Dynamic conditioning of porcine kidney grafts with extracellular vesicles derived from urine progenitor cells: A proof‐of‐concept study
Abstract Among strategies to limit ischemia/reperfusion (IR) injuries in transplantation, cell therapy using stem cells to condition/repair transplanted organs appears promising. We hypothesized that using a cell therapy based on extracellular vesicles (EVs) derived from urine progenitor cells (UP...
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Wiley
2024-12-01
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| Online Access: | https://doi.org/10.1002/ctm2.70095 |
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| author | Perrine Burdeyron Sébastien Giraud Maryne Lepoittevin Nina Jordan Sonia Brishoual Maïté Jacquard Virginie Ameteau Nadège Boildieu Estelle Lemarie Jonathan Daniel Frédéric Martins Nicolas Mélis Marine Coué Raphaël Thuillier Henri Leuvenink Luc Pellerin Thierry Hauet Clara Steichen |
| author_facet | Perrine Burdeyron Sébastien Giraud Maryne Lepoittevin Nina Jordan Sonia Brishoual Maïté Jacquard Virginie Ameteau Nadège Boildieu Estelle Lemarie Jonathan Daniel Frédéric Martins Nicolas Mélis Marine Coué Raphaël Thuillier Henri Leuvenink Luc Pellerin Thierry Hauet Clara Steichen |
| author_sort | Perrine Burdeyron |
| collection | DOAJ |
| description | Abstract Among strategies to limit ischemia/reperfusion (IR) injuries in transplantation, cell therapy using stem cells to condition/repair transplanted organs appears promising. We hypothesized that using a cell therapy based on extracellular vesicles (EVs) derived from urine progenitor cells (UPCs) during hypothermic and normothermic machine perfusion can prevent IR‐related kidney damage. We isolated and characterized porcine UPCs and their extracellular vesicles (EVs). Then these were used in an ex vivo porcine kidney preservation model. Kidneys were subjected to warm ischemia (32 min) and then preserved by hypothermic machine perfusion (HMP) for 24 h before 5 h of normothermic machine perfusion (NMP). Three groups were performed (n = 5–6): Group 1 (G1): HMP/vehicle + NMP/vehicle, Group 2 (G2): HMP/EVs + NMP/vehicle, Group 3 (G3): HMP/EVs + NMP/EVs. Porcine UPCs were successfully isolated from urine and fully characterized as well as their EVs which were found of expected size/phenotype. EVs injection during HMP alone, NMP alone, or both was feasible and safe and did not impact perfusion parameters. However, cell damage markers (LDH, ASAT) were decreased in G3 compared with G1, and G3 kidneys displayed a preserved tissue integrity with reduced tubular dilatation and inflammation notably. However, renal function indicators such as creatinine clearance measured for 5 h of normothermic perfusion or NGAL perfusate's level were not modified by EVs injection. Regarding perfusate analysis, metabolomic analyses and cytokine quantification showed an immunomodulation signature in G3 compared with G1 and highlighted potential metabolic targets. In vitro, EVs as well as perfusates from G3 partially recovered endothelial cell metabolic activity after hypoxia. Finally, RNA‐seq performed on kidney biopsies showed different profiles between G1 and G3 with regulation of potential IR targets of EVs therapy. We showed the feasibility/efficacy of UPC‐EVs for hypothermic/normothermic kidney conditioning before transplantation, paving the way for combining machine perfusion with EVs‐based cell therapy for organ conditioning. Highlights ·UPCs from porcine urine can be used to generate a cell therapy product based on extracellular vesicles (pUPC‐EVs). ·pUPC‐EVs injection during HMP and NMP decreases cell damage markers and has an immunomodulatory effect. ·pUPC‐EVs‐treated kidneys have distinct biochemical, metabolic, and transcriptomic profiles highlighting targets of interest. ·Our results pave the way for combining machine perfusion with EV‐based cell therapy for kidney conditioning. |
| format | Article |
| id | doaj-art-9e9bb7f5dbc942aeb039feedc38d2b2c |
| institution | Kabale University |
| issn | 2001-1326 |
| language | English |
| publishDate | 2024-12-01 |
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| series | Clinical and Translational Medicine |
