Tissue-derived mesenchymal stromal cells used as vehicles for anti-tumor therapy exert different in vivoeffects on migration capacity and tumor growth
© Belmar-Lopez et al.; licensee BioMed Central Ltd. 2013
Received: 24 July 2012
Accepted: 19 April 2013
Published: 28 May 2013
Mesenchymal stem cells (MSCs) have been promoted as an attractive option to use as cellular delivery vehicles to carry anti-tumor agents, owing to their ability to home into tumor sites and secrete cytokines. Multiple isolated populations have been described as MSCs, but despite extensive in vitro characterization, little is known about their in vivo behavior.
The aim of this study was to investigate the efficacy and efficiency of different MSC lineages derived from five different sources (bone marrow, adipose tissue, epithelial endometrium, stroma endometrium, and amniotic membrane), in order to assess their adequacy for cell-based anti-tumor therapies. Our study shows the crucial importance of understanding the interaction between MSCs and tumor cells, and provides both information and a methodological approach, which could be used to develop safer and more accurate targeted therapeutic applications.
We first measured the in vivo migration capacity and effect on tumor growth of the different MSCs using two imaging techniques: (i) single-photon emission computed tomography combined with computed tomography (SPECT-CT), using the human sodium iodine symporter gene (hNIS) and (ii) magnetic resonance imaging using superparamagnetic iron oxide. We then sought correlations between these parameters and expression of pluripotency-related or migration-related genes.
Our results show that migration of human bone marrow-derived MSCs was significantly reduced and slower than that obtained with the other MSCs assayed and also with human induced pluripotent stem cells (hiPSCs). The qPCR data clearly show that MSCs and hiPSCs exert a very different pluripotency pattern, which correlates with the differences observed in their engraftment capacity and with their effects on tumor growth.
This study reveals differences in MSC recruitment/migration toward the tumor site and the corresponding effects on tumor growth. Three observations stand out: 1) tracking of the stem cell is essential to check the safety and efficacy of cell therapies; 2) the MSC lineage to be used in the cell therapy needs to be carefully chosen to balance efficacy and safety for a particular tumor type; and 3) different pluripotency and mobility patterns can be linked to the engraftment capacity of the MSCs, and should be checked as part of the clinical characterization of the lineage.
KeywordsMesenchymal stromal cells Migration In vivo imaging Tumor growth Pluripotency
Human mesenchymal stem cells or mesenchymal stromal cells (MSCs) are multipotent progenitor cells or adult stem cells that exhibit the ability to migrate and engraft into tumor sites when delivered systemically . However, determining the most appropriate clinical application of MSCs is hampered by the current lack of knowledge about how these cells behave in vivo. The precise mechanisms behind the recruitment of MSCs to tumor sites and their migration across the endothelium are not yet fully understood. It is probable that damaged tissue expresses specific receptors or ligands to make possible trafficking, adhesion, and extravasation of MSCs to the site of damage and recruitment to inflammation sites, using a mechanism similar to leukocyte migration [2–4].
The most likely cause of specific migration is the release of chemotactic gradients from the tumors, which may enable MSCs to home to, and modulate, the tumor microenvironment [5, 6]. Owing to these properties and their ability to modulate the activity of immune cells, MSCs could function as cellular delivery vehicles for anti-tumor agents [7–9].
MSCs were first identified in the 1960s in the stromal compartment of bone marrow [10, 11], and since then, they have been isolated from a wide variety of adult [12–20] and fetal (both first and second trimester) tissues, including blood, liver, bone marrow, placenta, and umbilical cord [21–25], using similar techniques . The best-characterized source for adult human stem cells is bone marrow, and both bone marrow-derived human MSCs (BM-hMSCs) and adipose-derived human MSCs (hASCs) have become attractive candidates because these tissues are rich sources of MSCs and are easy to collect. The other tissue-derived MSCs share a number of important characteristics with BM-hMSCs, including expression of cell surface marker, ability to adhere to plastic, and capacity to differentiate into cells of mesenchymal lineage under appropriate conditions . Despite extensive investigations, the effect of unmodified MSCs on tumor progression remains unclear. Many studies have shown that MSCs promote tumor progression and metastasis, whereas others have reported that MSCs suppress tumor growth . The contradictions in these findings may be attributable to the variability and heterogeneity in adult stem cells from different sources, or to differences in isolation methods and in vitro culture conditions. Further development of an efficient and safe cell-based therapy will require the in vivo tracking of engrafted MSCs to ensure that they reach their destination. In vivo imaging techniques provide a continuum observation rather than a single snapshot of conventional post-mortem histological analyses.
