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Research Article| Volume 59, ISSUE 3, 102734, June 2020

Effect of Cord Blood Platelet Gel on wound healing capacity of human Mesenchymal Stromal Cells

Published:January 27, 2020DOI:https://doi.org/10.1016/j.transci.2020.102734

      Abstract

      Background

      Wound healing is a dynamic process, involving the recruitment of growth factors, cytokines, chemokines and cellular populations. Recently, the Cord Blood Platelet Gel (CBPG) has been applied successfully in wound closure and tissue regeneration. Moreover, its proper combination with stem cell populations such as Mesenchymal Stromal Cells (MSCs) may positively improve the wound healing process. Based on the above data, this study aimed to the evaluation of wound healing capacity of MSCs combined with CBPG under in vitro conditions.

      Methods

      Initially, CBPG was developed from Cord Blood Units (CBUs). The determination of wound healing ability of MSCs was performed using the scratch wound assay. In addition, the morphological features, immunophenotypical characteristics and differentiation capacity of MSCs were evaluated.

      Results

      Scratch wound assay results showed, that CBPG could positively stimulate the MSCs migration. Moreover, MSCs cultured in presence of CBPG were characterized by elongated shape and improved stemness properties as it was indicated by flow cytometric analysis and differentiation process.

      Conclusion

      These results clearly showed the beneficial effect of CBPG in combination with MSCs in wound healing. The proper combination of CBPG with stem cells strategy may enhance the healing process in patients with skin erosions.

