Page 63
Volume 3
August 5-6, 2019 | Singapore
CANCER RESEARCH AND PHARMACOLOGY
STRUCTURAL BIOCHEMISTRY, STEM CELLS AND MOLECULAR BIOLOGY
24
th
International Conference on
International Congress on
&
Cancer Research 2019 & Structural Biochemistry 2019
August 5-6, 2019
Journal of Cancer and Metastasis Research
Melatonin improves therapeutic potential of mesenchymal stem cells- derived exosomes
against renal ischemia-reperfusion injury in rats
Faisal A Alzahrani
King Abdulaziz University, KSA
Background
: Renal ischemia-reperfusion injury (RIRI) is one of the main causes for acute kidney injury (AKI). Many previous
attempts failed to adopt a suitable treatment regimen for AKI. Recently, combined melatonin (Mel) and mesenchymal stem
cell (MSC)-derived exosomes (Exo) therapy gave a promising therapeutic option for acute liver ischemic injury, however this
treatment approach has not been tested against RIRI yet.
Aim
: This study tested the hypothesis that administration of exosomes derived from MSCs preconditioned with Mel gave best
protection against RIRI as compared to therapy by MSCs or exosomes derived from non-preconditioned MSCs. Materials and
Methods: Female adult rats (n = 50) equally divided into control group, sham group, RIRI group (induced by bilateral renal
arteries clamping), RIRI + MSCs group (1 x10 6 bone marrow derived MSCs), RIRI + Exo group (250 μg Exo derived from no-
preconditioned MSCs), and RIRI + Mel + Exo group (250 μg Exo derived from Mel preconditioned MSCs). MSCs or Exo was
bilaterally injected once in each renal artery during reperfusion.
Results
: The obtained results revealed notable improvement in RIRI following all treatment (MSCs, Exo, and Exo+Mel) with
best improvement in Exo+Mel group as evidenced by: 1) decreased kidney injury histopathological score; 2) reduced blood
levels of kidney damage markers [blood urea nitrogen (BUN) and creatinine]; 3) declined oxidative stress status (MDA level,
HIF1α gene, and NOX2 protein); 4) increased anti-oxidant status (HO1 gene, and SOD, CAT, GPx activities); 5) declined
apoptosis (caspase 3 activity and mRNA, and PARP1, Bax genes), 6) induced anti- apoptotic effect (Bcl2 gene); 7) inhibition
of inflammation (decreased ICAM1, IL1β, NFκB and increased IL10 genes); 8) improved regeneration (bFGF, HGF and SOX9
proteins); and 9) enhanced angiogenesis (VEGF gene).
Conclusion
: Treatment with exosomes derived from MSCs preconditioned with melatonin gave best protective effect against
renal ischemia-reperfusion injury as compared to therapy by non-preconditioned MSCs or their exosomes.
faahalzahrani@kau.edu.sa