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CN111568930A - Application of MSC (mesenchymal stem cell) in adjusting number of NK (natural killer) cells - Google Patents

Application of MSC (mesenchymal stem cell) in adjusting number of NK (natural killer) cells Download PDF

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CN111568930A
CN111568930A CN202010444831.3A CN202010444831A CN111568930A CN 111568930 A CN111568930 A CN 111568930A CN 202010444831 A CN202010444831 A CN 202010444831A CN 111568930 A CN111568930 A CN 111568930A
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郑春兵
王健
李莉
刘秋诗
廖雨
王成
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Hunan Yuanpin Cell Biotechnology Co ltd
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Abstract

The invention specifically discloses an application of MSC (mesenchymal stem cell) in adjusting the number of NK cells, in particular to an application of MSC in adjusting the number of NK cells of a virus infected patient, relating to the technical field of biomedical engineering. The prepared MSC preparation is added into an MSC treatment group to carry out combined medication treatment on patients with viral infection, so that the number of NK cells of the patients after recovery is effectively increased, and the MSC preparation has a positive effect on the inflammatory response of the patients after recovery.

Description

Application of MSC (mesenchymal stem cell) in adjusting number of NK (natural killer) cells
Technical Field
The invention relates to the technical field of biomedical engineering, in particular to application of MSC (mesenchymal stem cell) in regulating the number of NK (natural killer) cells.
Background
Natural killer cells (NK cells), which are a third class of lymphocytes that lack specific markers for T and B cells, such as TCR and SmIg, on their surface, were previously referred to as null cells. These cells, independent of antigen stimulation, can spontaneously lyse a variety of tumor cells and virus-infected cells, called natural killer cells, which are mainly present in peripheral blood and spleen, accounting for 5% to 10% of lymphocytes in human peripheral blood. NK cell surface receptors (NKRs) can recognize polysaccharide molecules expressed on the surface of cells infected with viruses. The killing effect is mediated by toxic molecules released after activation, such as perforin, granzyme and TNFa (tumor necrosis factor). The target cells for NK cell killing are mainly tumor cells, virus infected cells, larger pathogens (such as fungi and parasites), allograft organs, tissues and the like. It has wide spectrum antitumor effect, especially on lymphoma and leukemia cells. NK can release perforin and granzyme, and the perforin perforates the surface of a target cell so that granzyme b enters the target cell to induce apoptosis of the target cell. At the same time, a large amount of cytokines such as ifn-v, tnf-x, gm-csf, il-3, m-csf and the like are secreted, and directly act on target cells or attack the target cells by further activating other kinds of immune cells. And can express protein (fasl) capable of inducing apoptosis and TRAIL (TRAIL) for inducing apoptosis of tumor necrosis factor, so as to make target cell enter into programmed apoptosis state.
Viral infection refers to infectious diseases caused by viruses that can parasitize and propagate in the human body and cause diseases. Mainly shows general toxic symptoms such as fever, headache, general malaise and the like and local symptoms caused by inflammatory injury caused by virus hosts and invading tissues and organs. Viral infections of the human body are classified into recessive infections, dominant infections, and lentivirus infections. In most cases, the infection is recessive (after the infection of the human body with the virus, no symptoms appear, but specific antibodies can be produced). A few are dominant infections (meaning that symptoms appear after the human body is infected with viruses). The majority of the dominant infections are acute infections, the onset of diseases is acute, the course of diseases is short, and the minority of the dominant infections are latent infections (such as herpes virus infections) and chronic infections (such as hepatitis B virus infections). At present, the virus infection diseases lack specific treatment, mainly support and symptomatic treatment, and antiviral drugs and hormone treatment cannot play an effective treatment role. And viral infections (such as influenza, SARS, MERS and ebola) spread rapidly in humans, posing a significant threat to human health. Especially, the novel coronavirus which is outbreaked worldwide in 2020 causes serious loss to human health and economy.
The etiology of COVID-19 has been shown to be a novel coronavirus, now known as Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). At present, no specific medicine or vaccine aiming at the virus is successfully developed, and the appearance of SARS-CoV-2 brings a difficult treatment dilemma to clinicians. Most infected patients exhibit non-specific symptoms such as fever, dry cough, and fatigue. The prognosis of most patients is good, and some patients with severe disease can rapidly develop acute respiratory distress syndrome, septic shock, metabolic acidosis, blood coagulation dysfunction and even die. The deterioration of the patient's condition may be due to a cytokine storm in the body, and since SARS-CoV-2 is a novel strain that causes a global pandemic, there is an urgent need for effective targeted therapies, including antiviral and immunotherapy. Currently, although many clinical trials have begun, there is currently no effective antiviral or immunomodulatory therapy for treating COVID-19.
