays a key role in regulation MSCscytokine secretion profiles. The absence of Rap1 in MSCs leads to reduced pro-inflammatory cytokines secretion and enhanced MSCs survival capacity, thus yielding a better therapeutic efficacy. In conclusion, findings presented in this thesis provide important new insights regarding different novel types of MSCs, including those derived from ESC and iPSC. They have distinct mechanisms of action from BM-MSCs and provide superior therapeutic efficacy in various form of severe CVDs, including PAH and DCM. The safety and efficacy of these novel types of MSCs for treatment of CVDs deserve further investigations. / published_or_final_version / Medicine / Doctoral / Doctor of Philosophy

The fundamental principle of tissue engineering is to use appropriate cell source, combined with scaffolds and bioactive factors to develop tissue constructs which restore, maintain or improve tissue function. There is increasing data emphasizing the importance of mechanical signals and extracellular matrix (ECM) proteins presented by the scaffold in determining stem cell fate/functions which are critical to tissue construct maturation and success of stem cell-based therapies. Cell-matrix adhesions are one of the major mechanosensing machineries cells use to convert information provided by ECM ligands and mechanical signals presented by scaffolds into intracellular biochemical signaling cascades which lead to particular functional responses. Therefore, understanding how ECM ligands and mechanical signals regulate cell-matrix adhesion formation and activation of associated intracellular signaling proteins is fundamental to rational design of biomaterial and loading protocol for optimal cell functional responses in tissue constructs. In this study, we attempted to understand the regulatory effects of external mechanical signal and exogenous ECM protein on cell-matrix adhesion formation and associated intracellular signaling proteins of human mesenhymal stem cells, and in particular, to test the hypothesis that mechanical stimulation or exogenous ECM protein can lead to adhesion maturation into 3D-matrix adhesions in 3D collagen environment. We used microencapsulation technique to embed cells in 3D collagen environment, forming disc-shaped hMSC-collagen constructs. By immunofluorescent staining and confocal microscopy, we visualized changes in size, morphologies and molecular composition of the adhesions. First of all, 2D adhesions of hMSCs were characterized. We showed that hMSCs form well-organized αv integrin-based focal adhesions and fibrillar adhesions in 2D culture. To investigate the regulatory effects of mechanical signals on adhesion signaling and maturation, we used micromanipulator-based loading device to impose dynamic compression to hMSC-collagen constructs. We found that dynamic compression lead to enlargement of integrin αv adhesions which recruit focal adhesion kinase (FAK), vinculin and extracellular signal-regulated kinase (ERK). In addition, FAK was activated at enlarged integrin αv adhesions and translocated to peri-nuclear region after compression, suggesting that loading induces activation of FAK signaling pathways through increased integrin αv clustering. Moreover, we demonstrated that dynamic compression can induce 3D-matrix adhesion formation, indicating the role of external force in integrin α5-based adhesion maturation in 3D collagen environment. We explored the effect of exogenous ECM proteins on adhesion maturation of hMSCs by adding fibronectin into cell-collagen mixture during fabrication of collagen constructs. Our results demonstrated that the exogenous fibronectin can induce α5 integrin-based adhesion maturation into 3D-matrix adhesions in our collagen constructs in a dose-dependent manner. This study demonstrated that the effect of external mechanical signals and exogenous ECM ligands on adhesion signaling and maturation of hMSCs in 3D collagen environment. Our findings contribute towards mechanobiology of hMSCs in 3D context. In particular, our results showed that exogenous proteins or external loading can lead to 3D-matrix adhesion formation, which may serve as a potential way to enhance biological functions of hMSCs in collagen constructs, facilitating stem cell-based therapies. / published_or_final_version / Mechanical Engineering / Doctoral / Doctor of Philosophy

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Biochemical and mechanical properties of the extracellular matrix (ECM) are known to independently influence cell function. Given the complexity of cellular responses, I hypothesized that the integration of multiple matrix factors as opposed to their individual contribution is key to understanding and controlling cell function. The objective of this thesis was to systematically investigate matrix biochemical and mechanical regulation of multipotent stromal cell (MSC) osteogenesis. First, I demonstrated that substrate stiffness-dependent MSC spreading, proliferation and osteogenic response were differentially regulated by matrix protein type (collagen I vs. fibronectin) and concentration. Second, I developed and characterized a matrix microarray platform that enabled the efficient screening of multiple matrix-derived cues (substrate stiffness, ECM type and density). I implemented the matrix microarray platform together with parametric regression models to elucidate novel matrix interactions in directing mouse MSC osteogenic and adipogenic differentiation. Third, I extended the screening study to examine matrix-dependent human MSC osteogenesis. Non-parametric regression models were used to provide a nuanced description of the multi-factorial matrix regulation in MSC osteogenesis. The response surfaces revealed a biphasic relationship between osteogenesis and substrate stiffness, with the exact location and magnitude of the optimum contingent on matrix composition. Guided by the screening results and perturbation to key cytoskeletal regulators, I identified a novel pathway involving Cdc42 in matrix mechanical and biochemical regulation of MSC osteogenesis. Surprisingly, Cdc42 mediated stiffness-dependent MSC osteogenesis independent of ROCK, suggestive of a contractility-independent mechanism in matrix rigidity signal transduction. In summary, the integration of cell-based arrays and statistical modeling has enabled the systematic investigation of complex cell-matrix interactions. This generalizable approach is readily adaptable to other cellular contexts, complementing hypothesis-driven strategies to facilitate non-intuitive mechanistic discovery. Moreover, the improved understanding of matrix-dependent MSC function also has practical relevance to the development of biomaterials for tissue engineering applications.

Potential targeting of impaired wounds resulting from hyperglycemia using mesenchymal stem cells is a promising approach. We hypothesized that when administered to dermal wounds in hyperglycemic subjects, neonatal mesenchymal stem cells (MSCs) would be more effective than adult mesenchymal cells in accelerating healing. We examined the in vitro impact of various glucose conditions on proliferation and senescence of human umbilical cord perivascular cells (HUCPVCs) and adult bone marrow MSCs (hBM-MSCs). We also investigated the healing potential of both cells in dermal wounds of streptozotocin-induced NOD-scid-gamma (NSG) mice utilizing planimetry and histomorphometry. HUCPVCs showed higher proliferation under normal and hyperglycemic conditions and lower senescence under all conditions compared to hBM-MSCs. Wound closure was better in treated wounds compared to untreated wounds. Disease tolerance varied among mice which affected healing. HUCPVCs still holds a potential over adult MSCs for impaired wounds; yet more studies are needed to recognize their bona fide capacity.

Potential targeting of impaired wounds resulting from hyperglycemia using mesenchymal stem cells is a promising approach. We hypothesized that when administered to dermal wounds in hyperglycemic subjects, neonatal mesenchymal stem cells (MSCs) would be more effective than adult mesenchymal cells in accelerating healing. We examined the in vitro impact of various glucose conditions on proliferation and senescence of human umbilical cord perivascular cells (HUCPVCs) and adult bone marrow MSCs (hBM-MSCs). We also investigated the healing potential of both cells in dermal wounds of streptozotocin-induced NOD-scid-gamma (NSG) mice utilizing planimetry and histomorphometry. HUCPVCs showed higher proliferation under normal and hyperglycemic conditions and lower senescence under all conditions compared to hBM-MSCs. Wound closure was better in treated wounds compared to untreated wounds. Disease tolerance varied among mice which affected healing. HUCPVCs still holds a potential over adult MSCs for impaired wounds; yet more studies are needed to recognize their bona fide capacity.