The aim of our work was to investigate the efficacy and efficiency of five different MSC lineages, in order to assess their adequacy for use as cell-based anti-tumor therapies. Our study shows the crucial importance of understanding the interaction between MSCs and tumor cells, and provides both information and a methodological approach, which could be used to develop safer and more accurately targeted therapeutic applications. The pluripotency expression pattern of MSCs was studied and compared with that obtained in human induced pluripotent stem cells (hiPSCs). Furthermore, the effects exerted on migration-related gene expression in tumors obtained from animals after 24 days of systemic MSC injection were also analyzed.
A human cervical cancer cell line (HeLa; Cancer Research UK Cell Services, London Research Institute, Clare Hall Laboratories, Herts, UK) and human PN3 fibroblasts (kindly supplied by Dr Liu (Imperial College, London, UK)) were used. Cells were cultured in DMEM containing 10% FBS and antibiotics (Lonza, Verviers, Belgium), at 37°C in 5% CO2.
All MSC media were supplemented with 10% FBS and antibiotics. BM-hMSCs were obtained from Lonza and maintained in DMEM low glucose (1.0 g/l) and hypoxic conditions (3% O2). hASCs were obtained from Invitrogen (UK) and cultured in MesenPro RS Basal Medium and MesenPro RS Growth Supplement (Gibco, Paisley, UK). Human epithelial endometrium-derived stem cells or hEESCs (also known as endometrial epithelial stem cell lines; ICEp) and human stroma endometrium-derived stem cells or hESSCs (also known as endometrial stromal stem cell lines; ICEs) were supplied by Dr Carlos Simon from IVI (Valencia, Spain) [12, 13]. Cells were maintained in DMEM F-12 under hypoxic conditions (3% O2) and dishes were pre-treated with 0.1% gelatin solution (Sigma-Aldrich Chemie GmBh, Munich, Germany). Human amniotic membrane mesenchymal stem cells or hAMCs were obtained from Cellular Engineering Technologies (CET), (Coralville, IA, USA) and were maintained in DMEM high glucose (4.5 g/l) and 10 ng/ml basic human fibroblast growth factor (hFGFb;Gibco). Cells were used between passages 5 to 8.
The hiPSCs (human IPSC line 2 F8) were kindly supplied by Dr Austin Smith (University of Cambrige, UK) and cultured in knockout DMEM (Gibco), 15% knockout serum (Gibco), 1× NEAA (Lonza), 0.1 mmol/l β-mercaptoethanol (Sigma-Aldrich), 10 ng/ml hFGFb, and antibiotics at 37°C in 5% CO2. Cells were seeded on a PN3 feeder cell monolayer inactivated with mitomycin C (Sigma-Aldrich).
Characterization of MSCs was verified by flow cytometry. The negative surface markers used were CD45, CD34, and HLA-DR, and the positive ones were CD90, CD73, and CD105, plus CD9 and CD13 (the last two markers refers only to hEESCs and hESSCs, respectively). The antibodies used were CD13 FITC-conjugated (Immunostep, Salamanca, Spain), CD34 Percp/Cy5.5-conjugated (Becton Dickinson Co., Madrid, Spain), CD9 PE-conjugated (Millipore Corp., Billerica, MA, USA), CD45 PerCP/Cy5.5-conjugated (Becton Dickinson), CD73 PE-conjugated (BD), CD90 PE-conjugated (Becton Dickinson), CD105 FITC-conjugated (R&D Systems Inc., Minneapolis, MN, USA), and HLA-DR APC-conjugated (Immunostep). Briefly, cells were incubated in PBS supplemented with 2% FBS and specific antibodies at 4°C for 30 minutes. Then, cells were washed and fixed in 1% paraformaldehyde (Sigma-Aldrich) before FACS analysis (FACSAria system; Becton Dickinson).