Clinical studies have found that MSC is an effective tool for treating diseases associated with Human Immunodeficiency Virus (HIV) immune abnormality, Hepatitis B Virus (HBV) chronic hepatitis, influenza virus Acute Lung Injury (ALI), and the like. Mesenchymal Stem Cells (MSCs) refer to a group of pluripotent stem cells with diverse differentiation potential that have differentiated into osteoblasts, chondroblasts and adipoblasts. They are derived from immature embryonic connective tissues of mesoderm and ectoderm in early embryonic development stage, and can differentiate into various tissue cells such as fat, bone, cartilage, muscle, tendon, ligament, nerve, liver, cardiac muscle, endothelium and even blood under specific induction conditions in vitro and in vivo. Clinical studies have found that MSC is an effective tool for treating diseases associated with Human Immunodeficiency Virus (HIV) immune abnormality, Hepatitis B Virus (HBV) chronic hepatitis, influenza virus Acute Lung Injury (ALI), and the like. MSCs have low immunogenicity as well as significant and extensive immune-regulatory functions. MSCs do not express co-stimulatory molecules such as CD40, CD80, and CD86, as well as MHC-class II molecules. The T cell inhibitory effect of MSCs is not restricted by MHC, i.e. the effect on autologous and allogeneic T cells is similar. The antiviral response is critical to eradicate the virus and prevent the development of virus-related diseases. If antiviral specific T cells are allowed to function in the presence of MSCs, they have the ability to maintain the integrity of the host's defense against infection. EB virus-specific cytotoxic T Cells (CTL) or cytomegalovirus CTL cultured together with MSC have been found to maintain the ability to proliferate and produce interferon-in vitro and have a killing effect on virus-infected cells. MSC-derived interferon-is thought to counteract the immunosuppressive effects of MSCs by mediating a partial cytotoxic response during viral infection. Therefore, when using MSCs as regenerative medicine, it is very important to recognize the dual role of MSCs in fighting viral infections of the immune system.
Because the cured virus infected patient still has a certain degree of inflammation after the virus turns negative, how to participate in the inflammatory reaction in the recovery period after the cure by increasing the number of NK cells of the cured virus infected patient is a technical problem to be solved urgently by the technical staff in the technical field.
Disclosure of Invention
The invention aims to provide application of MSC (mesenchymal stem cell) in regulating the number of NK cells, in particular application of MSC in regulating the number of NK cells of a patient with viral infection. By adding the MSC preparation into the MSC treatment group for combined treatment, the number of NK cells of the healed patient is effectively increased.
The invention provides an application of MSC (mesenchymal stem cell) in regulating the number of NK (natural killer) cells of a virus infection patient, which comprises the following specific steps:
s1, preparing an MSC preparation;
s2, screening patients with viral infection and bringing the screened patients with viral infection into an MSC treatment group for combination treatment;
and S3, sampling and analyzing the peripheral blood mononuclear cell sample of the healed patient, thereby obtaining the number of NK cells of the healed patient.
Preferably, the preparation method of the MSC preparation comprises:
s11, collecting an umbilical cord, placing the umbilical cord in a culture dish, and then cleaning an umbilical cord tissue through physiological saline;
s12, cutting the cleaned umbilical cord tissue into small tissue blocks and planting the small tissue blocks in a culture dish for culture;
s13, removing the culture solution in the culture dish, cleaning the culture dish by using normal saline, adding pancreatin for digestion, adding a stop solution to stop digestion until the cells in the culture dish are digested, transferring the cell suspension into a centrifuge tube for centrifugation, discarding supernatant, resuspending the cells by using a proper amount of culture solution, counting, and finally planting the cell suspension into a new culture dish for culture according to a counting result;
s14, removing the culture solution in the new culture dish in the step S13, then washing with normal saline, adding pancreatin for digestion, adding a stop solution to stop digestion after cell digestion in the culture dish is finished, filtering with a cell sieve, transferring the filtered cell suspension into a centrifuge tube, counting, centrifuging, discarding supernatant, preparing cell preparation suspension, adding cell preparation suspension for cell suspension resuspension, transferring the cell suspension into a transfer bag, and putting the transfer bag into a low-temperature environment for taking, thereby completing preparation of the MSC preparation;
