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Canadian journal of veterinary research = Revue canadienne de recherche veterinaire2024; 88(3); 87-93; doi: 10.1111/j.2042-3306.2009.00021.x

Effect of extracorporeal shockwave therapy on the immunomodulatory and anti-inflammatory properties of cultured equine umbilical cord blood mesenchymal stromal cells.

Abstract: There is a knowledge gap regarding the effect of extracorporeal shockwave treatment (ESWT) on the stress response and immunomodulatory and anti-inflammatory properties of equine umbilical cord blood mesenchymal stromal cells (CB-MSCs). The objective of this study was to investigate the presence of cellular oxidative stress, inflammatory response, and production of growth factors in CB-MSCs after treatment with ESWT. We hypothesized that CB-MSCs treated with ESWT will experience higher levels of cellular stress and increased production of anti-inflammatory cytokines and growth factors compared to untreated CB-MSCs. Il existe un manque de connaissances concernant l’effet du traitement extracorporel par ondes de choc (ESWT) sur la réponse au stress et les propriétés immunomodulatrices et anti-inflammatoires des cellules stromales mésenchymateuses du sang de cordon ombilical équin (CB-MSCs). L’objectif de cette étude était d’étudier la présence de stress oxydatif cellulaire, de réponse inflammatoire et de production de facteurs de croissance dans les CB-MSCs après un traitement par ESWT. Nous avons émis l’hypothèse que les CB-MSCs traitées par ESWT connaîtront des niveaux plus élevés de stress cellulaire et une production accrue de cytokines anti-inflammatoires et de facteurs de croissance par rapport aux CB-MSCs non traitées.(Traduit par Docteur Serge Messier).
Publication Date: 2024-07-11 PubMed ID: 38988333PubMed Central: PMC11235386DOI: 10.1111/j.2042-3306.2009.00021.xGoogle Scholar: Lookup
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  • Journal Article

Summary

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This research investigated whether treating equine umbilical cord blood mesenchymal stromal cells with extracorporeal shockwave therapy leads to increased cellular stress and production of anti-inflammatory cytokines and growth factors.

Objective and Hypothesis of the Study

  • The research aimed to understand the impact of extracorporeal shockwave therapy (ESWT) on equine umbilical cord blood mesenchymal stromal cells (CB-MSCs).
  • This treatment was explored in the context of its effects on the stress response and whether it alters the immunomodulatory and anti-inflammatory properties of these cells.
  • The study hypothesized that treating these cells with ESWT increases cellular stress and leads to upregulated production of anti-inflammatory cytokines – proteins that modulate the body’s immune response – and growth factors, which stimulate cell growth.

Relevance of the Research

  • This research is essential to understand the implications of ESWT treatment on cellular stress responses and immunomodulatory functions of CB-MSCs. It could give a new perspective for CB-MSC applications in cell-based therapies.
  • CB-MSCs present a robust therapeutic potential for a variety of disorders due to their anti-inflammatory and immunomodulatory properties. Gaining in-depth knowledge about how these properties and cellular stress levels are influenced by ESWT is important for therapeutic developments.
  • The research contributes to filling a knowledge gap regarding the effects of ESWT on CB-MSCs, given that this kind of treatment is widely used in veterinary and human medicine to enhance healing and tissue regeneration.

Treatment and Investigation

  • The research investigated the impact of ESWT treatment on the presence of cellular oxidative stress, inflammatory response, and production of growth factors in CB-MSCs.
  • Oxidative stress is a state of imbalance due to excessive reactive oxygen species that can damage cells. ESWT treatment could potentially elevate the levels of oxidative stress on the cells.
  • The inflammatory response and production of growth factor in cells post-treatment can provide insights into how ESWT can modulate the immune response and affect cellular growth.