In vitroMSC differentiation
For adipogenesis, MSCs were kept for 21 days in 1× basal medium (STEMPRO® Adipocyte Differentiation Basal Medium; Invitrogen Corp., Carlsbad, CA, USA), 1× supplement (STEMPRO® Adipogenesis Supplement; Invitrogen) and antibiotics. When differentiation was finished, cells were stained with Oil Red O solution (Sigma-Aldrich). For osteogenesis, MSCs were maintained for two weeks in DMEM medium containing 10% FBS, 50 μg/ml ascorbic acid, 100 nmol/l dexamethasone, and 10 mmol/l β-glycerophosphate disodium salt hydrate (Sigma-Aldrich) and antibiotics. Osteocyte formation was evaluated by staining with Alizarin Red S (Sigma-Aldrich). Images were visualized under a microscope (AE31; Motic Group Co. Ltd, Causeway Bay, Hong Kong) equipped with a camera (2500 Moticam; Motic Group) and Motic Imaging Plus 2 software (version 0.23).
Adenoviral vectors and infections
The hNIS gene is endogenously expressed mainly in the thyroid and stomach, and is responsible for iodide concentration. In cells expressing hNIS, gamma ray-emitting radioisotopes such as 99mTc are accumulated, and can be imaged by SPECT-CT, and thus the hNIS gene can be used as a reporter gene . The adenoviral vector AdhNIS (also known as Ad10) used in this work was based on adenovirus serotype 5, and the hNIS gene is driven by the immediate-early cytomegalovirus promoter. AdhNIS was constructed and amplified as previously described . The amount of infective adenoviral vector per cell (pFUs/cells) in culture media was expressed as multiplicity of infection (MOI). Previously, adenoviral infection efficiency was determined using adenoviral vector AdGFP testing at 100, 250, 500, and 1000 MOI, as in our previous study  (data not shown). For the adenoviral infection with AdhNIS, viruses were diluted in serum-free culture media to 500 MOI, added to cells, and incubated at 37°C for 1 h. The complete medium was then added and cells were maintained for 24 h until used in the in vivo experiments.
All procedures were carried out under a project license approved by the Ethics Committee for Animal Experiments from the University of Zaragoza (Spain). The care and use of animals was performed in accordance with the Spanish Policy for Animal Protection RD1201/05.
Experimental in vivodesign
Female BALB/c nu/nu mice 6–8 weeks old (Harlan UK Ltd (Bicester, Oxfordshire, UK) and Harlan Interfauna Iberica (Barcelona, Spain)) received subcutaneous (SC) injections of 2 × 106 HeLa cells suspended in 200 μl PBS for the generation of subcutaneous xenograft tumors. When these tumors reached 50 mm3 in size, mice were randomly divided into different groups, and intravenous injections of MSC were performed. For MRI experiments, animals were separated into six groups (n = 4/group). Group 1 (BM-hMSCs injected); group 2 (hASCs injected); group 3 (hAMCs injected); group 4 (hESSCs injected); group 5 (hEESCs injected); and group 6 (control; PBS injected). For SPECT-CT experiments, animals were separated into seven groups (n = 4/group), with groups 1 to 5 as above, and groups 6 and 7 being injected with hiPSCs or PBS (control), respectively.
Iron-oxide labeling and cell-viability assay
MSCs were magnetically labeled with superparamagnetic iron oxide (SPIO; Endorem, Guerbet, France), as previously described . SPIO is an oxide nanoparticle solution with a total iron content of 11.2 mg Fe/ml. Labeling with SPIO acts by reducing the transverse relaxation time on T2-weighted MRI scans. Cells were incubated with the labeling medium containing 100 μg/ml iron for 24 h. After labeling, cells were washed to remove residual contrast agent.
Viability of the iron oxide-labeled MSCs was evaluated by performing a long-term (10 days) in vitro exclusion test with Trypan blue (Sigma-Aldrich).