s15, carrying out qualification detection on the MSC preparation prepared in the step S14.
Preferably, the combination therapy in step S2 is: the MSC preparation prepared in step S1 is incorporated into an MSC combination treatment regimen for combination administration to a patient suffering from viral infection.
Preferably, the combination in the combination therapy refers to: MSC preparation is added in the original treatment scheme as a unique interference factor, and the condition of the combined medicine is tracked and recorded in the process of combined treatment.
Preferably, the post-cure viral infection patient includes a post-cure viral infection patient who is included in the MSC combination treatment regimen and a post-cure viral infection patient who is not included in the MSC combination treatment regimen.
Preferably, the step S3 is to analyze the sample of peripheral blood mononuclear cells by single cell sequencing, so as to obtain the number of NK cells of the patient after healing.
Compared with the prior art, the prepared MSC preparation is incorporated into the MSC treatment group to carry out combined treatment on the virus infection patients, thereby effectively increasing the number of NK cells of the healed patients, participating in the post-healing inflammatory reaction and the antiviral process in the recovery period after healing and playing a positive role.
Drawings
FIG. 1 is a flow chart of an application of MSC for regulating NK cell number of a patient with viral infection in the present invention,
figure 2 is a flow chart of a method of preparing the MSC formulation of the present invention,
FIG. 3 is a graph showing the ratio of the number of NK cells in the total number of grouped cells in patients after MSC-treated group recovery, patients without MSC-treated group recovery and healthy group persons in the present invention,
FIG. 4 is a multiple of the ratio of NK cell numbers of each group in the present invention with respect to the healthy group, wherein the ratio of NK cell numbers of healthy group persons was set to 1.
Detailed Description
In order to make the technical solutions of the present invention better understood, the present invention is further described in detail below with reference to the accompanying drawings.
It should be noted that the original treatment plan in the present invention refers to a treatment plan adopted in a novel coronavirus pneumonia diagnosis and treatment plan issued by the office of the national Health and care committee and the office of the national traditional Chinese medicine administration, MSC + represents an MSC treatment group, MSC-represents a non-MSC treatment group, and Health represents a healthy group.
As shown in figure 1, the application of MSC for regulating the number of NK cells of a virus infection patient comprises the following specific steps:
s1, preparing an MSC preparation;
s2, screening patients with viral infection and bringing the screened patients with viral infection into an MSC treatment group for combination treatment;
and S3, sampling and analyzing the peripheral blood mononuclear cells of the healed patient, thereby obtaining the number of NK cells of the healed patient.
As shown in fig. 2, the preparation method of the MSC preparation comprises:
s11, collecting an umbilical cord, placing the umbilical cord in a culture dish, and then cleaning an umbilical cord tissue through physiological saline;
s12, cutting the cleaned umbilical cord tissue into small tissue blocks and planting the small tissue blocks in a culture dish for culture;
s13, removing the culture solution in the culture dish, cleaning the culture dish by using normal saline, adding pancreatin for digestion, adding a stop solution to stop digestion until the cells in the culture dish are digested, transferring the cell suspension into a centrifuge tube for centrifugation, discarding supernatant, resuspending the cells by using a proper amount of culture solution, counting, and finally planting the cell suspension into a new culture dish for culture according to a counting result;
s14, removing the culture solution in the new culture dish in the step S13, then washing with normal saline, adding pancreatin for digestion, adding a stop solution to stop digestion after cell digestion in the culture dish is finished, filtering with a cell sieve, transferring the filtered cell suspension into a centrifuge tube, counting, centrifuging, discarding supernatant, preparing cell preparation suspension, adding cell preparation suspension for cell suspension resuspension, transferring the cell suspension into a transfer bag, and putting the transfer bag into a low-temperature environment for taking, thereby completing preparation of the MSC preparation;
s15, carrying out qualification detection on the MSC preparation prepared in the step S14.
