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REVIEW
                                                                                                published: 16 April 2019
                                                                                            doi: 10.3389/fimmu.2019.00798









                                     Mesenchymal Stem Cells Improve

                                     Rheumatoid Arthritis Progression by
                                     Controlling Memory T Cell Response



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                                     Noymar Luque-Campos , Rafael A. Contreras-López , María Jose Paredes-Martínez ,
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                                     Maria Jose Torres , Sarah Bahraoui , Mingxing Wei , Francisco Espinoza ,
                                     Farida Djouad *, Roberto Javier Elizondo-Vega * and Patricia Luz-Crawford *
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                                     1  Laboratorio de Inmunología Celular y Molecular, Centro de Investigación Biomédica, Facultad de Medicina, Universidad de
                                     los Andes, Santiago, Chile, Escuela de Ingeniería Bioquímica, Pontificia Universidad Católica de Valparaíso, Valparaíso,
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                                     Chile, IRMB, INSERM, Univ Montpellier, Montpellier, France, Cellvax, SAS, Parc BIOCITECH, Romainville, France, Cells
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                                     for Cells, Universidad de los Andes, Santiago, Chile, Laboratorio de Biología Celular, Departamento de Biología Celular,
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                                     Facultad de Ciencias Biológicas, Universidad de Concepción, Concepción, Chile
                          Edited by:
                                     In the last years, mesenchymal stem cell (MSC)-based therapies have become an
                       Teun J. De Vries,
                 VU University Amsterdam,  interesting therapeutic opportunity for the treatment of rheumatoid arthritis (RA) due to
                          Netherlands
                                     their capacity to potently modulate the immune response. RA is a chronic autoimmune
                        Reviewed by:
                        Akio Morinobu,  inflammatory disorder with an incompletely understood etiology. However, it has been
                   Kobe University, Japan  well described that peripheral tolerance defects and the subsequent abnormal infiltration
                         Erik Lubberts,  and activation of diverse immune cells into the synovial membrane, are critical for RA
              Erasmus University Rotterdam,
                          Netherlands  development and progression. Moreover, the imbalance between the immune response
                                     of pro-inflammatory and anti-inflammatory cells, in particular between memory Th17 and
                     *Correspondence:
                         Farida Djouad  memory regulatory T cells (Treg), respectively, is well admitted to be associated to RA
                   farida.djouad@inserm.fr
               Roberto Javier Elizondo-Vega  immunopathogenesis. In this context, MSCs, which are able to alter the frequency and
                      relizondo@udec.cl  function of memory lymphocytes including Th17, follicular helper T (Tfh) cells and gamma
                    Patricia Luz-Crawford  delta (γδ) T cells while promoting Treg cell generation, have been proposed as a candidate
                        pluz@uandes.cl
                                     of choice for RA cell therapy. Indeed, given the plasticity of memory CD4 +  T cells, it
                     Specialty section:  is reasonable to think that MSCs will restore the balance between pro-inflammatory
                This article was submitted to  and anti-inflammatory memory T cells populations deregulated in RA leading to prompt
                         Inflammation,
                   a section of the journal  their therapeutic function. In the present review, we will discuss the role of memory T
                   Frontiers in Immunology  cells implicated in RA pathogenesis and the beneficial effects exerted by MSCs on the
              Received: 21 November 2018  phenotype and functions of these immune cells abnormally regulated in RA and how this
                 Accepted: 26 March 2019
                                     regulation could impact RA progression.
                  Published: 16 April 2019
                           Citation:  Keywords: mesenchymal stem cells, rheumatoid arthritis, T cell, plasticity, immunomodulatory
                      Luque-Campos N,
                    Contreras-López RA,
             Paredes-Martínez MJ, Torres MJ,  INTRODUCTION
              Bahraoui S, Wei M, Espinoza F,
              Djouad F, Elizondo-Vega RJ and  Mesenchymal stem cells (MSCs) are multipotent stem cells able to exert immunosuppressive
           Luz-Crawford P (2019) Mesenchymal
                                     functions on both the innate and the adaptive immune cells (1). They have been isolated from
              Stem Cells Improve Rheumatoid
            Arthritis Progression by Controlling  almost all mesodermal tissues including bone marrow, adipose tissue, umbilical cord blood,
                                     umbilical cord, placenta, menstrual fluid, and dental pulp (2–5). The International Society for
                 Memory T Cell Response.
                  Front. Immunol. 10:798.  Cellular Therapy (ISCT) has defined minimal criteria for characterizing MSCs that include a
             doi: 10.3389/fimmu.2019.00798  fibroblastic-like morphology, the expression of mesodermal markers such as CD90, CD105, and
          Frontiers in Immunology | www.frontiersin.org     1                             April 2019 | Volume 10 | Article 798
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