Cite This Article

APA
Giraldo A, Koch TG, Madan P, Lepage S, Monteith G, Alizadeh AH, Tran A, Mortagy N, Koenig JB. (2024). Effect of extracorporeal shockwave therapy on the immunomodulatory and anti-inflammatory properties of cultured equine umbilical cord blood mesenchymal stromal cells. Can J Vet Res, 88(3), 87-93. https://doi.org/10.1111/j.2042-3306.2009.00021.x

Publication

ISSN: 1928-9022
NlmUniqueID: 8607793
Country: Canada
Language: English
Volume: 88
Issue: 3
Pages: 87-93

Researcher Affiliations

Giraldo, Andrés
  • Departments of Clinical Studies (Giraldo, Monteith, Koenig) and Biomedical Sciences (Koch, Madan, Lepage, Alizadeh, Mortagy, Tran), Ontario Veterinary College, University of Guelph, Guelph, Ontario.
Koch, Thomas G
  • Departments of Clinical Studies (Giraldo, Monteith, Koenig) and Biomedical Sciences (Koch, Madan, Lepage, Alizadeh, Mortagy, Tran), Ontario Veterinary College, University of Guelph, Guelph, Ontario.
Madan, Pavneesh
  • Departments of Clinical Studies (Giraldo, Monteith, Koenig) and Biomedical Sciences (Koch, Madan, Lepage, Alizadeh, Mortagy, Tran), Ontario Veterinary College, University of Guelph, Guelph, Ontario.
Lepage, Sarah
  • Departments of Clinical Studies (Giraldo, Monteith, Koenig) and Biomedical Sciences (Koch, Madan, Lepage, Alizadeh, Mortagy, Tran), Ontario Veterinary College, University of Guelph, Guelph, Ontario.
Monteith, Gabrielle
  • Departments of Clinical Studies (Giraldo, Monteith, Koenig) and Biomedical Sciences (Koch, Madan, Lepage, Alizadeh, Mortagy, Tran), Ontario Veterinary College, University of Guelph, Guelph, Ontario.
Alizadeh, Amir H
  • Departments of Clinical Studies (Giraldo, Monteith, Koenig) and Biomedical Sciences (Koch, Madan, Lepage, Alizadeh, Mortagy, Tran), Ontario Veterinary College, University of Guelph, Guelph, Ontario.
Tran, Andy
  • Departments of Clinical Studies (Giraldo, Monteith, Koenig) and Biomedical Sciences (Koch, Madan, Lepage, Alizadeh, Mortagy, Tran), Ontario Veterinary College, University of Guelph, Guelph, Ontario.
Mortagy, Narman
  • Departments of Clinical Studies (Giraldo, Monteith, Koenig) and Biomedical Sciences (Koch, Madan, Lepage, Alizadeh, Mortagy, Tran), Ontario Veterinary College, University of Guelph, Guelph, Ontario.
Koenig, Judith B
  • Departments of Clinical Studies (Giraldo, Monteith, Koenig) and Biomedical Sciences (Koch, Madan, Lepage, Alizadeh, Mortagy, Tran), Ontario Veterinary College, University of Guelph, Guelph, Ontario.

MeSH Terms

  • Animals
  • Horses
  • Mesenchymal Stem Cells
  • Fetal Blood / cytology
  • Extracorporeal Shockwave Therapy / methods
  • Cytokines / metabolism
  • Cells, Cultured

