Protective Effect of Wharton's Jelly-derived Mesenchymal Stem Cells on Renal Fibrosis in Rats with Unilateral Ureteral Obstruction

• Published in: European urology open science (Online) 2020-07, Vol.20, p.48-53
• Main Authors: Kheradmand, Alireza, Hashemitabar, Mahmood, Kheradmand, Parvin, Valizadeh, Farzin, Kavosh, Aryan
• Format: Article
• Language: English
• Subjects: Kidney failure; Mesenchymal stem cells; Reconstructive Urology; Renal fibrosis; Renal obstruction
• ISSN: 2666-1683; 2666-1691; 2666-1683
• DOI: 10.1016/j.euros.2020.06.004

Renal failure is a global medical problem. The use of mesenchymal stem cells (MSCs) for preservation and regeneration of renal tissue in acute and chronic kidney diseases has recently been the focus of investigation. To evaluate the protective effect of MSC injections in a rat model of kidney obstruction. We assigned 15 male Wistar rats to three separate groups: the normal group underwent left nephrectomy; the control group underwent laparotomy and left ureter ligation followed by saline injection into the aorta; and the study group received MSCs injected into the aorta inferior to the left renal artery after ligation of the left ureter. Kidneys were harvested 4 wk later and renal parenchyma samples were used for trichrome staining and for expression analyses. The degree of kidney fibrosis was assessed on pathology. Real-time polymerase chain reaction was used to determine expression levels of VEGF, TNF-α, and E-cadherin, and ΔCT and ΔΔCT values were calculated. Data were analyzed using SPSS v19 with paired t tests and nonparametric independent-sample Kruskal-Wallis tests. Fibrosis in the study group decreased from grade 3 or 4 to grade 1. In the control group, TNF-α expression increased and E-cadherin expression decreased. After MSC injection into obstructed kidneys, TNF-α and E-cadherin expression levels decreased and increased respectively, reaching similar levels to those in the normal group. No correlation between tissue regeneration and VEGF levels was observed. More research is needed to focus on other angiogenic factors. MSC injection could prevent fibrosis in obstructed rat kidney via alterations in TNF-α and E-cadherin expression. We investigated the effect of stem cell injection in rats with kidney obstruction. The treatment led to changes in the levels of two biomarkers and reduced the amount of kidney fibrosis caused by kidney obstruction. Our study revealed that mesenchymal stem cells have a protective effect on the kidney if injected at the start of an acute obstruction. Their role in chronic ureteral obstruction may be different. Stem cell injection had no effect on VEGF expression, so it would be beneficial to investigate the response of other angiogenic factors in this model.