Animals bearing the tumor xenograft were separated into six groups (n = 4/group) when the tumors reached 50 mm3. MSCs were labeled with SPIO as described above. Groups 1 to 5 received an intravenous injection of 106 SPIO-labeled MSCs, while the control group (group 6) received intravenous injection of PBS. Scans were performed at 3, 10, 17, and 24 days after injection. The MRI experiments were performed (Pharmascan system; Bruker Medical GmBH, Germany, http://www.bruker-biospin.com/pharmascan.html) using a 7.0-T horizontal-bore superconducting magnet, equipped with a 1H selective surface coil and a Bruker gradient insert with 90 mm inner diameter (maximum intensity 360 mT/m). All data were acquired using Paravision software (Bruker). Anesthesia was initiated using oxygen (1 l/min) containing 4% isofluorane, and maintained during the experiment with 1 to 1.5% isofluorane in O2. T2-weighted spin-echo anatomical images were acquired by rapid acquisition with relaxation enhancement (RARE) sequence in axial (12 slices) and sagittal (8 slices) orientations and the following parameters: TR 3000 ms, TE 60 ms, RARE factor 8, average 3, FOV 30 × 30 mm, acquisition matrix 256 × 256, corresponding to an in-plane resolution of 117 × 117 μm2 and slice thickness of 1.00 mm. Tumors were measured every 2 days and tumor volume was calculated using the formula:
tumor volume = 1/2 L × S2, where L is long side and S is short side.
Prussian blue staining and histological analysis
At day 24, the animals in the in vivo MRI experiments were euthanized. Tumors and tissues were obtained, fixed in formalin, and embedded in paraffin wax. Sections of 4 μm were obtained from the blocks for staining with haematoxylin and eosin (Sigma-Aldrich). Staining with Prussian blue (Sigma-Aldrich) was used to detect labeled iron particles in the cells, in accordance with the manufacturer’s instructions. The number of blue-stained (positive) cells per high-power field (HPF) was calculated by counting the cells in at least five HPFs per section, with a minimum of five sections per sample examined.
Animals bearing tumor xenograft were separated into seven groups (n = 4/group) when the tumors reached 50 mm3. MSCs were infected with AdhNIS as described above. Groups 1 to 6 received intravenous injection of 106 hNIS-labeled MSCs and the control group (group 7) received intravenous injection of PBS. At 3, 10, 17, and 24 days post-injection, all groups received an intravenous dose of 18.5 MBq of 99mTc. Anesthesia was initiated by inhaled oxygen (1 l/min) containing 4% isofluorane, and maintained during the experiment with 1 to 1.5% isofluorane in O2. The mice were scanned using a nano-SPECT-CT scanner for small animals (Bioscan, Paris, France). A tomogram was taken, and the limits of the scan were determined. A CT and a SPECT whole-body scan were performed, with a time of 100 seconds per acquisition. The images were reconstructed with the MEDISO software (Medical Imaging Systems, Budapest, Hungary); fusion of SPECT and CT images was carried out using PMOD software (Biomedical Imagen Quantification, Basel, Switzerland). Tumors were measured every two days and tumor volume was calculated using the formula for tumor volume given above.
Quantification of radioisotope (99mTc) accumulation was carried out using InVivoScope software (Medical Imaging Systems). Fused SPECT/CT images were used to draw the voxel-guided specific volume of interest (VOI) to accurately quantify the total activity associated with the whole tumor volume. Quantification of 99mTc accumulation was expressed as ratio of tumor uptake to muscle uptake.
Primers used for PCR
Real-time quantitative PCR
TaqMan® gene expression assays used to amplify the pluripotency-related genes
Amplicon size, nucleotides
Primers used to amplify the migration-related genes
GenBank accession number
Sequence (5′ → 3′)
Results are reported as mean ± SEM. Statistical evaluation of data was carried out using the SPSS Statistics software package (version 17.0; IBM SPSS, Chicago, IL, USA). Normal distribution of the variables was analyzed by means of the Kolmogorov-Smirnov test followed by the Tukey HSD test, except for KLF4 and REX1 expression in the pluripotency qPCR assays, whose distribution was non-parametric and so analysis was performed using the Kruskal-Wallis test. P<0.05 was considered significant.
To confirm whether labeled MSCs injected systemically into animals are able to migrate, proliferate, and engraft into the microenvironment of tumors, two non-invasive imaging techniques were performed in the present study: 1) SPECT-CT using hNIS as reporter gene, and 2) MRI labeled with iron nanoparticles (SPIO).
