Frontiers in Cell and Developmental Biology (Apr 2021)

Transplanted Erythropoietin-Expressing Mesenchymal Stem Cells Promote Pro-survival Gene Expression and Protect Photoreceptors From Sodium Iodate-Induced Cytotoxicity in a Retinal Degeneration Model

  • Avin Ee-Hwan Koh,
  • Avin Ee-Hwan Koh,
  • Hiba Amer Alsaeedi,
  • Munirah Binti Abd Rashid,
  • Chenshen Lam,
  • Mohd Hairul Nizam Harun,
  • Min Hwei Ng,
  • Hazlita Mohd Isa,
  • Kong Yong Then,
  • Mae-Lynn Catherine Bastion,
  • Aisha Farhana,
  • Mohammad Khursheed Alam,
  • Suresh Kumar Subbiah,
  • Suresh Kumar Subbiah,
  • Suresh Kumar Subbiah,
  • Pooi Ling Mok,
  • Pooi Ling Mok,
  • Pooi Ling Mok,
  • Pooi Ling Mok

DOI
https://doi.org/10.3389/fcell.2021.652017
Journal volume & issue
Vol. 9

Abstract

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Mesenchymal stem cells (MSC) are highly regarded as a potential treatment for retinal degenerative disorders like retinitis pigmentosa and age-related macular degeneration. However, donor cell heterogeneity and inconsistent protocols for transplantation have led to varied outcomes in clinical trials. We previously showed that genetically-modifying MSCs to express erythropoietin (MSCEPO) improved its regenerative capabilities in vitro. Hence, in this study, we sought to prove its potential in vivo by transplanting MSCsEPO in a rat retinal degeneration model and analyzing its retinal transcriptome using RNA-Seq. Firstly, MSCsEPO were cultured and expanded before being intravitreally transplanted into the sodium iodate-induced model. After the procedure, electroretinography (ERG) was performed bi-weekly for 30 days. Histological analyses were performed after the ERG assessment. The retina was then harvested for RNA extraction. After mRNA-enrichment and library preparation, paired-end RNA-Seq was performed. Salmon and DESeq2 were used to process the output files. The generated dataset was then analyzed using over-representation (ORA), functional enrichment (GSEA), and pathway topology analysis tools (SPIA) to identify enrichment of key pathways in the experimental groups. The results showed that the MSCEPO-treated group had detectable ERG waves (P <0.05), which were indicative of successful phototransduction. The stem cells were also successfully detected by immunohistochemistry 30 days after intravitreal transplantation. An initial over-representation analysis revealed a snapshot of immune-related pathways in all the groups but was mainly overexpressed in the MSC group. A subsequent GSEA and SPIA analysis later revealed enrichment in a large number of biological processes including phototransduction, regeneration, and cell death (Padj <0.05). Based on these pathways, a set of pro-survival gene expressions were extracted and tabulated. This study provided an in-depth transcriptomic analysis on the MSCEPO-treated retinal degeneration model as well as a profile of pro-survival genes that can be used as candidates for further genetic enhancement studies on stem cells.

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