      Keywords

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      References

        • Singer A.J.
        • Clark R.A.
        Cutaneous wound healing.
        N Engl J Med. 1999; 341: 738-746https://doi.org/10.1056/NEJM199909023411006
        • Maxson S.
        • Lopez E.A.
        • Yoo D.
        • Danilkovitch-Miagkova A.
        • Leroux M.A.
        Concise Review: role of mesenchymal stem cells in wound repair.
        Stem Cells Transl Med. 2012; 1: 142-149https://doi.org/10.5966/sctm.2011-0018
        • Chicharro D.
        • Carrillo J.M.
        • Rubio M.
        • Cugat R.
        • Cuervo B.
        • Guil S.
        • et al.
        Combined plasma rich in growth factors and adipose-derived mesenchymal stem cells promotes the cutaneous wound healing in rabbits.
        BMC Vet Res. 2018; 14 (21): 288https://doi.org/10.1186/s12917-018-1577-y
        • Mallik S.B.
        • Jayashree B.S.
        • Shenoy R.R.
        Epigenetic modulation of macrophage polarization - perspectives in diabetic wounds.
        J Diabetes Complicat. 2018; 32: 524-530https://doi.org/10.1016/j.jdiacomp.2018.01.015
        • Maruyama K.
        • Asai J.
        • Ii M.
        • Thorne T.
        • Losordo D.W.
        • D’Amore P.A.
        Decreased macrophage number and activation lead to reduced lymphatic vessel formation and contribute to impaired diabetic wound healing.
        Am J Pathol. 2007; https://doi.org/10.2353/ajpath.2007.060018
        • World Health Organization
        Facts and figures about diabetes.
        (Available at:)2014
        • Patel S.
        • Srivastava S.
        • Singh M.R.
        • Singh D.
        Mechanistic insight into diabetic wounds: pathogenesis, molecular targets and treatment strategies to pace wound healing.
        Biomed Pharmacother. 2019; 112108615https://doi.org/10.1016/j.biopha.2019.108615
        • Vijayakumar V.
        • Samal S.K.
        • Mohanty S.
        • Nayak S.K.
        Recent advancements in biopolymer and metal nanoparticle-based materials in diabetic wound healing management.
        Int J Biol Macromol. 2019; 122: 137-148https://doi.org/10.1016/j.ijbiomac.2018.10.120
        • Li J.
        • Chen J.
        • Kirsner R.
        Pathophysiology of acute wound healing.
        Clin Dermatol. 2007; 25: 9-18https://doi.org/10.1016/j.clindermatol.2006.09.007
        • Kirsner R.S.
        • Eaglstein W.H.
        The wound healing process.
        Dermatol Clin. 1993; 11: 629-640
        • Noli C.
        • Miolo A.
        The mast cell in wound healing.
        Vet Dermatol. 2001; 12: 303-313
        • Sherry B.
        • Tekamp-Olson P.
        • Gallegos C.
        • et al.
        Resolution of the two components of macrophage inflammatory protein 1, and cloning and characterization of one of those components, macrophage inflammatory protein 1 beta.
        J Exp Med. 1988; 168: 2251-2259https://doi.org/10.1084/jem.168.6.2251
        • Falanga V.
        Growth factors and wound healing.
        J Dermatol Surg Oncol. 1993; 19: 711-714https://doi.org/10.1016/S0733-8635(18)30219-5
        • Falanga V.
        Wound healing and its impairment in the diabetic foot.
        Lancet. 2005; 366: 1736-1743https://doi.org/10.1016/S0140-6736(05)67700-8
        • Vascotto S.G.
        • Beug S.
        • Liversage R.A.
        • Tsilfidis C.
        Identification of cDNAs associated with late dedifferentiation in adult newt for limb regeneration.
        Dev Dyn. 2005; 233: 347-355https://doi.org/10.1002/dvdy.20304
        • Rebulla P.
        • Pupella S.
        • Santodirocco M.
        • Greppi N.
        • Villanova I.
        • Buzzi M.
        • et al.
        Multicentre standardisation of a clinical grade procedure for the preparation of allogeneic platelet concentrates from umbilical cord blood.
        Blood Transfus. 2016; 14: 73-79https://doi.org/10.2450/2015.0122-15
        • Mallis P.
        • Gontika I.
        • Dimou Z.
        • Panagouli E.
        • Zoidakis J.
        • Makridakis M.
        • et al.
        Short term results of fibrin gel obtained from cord blood units: a preliminary in vitro study.
        Bioengineering (Basel). 2019; 6: 66https://doi.org/10.3390/bioengineering6030066
        • Tadini G.
        • Pezzani L.
        • Ghirardello S.
        • Rebulla P.
        • Esposito S.
        • Mosca F.
        Cord blood platelet gel treatment of dystrophic recessive epidermolysis bullosa.
        BMJ Case Rep. 2015; 2015bcr2014207364https://doi.org/10.1136/bcr-2014-207364
        • Del Pino-Sedeño T.
        • Trujillo-Martín M.M.
        • Andia I.
        • Aragón-Sánchez J.
        • Herrera-Ramos E.
        • Iruzubieta Barragán F.J.
        • et al.
        Platelet-rich plasma for the treatment of diabetic foot ulcers: a meta-analysis.
        Wound Repair Regen. 2019; 27: 170-182https://doi.org/10.1111/wrr.12690
        • Dominici M.
        • Le Blanc K.
        • Mueller I.
        • Slaper-Cortenbach I.
        • Marini F.C.
        • Krause D.S.
        • et al.
        Minimal criteria for defining multipotent mesenchymal stromal cells. The international society for cellular therapy position statement.
