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Bone marrow-derived mesenchymal stem cells from early diffuse systemic sclerosis exhibit a paracrine machinery and stimulate angiogenesis in vitro
  1. Serena Guiducci1,
  2. Mirko Manetti1,2,
  3. Eloisa Romano1,
  4. Benedetta Mazzanti3,
  5. Claudia Ceccarelli1,
  6. Simone Dal Pozzo3,
  7. Anna Franca Milia1,
  8. Silvia Bellando-Randone1,
  9. Ginevra Fiori1,
  10. Maria Letizia Conforti1,
  11. Riccardo Saccardi3,
  12. Lidia Ibba-Manneschi2,
  13. Marco Matucci-Cerinic1
  1. 1Department of Biomedicine, Division of Rheumatology, AOUC, Excellence Centre for Research, Transfer and High Education DENOthe, University of Florence, Florence, Italy
  2. 2Department of Anatomy, Histology and Forensic Medicine, University of Florence, Florence, Italy
  3. 3Department of Haematology, University of Florence, Florence, Italy
  1. Correspondence to Professor Marco Matucci-Cerinic, Department of Biomedicine, Division of Rheumatology, DENOthe Centre, University of Florence, Viale Pieraccini 18, 50139 Florence, Italy; cerinic{at}


Objective To characterise bone marrow-derived mesenchymal stem cells (MSCs) from patients with systemic sclerosis (SSc) for the expression of factors implicated in MSC recruitment at sites of injury, angiogenesis and fibrosis. The study also analysed whether the production/release of bioactive mediators by MSCs were affected by stimulation with cytokines found upregulated in SSc serum and tissues, and whether MSCs could modulate dermal microvascular endothelial cell (MVEC) angiogenesis.

Methods MSCs obtained from five patients with early severe diffuse SSc (SSc-MSCs) and five healthy donors (H-MSCs) were stimulated with vascular endothelial growth factor (VEGF), transforming growth factor β (TGFβ) or stromal cell-derived factor-1 (SDF-1). Transcript and protein levels of SDF-1 and its receptor CXCR4, VEGF, TGFβ1 and receptors TβRI and TβRII were evaluated by quantitative real-time PCR, western blotting and confocal microscopy. VEGF, SDF-1 and TGFβ1 secretion in culture supernatant was measured by ELISA. MVEC capillary morphogenesis was performed on Matrigel with the addition of MSC-conditioned medium.

Results In SSc-MSCs the basal expression of proangiogenic SDF-1/CXCR4 and VEGF was significantly increased compared with H-MSCs. SSc-MSCs constitutively released higher levels of SDF-1 and VEGF. SDF-1/CXCR4 were upregulated after VEGF stimulation and CXCR4 redistributed from the cytoplasm to the cell surface. VEGF was increased by SDF-1 challenge. VEGF, TGFβ and SDF-1 stimulation upregulated TGFβ1, TβRI and TβRII in SSc-MSCs. TβRII redistributed from the cytoplasm to focal adhesion contacts. SSc-MSC-conditioned medium showed a greater proangiogenic effect on MVECs than H-MSCs. Experiments with blocking antibodies showed that MSC-derived cytokines were responsible for this potent proangiogenic effect.

Conclusion SSc-MSCs constitutively overexpress and release bioactive mediators/proangiogenic factors and potentiate dermal MVEC angiogenesis.

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  • SG and MM contributed equally to this work.

  • Funding This study was supported by Fondazione Cassa di Risparmio di Pistoia e Pescia.

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval The study was approved by the Institutional Review Board. All subjects gave written informed consent.

  • Provenance and peer review Not commissioned; externally peer reviewed.