In this embodiment, the MSC preparation is prepared from Human umbilical cord mesenchymal stem cells (hiuc-MSC), the preparation process is performed in a sterilized clean bench, instruments and consumables and the like required in the preparation process are sterilized with 75% alcohol, and the collection or cells in the culture dish and the specific operation process need to be labeled in detail in the preparation process; meanwhile, the stem cells can be frozen between the step S13 and the step S14, and if the frozen stem cells need to be revived before the step S14 is performed on the stem cell preparation, the stem cell freezing and reviving operations both belong to the prior art, and are not described in detail herein.
In this embodiment, the qualification testing of the MSC preparation further includes quality testing of the collected material, warehousing testing of the primary cell bank of the umbilical cord mesenchymal stem cells, and warehousing testing of the main cell bank of the umbilical cord mesenchymal stem cells, and the step and standard of the qualification testing are consistent with those of the conventional passing testing, which is not repeated here.
The combined treatment in the MSC treatment group refers to that the MSC preparation prepared in the step S1 is brought into the MSC treatment group and is used as a unique interference factor in the original treatment scheme to carry out combined medication on patients with viral infection, and meanwhile, the situation of the combined medication is tracked and recorded in the combined treatment scheme5-5×108Cell number/ml, MSC preparation was administered by peripheral intravenous infusion throughout the MSC treatment group and was used several times. Wherein the number of times of use can be controlled between 1 and 10 times according to actual conditions.
In this embodiment, the selected common new coronary positive patients (i.e., SARS-CoV-2 virus infected patients) are equally divided into two groups and used as MSC treatment group samples and non-MSC treatment group (i.e., original treatment scheme) samples, after the virus infected patients in the two groups of samples are cured, the peripheral blood mononuclear cells of the cured patients are sampled, in order to better explain the working principle and technical effect of the present invention, the peripheral blood mononuclear cells of corresponding number of healthy group personnel are simultaneously selected and sampled, then the collected peripheral blood mononuclear cell samples are respectively subjected to group analysis by single cell sequencing and the analysis results are processed, and the NK cell number relationship between the MSC treatment group cured patients, the non-MSC treatment group cured patients and the healthy group personnel is obtained (see table 1). In other embodiments, other virally infected patients may be selected as samples for the MSC-treated group and the non-MSC-treated group.
TABLE 1 relationship of NK cell number between patients after MSC-treated group recovery, patients after MSC-untreated group recovery and healthy group personnel
Figure BDA0002505415930000061
Meanwhile, drawing a relationship schematic diagram of the number of NK cells between the healed patients and healthy group personnel in two groups of samples according to the processing result data after single cell sequencing analysis (as shown in fig. 3 and fig. 4, wherein the first represents Health, the second represents MSC +, and the third represents MSC-), the abscissa in fig. 3 represents the NK cells, the ordinate represents the proportion of the number of the NK cells in each group in the total number of the corresponding cells, the abscissa in fig. 4 represents the NK cells, and the ordinate represents the change multiple of the number ratio of the NK cells in each group relative to the healthy group.
As can be seen from Table 1, FIG. 3 and FIG. 4, the number of NK cells in the patients after the MSC-treated group was cured accounted for 20.57% of the total number of cells, the number of cells in the patients without the MSC-treated group was accounted for 15.93% of the total number of cells, the number of cells in the healthy group accounted for 9.103% of the total number of cells, compared with the healthy group, the number of NK cells of the patients after the MSC treatment group is cured and the patients without the MSC treatment group are increased, moreover, the number of NK cells of the patients after the MSC treatment group is 2.259 times that of the healthy group, the number of NK cells of the patients after the MSC treatment group is 1.292 times that of the patients without the MSC treatment group, and in view of the fact that the patients still have certain inflammation in the recovery period after the virus turns negative, while NK cells are involved in inflammatory reactions in the recovery stage of the patient after recovery, the patient after recovery after MSC treatment group combination treatment is more beneficial to the recovery of the recovery stage after recovery.
The use of the MSC of the present invention for regulating NK cell number is described in detail above. The principles and embodiments of the present invention are explained herein using specific examples, which are presented only to assist in understanding the core concepts of the present invention. It should be noted that, for those skilled in the art, it is possible to make various improvements and modifications to the present invention without departing from the principle of the present invention, and those improvements and modifications also fall within the scope of the claims of the present invention.