References

This article includes 48 references
  1. Williams RB, Harkins LS, Hammond CJ, Wood JLN. Racehorse injuries, clinical problems and fatalities recorded on British racecourses from flat racing and National Hunt racing during 1996, 1997 and 1998.. Equine Vet J 2001;33:478–486.
    pubmed: 11558743
  2. Smith RKW, Korda M, Blunn GW, Goodship AE. Isolation and implantation of autologous equine mesenchymal stem cells from bone marrow into the superficial digital flexor tendon as a potential novel treatment.. Equine Vet J 2003;35:99–102.
    pubmed: 12553472
  3. Crovace A, Lacitignola L, De Siena R, Rossi G, Francioso E. Cell therapy for tendon repair in horses: An experimental study.. Vet Res Commun 2007;31:281–283.
    pubmed: 17682895
  4. Crovace A, Lacitignola L, Rossi G, Francioso E. Histological and immunohistochemical evaluation of autologous cultured bone marrow mesenchymal stem cells and bone marrow mononucleated cells in collagenase-induced tendinitis of equine superficial digital flexor tendon.. Vet Med Int 2010;2010:250978.
    pmc: PMC2859019pubmed: 20445779
  5. Nixon AJ, Dahlgren LA, Haupt JL, Yeager AE, Ward DL. Effect of adipose-derived nucleated cell fractions on tendon repair in horses with collagenase-induced tendinitis.. Am J Vet Res 2008;69:928–937.
    pubmed: 18593247
  6. Schnabel LV, Lynch ME, van der Meulen MC, Yeager AE, Kornatowski MA, Nixon AJ. Mesenchymal stem cells and insulin-like growth factor-I gene-enhanced mesenchymal stem cells improve structural aspects of healing in equine flexor digitorum superficialis tendons.. J Orthop Res 2009;27:1392–1398.
    pubmed: 19350658
  7. Carvalho AM, Badial PR, Álvarez LE. Equine tendonitis therapy using mesenchymal stem cells and platelet concentrates: A randomized controlled trial.. Stem Cell Res Ther 2013;4:85.
    pmc: PMC3854756pubmed: 23876512
  8. Smith RKW, Werling NJ, Dakin SG, Alam R, Goodship AE, Dudhia J. Beneficial effects of autologous bone marrow-derived mesenchymal stem cells in naturally occurring tendinopathy.. PLoS One 2013;25(8):e75697.
    pmc: PMC3783421pubmed: 24086616
  9. Van Loon VJ, Scheffer CJ, Genn HJ, Hoogendoorn AC, Greve JW. Clinical follow-up of horses treated with allogeneic equine mesenchymal stem cells derived from umbilical cord blood for different tendon and ligament disorders.. Vet Q 2014;34:92–97.
    pubmed: 25072527
  10. Salz RO, Elliott CRB, Zuffa T, Bennet ED, Ahern BJ. Treatment of racehorse superficial digital flexor tendonitis: A comparison of stem cell treatments to controlled exercise rehabilitation in 213 cases.. Equine Vet J 2023;55:979–987.
    pubmed: 36604727
  11. Godwin EE, Young NJ, Dudhia J, Beamish IC, Smith RKW. Implantation of bone marrow-derived mesenchymal stem cells demonstrates improved outcome in horses with overstrain injury of the superficial digital flexor tendon.. Equine Vet J 2012 Jan;44(1):25–32.
    pubmed: 21615465
  12. Dyson SJ. Medical management of superficial digital flexor tendonitis: A comparative study in 219 horses (1992–2000). Equine Vet J 2004;36:415–419.
    pubmed: 15253082
  13. O’Meara B, Bladon B, Parkin TDH, Fraser B, Lischer CJ. An investigation of the relationship between race performance and superficial digital flexor tendonitis in the Thoroughbred racehorse.. Equine Vet J 2010;42:322–326.
  14. McClure SR. Shock wave therapy.. In: Ross MW, Dyson SJ, editors. Diagnosis and Management of Lameness in the Horse. Elsevier; 2011. pp. 914–919.
  15. Wang CJ, Wang FS, Yang KD. Shock wave therapy induces neovascularization at the tendon-bone junction. A study in rabbits.. J Orthop Res 2003;21:984–989.
    pubmed: 14554209
  16. Chen YJ, Wang CJ, Yang KD. Extracorporeal shock waves promote healing of collagenase-induced Achilles tendinitis and increase TGF-β1 and IGF-I expression.. J Orthop Res 2004;22:854–861.
