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ABSTRACT
Increased interest in clinical use of adipose-derived stem cells (ASCs)
Difficult to deliver cells efficiently due to low # of homing factors
Human ASCs do not have E-selectin (the directing ligand), but express other things
o Instead has CD44 glycoform
They converted the CD44 into HCELL (which lets E-selectin work more effectively)
o Did not have negative effects on the cell
Transplanted these new cells into mice to test
Conclusion: this might be a simple method to enhance homing of stem cell to bone marrow
INTRODUCTION
Discussion of stem-cell based treatment
o ES (embryonic stem cell) and iPSC (induced pluripotent stem cell) – ethical and technical
issues with using
o MSC (mesenchymal stem cell) – much easier to use, found in bone marrow
o ASC (adipose-derived stem cell) – found in adipose tissue (fat)
These are excellent for restorative therapy
Idea of stem-cell migration
o ASC homing is inefficient because they lose “key homing ligands” during the culture
(growth) process
Discussion of cell migration in general
o A process that involves shear-resistant adhesion interactions between circular cells and
the endolithium (inside the walls of blood vessels/transportation system)
o Determined by selectins
Step 1: cell-tethering and rolling
Step 2: activation of integrins
Step 3: adhesion by integrins
Step 4: extravasation
Discussion of Selectins
o Selectins bind to “carbohydrate determinants” expressed on ligands
o In humans and mice, E-selectin is permanently expressed on the skin and bone marrow
Discussion of HCELL
o HCELL is the most powerful E- and L-selectin ligand which increases ligand activity
o HCELL is a glycoform of CD44 which can be chemically transformed
o Therefore, the chemical which converts CD44 into HCELL on ASC could help generate
HCELL and increase binding activity
o ** “the proof for this hypothesis” (bad word usage)
This study tests whether the “enforced fucosylation” (CD44HCELL) on human ASCs improve
migration
RESULTS
Expression of Homing Receptors on hASCs
o hASC expressed CD44 (flow-cytometry to determine this)
o hASC did not express E-selectin
Generation of HCELL
o After fucosylation, cells expressed strong expression of HCELL
o Does not compromise cell viability
Static/Dynamic Assays
o Strong HCELL expression induces strong binding on endolethial E-selectin (static)
o HCELL expression produces a “robust rolling response” on endolethial E-selectin
(dynamic)
Ex Vivo Fucosylatoin
o HCELL+ hASCs accumulated
o Typo: untreat
o HCELL on hASCs increases tendency of the cells to migrate to bone marrow
Infiltrated HCELL+ hASCs turned into osteoids
o Extravasated cells can lodge within marrow and generate human osteoid in mouse bone
marrow
DISCUSSION
ASCs are easily harvested and have no ethical issues
Use an alpha-1,3-fucosyltransferaase (FTV) to engineer hASCs
Using adhesion and flow chamber assays, results show that expression of HCELL on hASCs
increase E-selection binding
HCELL expression was NOT LONG LASTING (only lasted about 24 hours)
Not likely to interfere with the long term function of ASC
“proof of principle”