| spelling | doaj-art-9e9bb7f5dbc942aeb039feedc38d2b2c2025-01-30T03:56:55ZengWileyClinical and Translational Medicine2001-13262024-12-011412n/an/a10.1002/ctm2.70095Dynamic conditioning of porcine kidney grafts with extracellular vesicles derived from urine progenitor cells: A proof‐of‐concept studyPerrine Burdeyron0Sébastien Giraud1Maryne Lepoittevin2Nina Jordan3Sonia Brishoual4Maïté Jacquard5Virginie Ameteau6Nadège Boildieu7Estelle Lemarie8Jonathan Daniel9Frédéric Martins10Nicolas Mélis11Marine Coué12Raphaël Thuillier13Henri Leuvenink14Luc Pellerin15Thierry Hauet16Clara Steichen17Université de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Bordeaux Institut des Sciences Moléculaires UMR‐5255 Talence FranceUniversité de Bordeaux INSERM PUMA (Transcriptome) Neurocentre Magendie Bordeaux FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceDepartment of Surgery Surgical Research Laboratory University Medical Center Groningen University of Groningen Groningen the NetherlandsUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceUniversité de Poitiers INSERM IRMETIST U1313 CHU de Poitiers Service de Biochimie Poitiers FranceAbstract Among strategies to limit ischemia/reperfusion (IR) injuries in transplantation, cell therapy using stem cells to condition/repair transplanted organs appears promising. We hypothesized that using a cell therapy based on extracellular vesicles (EVs) derived from urine progenitor cells (UPCs) during hypothermic and normothermic machine perfusion can prevent IR‐related kidney damage. We isolated and characterized porcine UPCs and their extracellular vesicles (EVs). Then these were used in an ex vivo porcine kidney preservation model. Kidneys were subjected to warm ischemia (32 min) and then preserved by hypothermic machine perfusion (HMP) for 24 h before 5 h of normothermic machine perfusion (NMP). Three groups were performed (n = 5–6): Group 1 (G1): HMP/vehicle + NMP/vehicle, Group 2 (G2): HMP/EVs + NMP/vehicle, Group 3 (G3): HMP/EVs + NMP/EVs. Porcine UPCs were successfully isolated from urine and fully characterized as well as their EVs which were found of expected size/phenotype. EVs injection during HMP alone, NMP alone, or both was feasible and safe and did not impact perfusion parameters. However, cell damage markers (LDH, ASAT) were decreased in G3 compared with G1, and G3 kidneys displayed a preserved tissue integrity with reduced tubular dilatation and inflammation notably. However, renal function indicators such as creatinine clearance measured for 5 h of normothermic perfusion or NGAL perfusate's level were not modified by EVs injection. Regarding perfusate analysis, metabolomic analyses and cytokine quantification showed an immunomodulation signature in G3 compared with G1 and highlighted potential metabolic targets. In vitro, EVs as well as perfusates from G3 partially recovered endothelial cell metabolic activity after hypoxia. Finally, RNA‐seq performed on kidney biopsies showed different profiles between G1 and G3 with regulation of potential IR targets of EVs therapy. We showed the feasibility/efficacy of UPC‐EVs for hypothermic/normothermic kidney conditioning before transplantation, paving the way for combining machine perfusion with EVs‐based cell therapy for organ conditioning. Highlights ·UPCs from porcine urine can be used to generate a cell therapy product based on extracellular vesicles (pUPC‐EVs). ·pUPC‐EVs injection during HMP and NMP decreases cell damage markers and has an immunomodulatory effect. ·pUPC‐EVs‐treated kidneys have distinct biochemical, metabolic, and transcriptomic profiles highlighting targets of interest. ·Our results pave the way for combining machine perfusion with EV‐based cell therapy for kidney conditioning.https://doi.org/10.1002/ctm2.70095cell therapyexosomesextracellular vesicleskidney preservationkidney transplantationmachine perfusion |
| spellingShingle | Perrine Burdeyron Sébastien Giraud Maryne Lepoittevin Nina Jordan Sonia Brishoual Maïté Jacquard Virginie Ameteau Nadège Boildieu Estelle Lemarie Jonathan Daniel Frédéric Martins Nicolas Mélis Marine Coué Raphaël Thuillier Henri Leuvenink Luc Pellerin Thierry Hauet Clara Steichen Dynamic conditioning of porcine kidney grafts with extracellular vesicles derived from urine progenitor cells: A proof‐of‐concept study Clinical and Translational Medicine cell therapy exosomes extracellular vesicles kidney preservation kidney transplantation machine perfusion |
| title | Dynamic conditioning of porcine kidney grafts with extracellular vesicles derived from urine progenitor cells: A proof‐of‐concept study |
| title_full | Dynamic conditioning of porcine kidney grafts with extracellular vesicles derived from urine progenitor cells: A proof‐of‐concept study |
| title_fullStr | Dynamic conditioning of porcine kidney grafts with extracellular vesicles derived from urine progenitor cells: A proof‐of‐concept study |
| title_full_unstemmed | Dynamic conditioning of porcine kidney grafts with extracellular vesicles derived from urine progenitor cells: A proof‐of‐concept study |
| title_short | Dynamic conditioning of porcine kidney grafts with extracellular vesicles derived from urine progenitor cells: A proof‐of‐concept study |
| title_sort | dynamic conditioning of porcine kidney grafts with extracellular vesicles derived from urine progenitor cells a proof of concept study |
| topic | cell therapy exosomes extracellular vesicles kidney preservation kidney transplantation machine perfusion |
| url | https://doi.org/10.1002/ctm2.70095 |
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