    pubmed: 15183445
  17. Kersh KD, Mcclure SR, Van Sickle D, Evans RB. The evaluation of extracorporeal shock wave therapy on collagenase induced superficial digital flexor tendonitis.. Vet Comp Orth Traumatol 2006;19:99–105.
    pubmed: 16810352
  18. Yin TC, Wu RW, Sheu JJ. Combined therapy with extracorporeal shock wave and adipose-derived mesenchymal stem cells remarkably improved acute ischemia-reperfusion injury of quadriceps muscle.. Oxid Med Cell Longev 2018;2018:6012636.
    pmc: PMC5901825pubmed: 29805730
  19. Chen KH, Hsiao HY, Wallace CG. Combined adipose-derived mesenchymal stem cells and low-energy extracorporeal shock wave therapy protect the brain from brain death-induced injury in rat.. J Neuropathol Exp Neurol 2019;78:65–77.
    pubmed: 30481326
  20. Hsu CC, Cheng JH, Wang CJ, Ko JY, Hsu SL, Hsu TC. Shockwave therapy combined with autologous adipose‐derived mesenchymal stem cells is better than with human umbilical cord Wharton’s jelly‐derived mesenchymal stem cells on knee osteoarthritis.. Int J Mol Sci 2020;21:1217.
    pmc: PMC7072878pubmed: 32059379
  21. Cheng JH, Yen KT, Chou WY. Autologous adipose-derived mesenchymal stem cells combined with shockwave therapy synergistically ameliorates the osteoarthritic pathological factors in knee joint.. Pharmaceuticals (Basel) 2021;14:318.
    pmc: PMC8065528pubmed: 33916108
  22. Sheu JJ, Lee FY, Yuen CM. Combined therapy with shock wave and autologous bone marrow-derived mesenchymal stem cells alleviates left ventricular dysfunction and remodeling through inhibiting inflammatory stimuli, oxidative stress & enhancing angiogenesis in a swine myocardial infarction model.. Int J Cardiol 2015;193:69–83.
    pubmed: 26025755
  23. Chen XJ, Zhang X, Jiang K. Adjunctive mesenchymal stem/stromal cells augment microvascular function in poststenotic kidneys treated with low-energy shockwave therapy.. J Cell Physiol 2020;235:9806–9818.
    pmc: PMC7529809pubmed: 32430932
  24. Zhai L, Ma XL, Jiang C, Zhang B, Liu ST, Xing GY. Human autologous mesenchymal stem cells with extracorporeal shock wave therapy for nonunion of long bones.. Indian J Orthop 2016;50:543–550.
    pmc: PMC5017178pubmed: 27746499
  25. Raabe O, Shell K, Goessl A. Effect of extracorporeal shock wave on proliferation and differentiation of equine adipose tissue-derived mesenchymal stem cells in vitro.. Am J Stem Cells 2013 2:62–73.
    pmc: PMC3636727pubmed: 23671817
  26. Schuh CMAP, Heher P, Weihs AM. In vitro extracorporeal shock wave treatment enhances stemness and preserves multipotency of rat and human adipose-derived stem cells.. Cytotherapy 2014;16:1666–1678.
    pubmed: 25174738
  27. Salcedo-Jiménez R, Koenig JB, Lee OJ, Gibson TWG, Madan P, Koch TG. Extracorporeal shock wave therapy enhances the in vitro metabolic activity and differentiation of equine umbilical cord blood mesenchymal stromal cells.. Front Vet Sci 2020;7:554306.
    pmc: PMC7746774pubmed: 33344521
  28. Hu J, Liao H, Ma Z. Focal adhesion kinase signaling mediated the enhancement of osteogenesis of human mesenchymal stem cells induced by extracorporeal shockwave.. Sci Rep 2016;6:20875.
    pmc: PMC4750003pubmed: 26863924
  29. Weihs AM, Fuchs C, Teuschl AH. Shock wave treatment enhances cell proliferation and improves wound healing by ATP release-coupled extracellular signal-regulated kinase (ERK) activation.. J Biol Chem 2014;289:27090–27104.
    pmc: PMC4175346pubmed: 25118288
  30. de Girolamo L, Stanco D, Galliera E. Soft-focused extracorporeal shock waves increase the expression of tendon-specific markers and the release of anti-inflammatory cytokines in an adherent culture model of primary human tendon cells.. Ultrasound Med Biol 2014;40:1204–1215.
    pubmed: 24631378
