Stem Cell Research (Mar 2019)

Cymerus™ iPSC-MSCs significantly prolong survival in a pre-clinical, humanized mouse model of Graft-vs-host disease

  • E. Ilker Ozay,
  • Jyothi Vijayaraghavan,
  • Gabriela Gonzalez-Perez,
  • Sudarvili Shanthalingam,
  • Heather L. Sherman,
  • Daniel T. Garrigan, Jr.,
  • Karthik Chandiran,
  • Joe A. Torres,
  • Barbara A. Osborne,
  • Gregory N. Tew,
  • Igor I. Slukvin,
  • Ross A. Macdonald,
  • Kilian Kelly,
  • Lisa M. Minter

Journal volume & issue
Vol. 35

Abstract

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The immune-mediated tissue destruction of graft-vs-host disease (GvHD) remains a major barrier to greater use of hematopoietic stem cell transplantation (HSCT). Mesenchymal stem cells (MSCs) have intrinsic immunosuppressive qualities and are being actively investigated as a therapeutic strategy for treating GvHD. We characterized Cymerus™ MSCs, which are derived from adult, induced pluripotent stem cells (iPSCs), and show they display surface markers and tri-lineage differentiation consistent with MSCs isolated from bone marrow (BM). Administering iPSC-MSCs altered phosphorylation and cellular localization of the T cell-specific kinase, Protein Kinase C theta (PKCθ), attenuated disease severity, and prolonged survival in a humanized mouse model of GvHD. Finally, we evaluated a constellation of pro-inflammatory molecules on circulating PBMCs that correlated closely with disease progression and which may serve as biomarkers to monitor therapeutic response. Altogether, our data suggest Cymerus iPSC-MSCs offer the potential for an off-the-shelf, cell-based therapy to treat GvHD. Keywords: PKCθ, Graft-vs-host disease, Mesenchymal stem cell, Induced pluripotent stem cell, Humanized mouse model