Claims (8)

1. Use of MSC for modulating NK cell number.
2. The use of the MSCs of claim 1 for modulating NK cell number, wherein said MSCs are used for modulating NK cell number in a virally infected patient.
3. The use of the MSCs for modulating NK cell number as claimed in claim 2, wherein the specific steps of use of the MSCs for modulating NK cell number in a virally infected patient comprise:
s1, preparing an MSC preparation;
s2, screening patients with viral infection and bringing the screened patients with viral infection into an MSC treatment group for combination treatment;
and S3, sampling and analyzing the peripheral blood mononuclear cell sample of the healed patient, thereby obtaining the number of NK cells of the healed patient.
4. The use of the MSCs as claimed in claim 3 for modulating NK cell number, wherein the preparation of the MSC formulation comprises:
s11, collecting an umbilical cord, placing the umbilical cord in a culture dish, and then cleaning an umbilical cord tissue through physiological saline;
s12, cutting the cleaned umbilical cord tissue into small tissue blocks and planting the small tissue blocks in a culture dish for culture;
s13, removing the culture solution in the culture dish, cleaning the culture dish by using normal saline, adding pancreatin for digestion, adding a stop solution to stop digestion until the cells in the culture dish are digested, transferring the cell suspension into a centrifuge tube for centrifugation, discarding supernatant, resuspending the cells by using a proper amount of culture solution, counting, and finally planting the cell suspension into a new culture dish for culture according to a counting result;
s14, removing the culture solution in the new culture dish in the step S13, then washing with normal saline, adding pancreatin for digestion, adding a stop solution to stop digestion after cell digestion in the culture dish is finished, filtering with a cell sieve, transferring the filtered cell suspension into a centrifuge tube, counting, centrifuging, discarding supernatant, preparing cell preparation suspension, adding cell preparation suspension for cell suspension resuspension, transferring the cell suspension into a transfer bag, and putting the transfer bag into a low-temperature environment for taking, thereby completing preparation of the MSC preparation;
s15, carrying out qualification detection on the MSC preparation prepared in the step S14.
5. The use of the MSC of claim 4 for regulating NK cell number, wherein the combination therapy of step S2 is: the MSC preparation prepared in step S1 is incorporated into an MSC combination treatment regimen for combination administration to a patient suffering from viral infection.
6. The use of the MSC of claim 5 for regulating NK cell number wherein the combination in combination therapy is: MSC preparation is added in the original treatment scheme as a unique interference factor, and the condition of the combined medicine is tracked and recorded in the process of combined treatment.
7. The use of the MSC of claim 6 for regulating the number of NK cells, wherein the patients after recovery comprise patients with viral infection cured in the MSC-treated group and patients with viral infection cured in the non-MSC-treated group.
8. The use of the MSC in claim 7 for regulating the number of NK cells, wherein the step S3 is performed by analyzing the mononuclear cell sample of peripheral blood by single cell sequencing to obtain the number of NK cells of the healed patient.
CN202010444831.3A 2020-05-23 2020-05-23 Application of MSC (mesenchymal stem cell) in adjusting number of NK (natural killer) cells Pending CN111568930A (en)

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Citations (3)

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Publication number Priority date Publication date Assignee Title
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CN110540959A (en) * 2019-10-08 2019-12-06 孟明耀 Umbilical cord mesenchymal stem cell isolation culture amplification method
CN111514169A (en) * 2020-05-23 2020-08-11 湖南源品细胞生物科技有限公司 Application of MSC (Mobile switching center) in inhibiting virus replication

Patent Citations (3)

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Publication number Priority date Publication date Assignee Title
CN101626772A (en) * 2007-03-22 2010-01-13 奥西里斯治疗公司 Mesenchymal stem cells and their uses
CN110540959A (en) * 2019-10-08 2019-12-06 孟明耀 Umbilical cord mesenchymal stem cell isolation culture amplification method
CN111514169A (en) * 2020-05-23 2020-08-11 湖南源品细胞生物科技有限公司 Application of MSC (Mobile switching center) in inhibiting virus replication

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Title
BING LIANG等: "Clinical remission of a critically ill COVID-19 patient treated by human umbilical cord mesenchymal stem cells" *
WEN WEN等: ""Immune cell profiling of COVID-19 patients in the recovery stage by single-cell sequencing" *
古利明等: "人脐带间充质干细胞联合抗病毒等方法治疗新型冠状病毒肺炎" *

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