Cell-viability assay of SPIO-labeled MSCs
Before performing MRI scans, viability of SPIO-labeled MSCs was determined by Trypan blue exclusion assay. Cell-viability values, compared the control group (100%), with 99.23 ± 3.18% in the BM-hMSC group, 101.53 ± 5.6% in the hASC group, 96.4 ± 1.75% in the hEESC group, 100.28 ± 0.97% in the hESSC group, and 98.05 ± 6.15% in the hAMC group, thus revealing that labeling with SPIO did not significantly affect cell viability and proliferation.
In vivotropism of MSCs to tumors, detected by non-invasive imaging techniques
hMSCs did not exert any signal at day 3, and their highest signal was found at day 10 (1.92 ± 0.72), after which it decreased until day 24 (1.07 ± 0.12). In hiPSCs and in the other hMSCs assayed, various levels of signal were detected from day 3, with hASCs presenting the lowest signal (1.44 ± 0.69) and hESSCs the highest (2.01 ± 0.18). Figure 4B shows the differences at day 3. The detected signals increased for the following determinations, with MSCs reaching their maximum level at day 17, when hESSCs also had their highest values (3.84 ± 0.41), whereas the highest signal for hiPSCs (6.73 ± 1.23) occurred at day 24. For MSCs, the detected signals decreased after 24 days, with the highest values being for hAMCs (3.07 ± 0.29) and hESSCs (2.89 ± 0.69), and the lowest for hASCs (2.46 ± 0.68) and hEESCs (2.52 ± 0.72). The tumor:muscle uptake ratio showed the differences between the migration ability of MSCs and hiPSCs (Figure 4C).
Effects on xenograft tumor growth
In general, expression levels of migration-related genes in tumors obtained from HeLa cells and MSC or hiPSC injection were significantly lower than those of control samples. CXCL12 expression was significantly decreased in all groups, with the smallest decrease seen in BM-hMSCs (−4.4 ± 0.04-times), and the largest in hASCs, hEESCs, and hESSCs (between −9-fold and −11-fold). For CCL5, expression levels were significantly decreased in tumors obtained from BM-hMSCs (−1.69 ± 0.25-fold), hEESCs (−2.31 ± 0.08-fold), and hESSCs (−2.58 ± 0.08-fold), but were significantly increased in hAMCs (1.73 ± 0.07-fold) and hiPSCs (0.85 ± 0.1-fold). In the hASC group, the expression level was similar to that of the control samples (−0.25 ± 0.12-fold). CCL2 and CXCR4 expression levels were significantly decreased in tumors resulting from MSC injection, with the hAMC group showing the lowest decrease (−1.05 ± 0.07-fold and −0.98 ± 0.12-fold, respectively), whereas the hiPSC group had significantly increased expression levels (5.53 ± 0.18-fold and 0.60 ± 0.33-fold, respectively). Finally, MMP-2 expression was significantly decreased in tumors composed of HeLa cells and BM-hMSCs (−6.28 ± 0.22-fold), hASCs (−6.99 ± 0.12-fold), hEESCs (−5.62 ± 0.13-fold), and hAMCs (−3.09 ± 0.06-fold) but was significantly increased in hESSCs (2.28 ± 0.07-fold) and hiPSCs (6.48 ± 0.14-fold). These findings highlight, once again, the differences between MSCs and hiPSCs. These differences may be responsible for the different migration patterns and probably play a role in the effects on the microenvironment in tumors.
MSCs have been promoted as an attractive option for cellular delivery vehicles to carry anti-tumor agents, owing to their ability to home into tumor sites and secrete cytokines [28, 33, 34]. Previous studies have shown that systemic delivery of MSCs does not result in engraftment into healthy organs, but that they do migrate in various in vivo tumor models, although this mechanism has not yet been fully elucidated [35–42]. Additionally, MSCs can also counteract inflammation by suppressing host immune responses  and by secreting anti-inflammatory cytokines .