  31. Wang FS, Yang KD, Wang CJ. Shockwave stimulates oxygen radical-mediated osteogenesis of the mesenchymal cells from human umbilical cord blood.. J Bone Miner Res 2004;19:973–982.
    pubmed: 15125794
  32. Koch TG, Heerkens T, Thomsen PD, Betts DH. Isolation of mesenchymal stem cells from equine umbilical cord blood.. BMC Biotechnol 2007;7:1–9.
    pmc: PMC1904213pubmed: 17537254
  33. Holfeld J, Tepeköylü C, Kozaryn R, Mathes W, Grimm M, Paulus P. Shock wave application to cell cultures.. J Vis Exp 2014;86:51076.
    pmc: PMC4165283pubmed: 24747842
  34. Clark DL, Connors BA, Evan AP, Handa RK, Gao S. Effect of shock wave number on renal oxidative stress and inflammation.. BJU Int 2011;107:318–322.
    pmc: PMC3538371pubmed: 20438571
  35. Feng B, Dong Z, Wang Y. Li-ESWT treatment reduces inflammation, oxidative stress, and pain via the PI3K/AKT/FOXO1 pathway in autoimmune prostatitis rat models.. Andrology 2021;9:1593–1602.
    pubmed: 33960707
  36. Lepage SIM, Lee OJ, Koch TG. Equine cord blood mesenchymal stromal cells have greater differentiation and similar immunosuppressive potential to cord tissue mesenchymal stromal cells.. Stem Cells Dev 2019;28:227–237.
    pubmed: 30484372
  37. Denu RA, Hematti P. Effects of Oxidative Stress on Mesenchymal Stem Cell Biology.. Oxid Med Cell Long 2016.
    pmc: PMC4928004pubmed: 27413419
  38. Higuchi M, Dusting GJ, Peshavariya H. Differentiation of human adipose-derived stem cells into fat involves reactive oxygen species and forkhead box O1 mediated upregulation of antioxidant enzymes.. Stem Cells Dev 2013;22:878–888.
    pmc: PMC3585477pubmed: 23025577
  39. Atashi F, Modarressi A, Pepper MS. The role of reactive oxygen species in mesenchymal stem cell adipogenic and osteogenic differentiation: A review.. In: Parker GC, editor. Stem Cells and Development. Vol. 24. New Rochelle, New York: Mary Ann Liebert Inc; 2015. pp. 1150–1163.
    pmc: PMC4424969pubmed: 25603196
  40. Myhre O, Andersen JM, Aarnes H, Fonnum F. Evaluation of the probes 2′,7′-dichlorofluorescin diacetate, luminol, and lucigenin as indicators of reactive species formation.. Biochem Pharmacol 2003;65:1575–1582.
    pubmed: 12754093
  41. Colbath AC, Kisiday JD, Phillips JN, Goodrich LR. Can extracorporeal shockwave promote osteogenesis of equine bone marrow-derived mesenchymal stem cells in vitro?. Stem Cells Dev 2020;29:110–118.
    pubmed: 31744386
  42. Cheng H, Huang H, Guo Z, Chang Y, Li Z. Role of prostaglandin E2 in tissue repair and regeneration.. Theranostics 2021;11:8836–8854.
    pmc: PMC8419039pubmed: 34522214
  43. Rasmussen JG, Frøbert O, Pilgaard L. Prolonged hypoxic culture and trypsinization increase the pro-angiogenic potential of human adipose tissue-derived stem cells.. Cytotherapy 2011;13:318–328.
    pubmed: 20795759
  44. Song IH, Caplan AI, Dennis JE. Dexamethasone inhibition of confluence-induced apoptosis in human mesenchymal stem cells.. J Ortho Res 2009;27:216–221.
    pubmed: 18683880
  45. Baberg F, Geyh S, Waldera-Lupa D. Secretome analysis of human bone marrow derived mesenchymal stromal cells.. Biochim Biophys Acta Proteins Proteom 2019;1867:434–441.
    pubmed: 30716505
  46. Trzyna A, Banaś-Zabczyk A. Adipose-derived stem cells secretome and its potential application in “stem cell-free therapy”.. Biomolecules 2021;11:878.
    pmc: PMC8231996pubmed: 34199330
  47. Romanov YA, Volgina NE, Vtorushina VV. Comparative analysis of secretome of human umbilical cord- and bone marrow-derived multipotent mesenchymal stromal cells.. Bull Exp Biol Med 2019;166:535–540.
    pubmed: 30793233
  48. Vizoso FJ, Eiro N, Cid S, Schneider J, Perez-Fernandez R. Mesenchymal stem cell secretome: Toward cell-free therapeutic strategies in regenerative medicine.. Int J Mol Sci 2017;18:1852.
    pmc: PMC5618501pubmed: 28841158