        Cytotherapy. 2006; 8: 315-317https://doi.org/10.1080/14653240600855905
        • Chatzistamatiou T.K.
        • Papassavas A.C.
        • Michalopoulos E.
        • Gamaloutsos C.
        • Mallis P.
        • Gontika I.
        • et al.
        Optimizing isolation culture and freezing methods to preserve Wharton’s jelly’s mesenchymal stem cell (MSC) properties: an MSC banking protocol validation for the Hellenic Cord Blood Bank.
        Transfusion. 2014; 54: 3108-3120https://doi.org/10.1111/trf.12743
        • Hofer H.R.
        • Tuan R.S.
        Secreted trophic factors of mesenchymal stem cells support neurovascular and musculoskeletal therapies.
        Stem Cell Res Ther. 2016; 7: 131https://doi.org/10.1186/s13287-016-0394-0
        • Rosenbaum A.J.
        • Grande D.A.
        • Dines J.S.
        The use of mesenchymal stem cells in tissue engineering: a global assessment.
        Organogenesis. 2008; 4: 23-27https://doi.org/10.4161/org.6048
        • Halmay D.
        • Sótonyi P.
        • Vajdovich P.
        • Gaál T.
        Morphological evaluation of canine platelets on Giemsa and Pas-stained blood smears.
        Acta Vet Hung. 2005; 53: 337-350https://doi.org/10.1556/AVet.53.2005.3.7
        • Salam N.
        • Toumpaniari S.
        • Gentile P.
        • Marina Ferreira A.
        • Dalgarno K.
        • Partridge S.
        Assessment of migration of human MSCs through fibrin hydrogels as a tool for formulation optimisation.
        Materials (Basel). 2018; 11
        • Grogan S.P.
        • Barbero A.
        • Winkelmann V.
        • Rieser F.
        • Fitzsimmons J.S.
        • O’Driscoll S.
        • et al.
        Visual histological grading system for the evaluation of in vitro-generated neocartilage.
        Tissue Eng. 2006; 12: 2141-2149https://doi.org/10.1089/ten.2006.12.2141
        • Shirzad N.
        • Bordbar S.
        • Goodarzi A.
        • Mohammad M.
        • Khosravani P.
        • Sayahpour F.
        • et al.
        Umbilical cord blood Platelet Lysate as serum substitute in expansion of human mesenchymal stem cells.
        Cell J. 2017; 19: 403-414https://doi.org/10.22074/cellj.2017.4886
        • Bir S.C.
        • Esaki J.
        • Marui A.
        • Yamahara K.
        • Tsubota H.
        • Ikeda T.
        • et al.
        Angiogenic properties of sustained release platelet-rich plasma: characterization in-vitro and in the ischemic hind limb of the mouse.
        J Vasc Surg. 2009; 50 (870–879.e2)https://doi.org/10.1016/j.jvs.2009.06.016
        • Matsui M.
        • Tabata Y.
        Enhanced angiogenesis by multiple release of platelet-rich plasma contents and basic fibroblast growth factor from gelatin hydrogels.
        Acta Biomater. 2012; 8: 1792-1801https://doi.org/10.1016/j.actbio.2012.01.016
        • Parazzi V.
        • Lavazza C.
        • Boldrin V.
        • Montelatici E.
        • Pallotti F.
        • Marconi M.
        • et al.
        Extensive characterization of platelet gel releasate from cord blood in regenerative medicine.
        Cell Transplant. 2015; 24: 2573-2584https://doi.org/10.3727/096368915X687471
        • Yang Y.K.
        • Ogando C.R.
        • Wang See C.
        • Chang T.Y.
        • Barabino G.A.
        Changes in phenotype and differentiation potential of human mesenchymal stem cells aging in vitro.
        Stem Cell Res Ther. 2018; 9: 131https://doi.org/10.1186/s13287-018-0876-3
        • Rege T.A.
        • Hagood J.S.
        Thy-1 as a regulator of cell-cell and cell-matrix interactions in axon regeneration, apoptosis, adhesion, migration, cancer, and fibrosis.
        FASEB J. 2006; 20: 1045-1054https://doi.org/10.1096/fj.05-5460rev
        • Laner-Plamberger S.
        • Oeller M.
        • Poupardin R.
        • Krisch L.
        • Hochmann S.
        • Kalathur R.
        • et al.
        Heparin differentially impacts gene expression of stromal cells from various tissues.
        Sci Rep. 2019; (May 10;9): 7258https://doi.org/10.1038/s41598-019-43700-x
        • Mohamadi S.
        • Nasiri S.
        • Mohamadi M.H.
        • Malek Mohamadi A.
        • Nikbakht M.
        • Zahed Panah M.
        • et al.
        Evaluation of platelet-rich plasma gel potential in acceleration of wound healing duration in patients underwent pilonidal sinus surgery: a randomized controlled parallel clinical trial.
        Transfus Apher Sci. 2017; 56: 226-232https://doi.org/10.1016/j.transci.2016.12.032
        • Mohamadi S.
        • Norooznezhad A.H.
        • Mostafaei S.
        • Nikbakht M.
        • Nasiri S.
        • Safar H.
        • et al.
        A randomized controlled trial of effectiveness of platelet-rich plasma gel and regular dressing on wound healing time in pilonidal sinus surgery: role of different affecting factors.
        Biomed J. 2019; (Article in Press)https://doi.org/10.1016/j.bj.2019.05.002
        • Mohamadi M.H.
        • Molavi B.
        • Mohamadi S.
        • Nikbakht M.
        • Mohamadi A.M.
        • Mostafaei S.
        • et al.
        Evaluation of wound healing in diabetic foot ulcer using platelet-rich plasma gel: a single-arm clinical trial.
        Transfus Apher Sci. 2017; 56: 160-164https://doi.org/10.1016/j.transci.2016.10.020