The ability of MSCs and hiPSCs to migrate into tumor sites after systemic injection into mice is confirmed in the present study. HeLa-based subcutaneous xenograft tumors showed extensive MSC engraftment, and BM-hMSC migration was significantly lower and slower than that obtained by the other MSCs and hiPSCs. All cell types were detected by MRI in a similar way to recent results obtained with MSCs by other groups . Signals were obtained from the first (day 3) until the final (day 24) imaging determination, except in BM-hMSCs, which highlights the capacity of these cells to persist in tumor sites. These results and the differences between BM-hMSCs and the other cell types were confirmed by iron-particle staining and the detection of hNIS in tumor samples. Using SPECT-CT images and hNIS expression, another study has shown BM-hMSC migration towards a breast-cancer model . In contrast to our observations, hNIS expression in that study was detected in tumors from day 3 after MSC injection, which may be attributed to the differences between donors, tumor models, and the size of the pre-established tumor.
To clarify whether pluripotency plays a role in MSC migration to tumors, a pluripotency marker panel was analyzed. These studies revealed diminished expression of SOX2, NANOG, OCT4, KLF4, and REX1 compared with the control sample (hiPSCs). hEESCs and hESSCs, which displayed the highest signals in the imaging techniques, also had significant expression of KLF4, NANOG, and REX1 with respect to the other MSCs, although it was much lower than that shown by hiPSCs. These differences in pluripotency patterns may influence the differences in migration and engraftment of MSCs and hiPSCs.
Tumor growth confirmed the ability of MSCs to migrate into tumors, and the significant differences between BM-hMSCs, the other MSCs, and hiPSCs. In a previous PC3 prostate xenograft model , intra-tumoral injection of hASCs also induced larger tumors compared with the control group, although the differences between control and hASC-induced tumors were smaller at the final time point (<2-fold vs. 3-fold in ours). These differences may be attributed to the different tumor model used and the different procedures for hASC injection. However, there are also studies reporting inhibitory effects on tumor growth in an in vivo tumor model following MSC injection, using different approaches from ours [46, 47]. The dose of MSCs delivered and the timing of injection have been highlighted as determining factors in the promotion or inhibition of tumor growth .
Although the mechanisms behind homing are not yet fully understood, the most likely cause of preferential migration is the release of chemotactic gradients from tumors. MSCs have a wide range of chemokine and cytokine receptors on their cell surface, which respond functionally to their ligands in vitro, whereas in vivo, their modification implies changes in migration behavior [48–52].
Some authors have shwon that MSCs secrete a large panel of chemokines such as CXCL12, CCL2, and CCL5, which implies activation of the MAPK, FAK, and STAT signaling pathways, and the induction of biological responses [48, 49]. Moreover, tumors produce a wide range of chemokines and cytokines, which may act as ligands for MSC receptors [35, 53]. Of the different pairs of receptor/ligand described as responsible for migration, the CXCL12/CXCR4 pair should be highlighted. This has been studied in numerous works, both in vitro and in vivo, and using different tumor models or MSCs sources [35, 49–51, 54–59]. Loss of expression in MSC´s receptors  implies a loss in cell-migration ability, indicating the great importance of these axes in MSC migration.
The relationship between homing and the inflammatory state has been assessed, and studies have been conducted in which BM-hMSCs were pre-treated with factors involved on inflammation (such as tumor necrosis factor, MMP2, CXCL12 and CCL5) . But some studies were contradictory [35, 50], which it could be due to the variation in donors or cell-culture conditions (confluence, hypoxia, and passages) .
Our results show that, in general, when MSCs engraft into tumors, migration-related gene expression is decreased (whereas hiPSCs exert an increase) except for the CXCL12/CXCR4 axis, causing a significant depletion in the expression of both markers when MSCs are present. The exceptions were hiPSCs, in which CXCR4 expression increased. The reason for this may be that CXCL12 expression is also linked to more immature cell fractions, with higher expression in less committed stages of differentiation, that is, in cells closer to the embryonic state . With regard to hiPSCs, this study and another previous work  are the first to highlight their in vivo migration ability to and long-term engraftment into tissue damage areas.
Besides the release of chemotactic gradients from the tumors, other explanations for MSCs migration could be the hypoxic conditions produced by tumor cells, which may cause MSCs to increase the expression of migratory signals , and thus confer the ability to cross the biological barriers . However, in our study, a direct correlation between the migration patterns and the absence of oxygen does not seem to exist (data not shown).
Finally, a recent dialogue mediated by exosomes between MSCs from the bone marrow and tumoral cells in patients with melanoma  has been shown. The degree of exosome release by the various MSCs could determine the migratory differences between those cells, depending both on their area of origin and also on their exosome targeting.
