Stem cell product-based blockage of cytokine-induced apoptosis: implications for diabetes
A feature of Type 1 diabetes mellitus (T1DM) is the cytokine-induced apoptosis of insulin-secretingBeta cells (β-cells). The cytokines are secreted from macrophages after infiltration into the pancreatic islets of Langerhans. Daily insulin supplementation is the only widely available treatment option for this disease, but this can lead to serious complications including diabetic ketoacidosis or cardiovascular disease. The utility of mesenchymal stem cells as a therapeutic and novel drug discovery tool is being widely explored. The aim of this study was to explore the therapeutic effectiveness of mesenchymal stem cells (MSC) on cytokine-induced apoptosis in β-cells. BRIN BD11,an insulin-secreting β-cell line was exposed to pro-inflammatory cytokines and endotoxin (IFN-γ,TNF-α,IL-1β and LPS) to induce β-cells apoptosis. This was performed with and without MSC serum-free conditioned media (SF-CM). SF-CM was conditioned for 24 hours on 70% confluent MSC monolayers. Cellular viability and apoptosis were determined with MTT and TUNEL assays respectively. IFN-γ (1μg/ml), TNF-α (100ng/ml),IL-1β (100ng/ml) AND LPS (500 μg/ml) all reduced BRIN BD11 viability to approximately 50% at the concentrations indicated (Figure1A). This effect was noted with and without serum where the latter resulted in decreased sensitivity to TNF-α and LPS. The TUNEL assay confirmed that this reduction in cellular viability resulted from programmed cell death (apoptosis) in all instances (Figure1C). However, the addition of SF-CM significantly decreased the sensitivity of BRIN BD11 cells to all cytokines (P≤0.05) and endotoxin (P≤0.05)in the presence and absence of serum.