This study clarifies the in vivo capacity of different types of MSCs and hiPSCs to migrate and engraft into a tumor model. The results reveal that the adult stem cells assayed were able to enter tumor sites and remain there, at least until the end of the experiments. Their different pluripotency pattern may also play a role in the differences between these cell types, in which higher imaging signals but also higher tumor growth were obtained in those with highest expression of pluripotency genes. Moreover, MSCs and hiPSCs also exerted different migration-related gene profiles in tumors, which could be attributed to the anti-inflammatory effect exerted by MSCs, thereby diminishing expression of the migration marker. Our promising data support the importance of MSCs as therapeutic gene carriers in anti-tumor treatments, and highlight the importance of choosing the most suitable lineage for specific tumor lesion. Further understanding of the role of MSCs in tumors and the promising possibility to use them as therapeutic gene vehicles may lead to potentially fruitful treatment approaches.
CB-L is a pre-doctoral staff member at the Instituto Aragones de Ciencias de la Salud-IIS Aragón, Zaragoza, Spain. GM is a post-doctoral fellow at the Instituto Aragones de Ciencias de la Salud-IIS Aragón, Zaragoza, Spain. DO is a visiting teacher at the Department of Medical Biochemistry and Microbiology, Uppsala University, Sweden. JB is a laboratory technician at the Queen Mary University of London, UK. CS is Full Professor of Obstetrics and Gynecology at the University of Valencia (Spain) and Scientific Head of the IVI. IC is Principal Investigator at IVI Foundation, Valencia, Spain. MI is Professor of Biochemistry and Dean of Faculty of Health Sciences at the University Francisco de Vitoria, Spain. JCR is Head of the Viral Vectors Unit at the Centro Nacional de Investigaciones Cardiovasculares, Spain. PL-L and MQ are Principal Investigators at the Instituto de Investigaciones Biomédicas Alberto Sols, Spain. PM-D is ARAID Foundation Principal Investigator, professor at University Francisco de Vitoria, Spain, and Head of the Gene and Therapy Group at the Instituto Aragones de Ciencias de la Salud-IIS Aragon, Zaragoza, Spain.
Ad10 Adenoviral vector containing human sodium iodine symporter gene
Activated protein C
Bone marrow-derived human mesenchymal stem cell
Chemokine (C-C motif) ligand 2
Chemokine (C-C motif) ligand 5
Chemokine (C-X-C motif) ligand 12
C-X-C chemokine receptor type 4
Fluorescence-activated cell sorting
Fetal bovine serum
Field of view
Human amniotic fluid mesenchymal stem cell
Human amniotic membrane mesenchymal stem cell
Human adipose-derived stem cell
Human epithelial endometrium-derived stem cell
Human stromal endometrium-derived stem cell
Human induced pluripotent stem cell
Human sodium iodine symporter
Honestly significant difference
Endometrial epithelial stem cell lines
Endometrial stromal stem cell lines
Monocyte chemotactic protein-1
Multiplicity of infection
Magnetic resonance imaging
Mesenchymal stem cell
Peridinin chlorophyll protein complex
Quantitative polymerase chain reaction
(Regulated on Activation, Normal T cell Expressed and Secreted)
Rapid acquisition with relaxation enhancement
Stromal cell-derived factor-1
Single-photon emission computed tomography/X-ray computed tomography
Super-paramagnetic iron oxide
Volumes of interest.
This work was supported by FIS (PI080750), DGA (PI041/08, B84, PI086/09), MMA Fund (ICS/08/0050), PROMETEO/2008/163; CTQ-2010-20960-C02-02; S2010/BMD-2349, PIPAMER-0912, and PIPAMER-1214. CB-L was funded by fellowships ICS/08/0050 and DGA PI-086/09, GM by PIPAMER-0912, and PMD by the Araid Fund. We are grateful to Dr Hugo Cabedo and Dr Jose Antonio Gómez-Sánchez for help with the qPCR studies, and to Juan Miguel Sanchez, Camino Latorre, and Rebeca Guerrero for technical assistance. We also thank Professor James McCue and Dr Nancy d’Cruz for their assistance in language editing.
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