Mesenchymal stem cells are a potential therapeutic agent in renal disease and kidney transplantation. Autologous cell use in kidney transplantation is preferred to avoid anti-HLA reactivity; however, the influence of renal disease on mesenchymal stem cells is unknown. To investigate the feasibility of autologous cell therapy in patients with renal disease, we isolated these cells from subcutaneous adipose tissue of healthy controls and patients with renal disease and compared them phenotypically and functionally. The mesenchymal stem cells from both groups showed similar morphology and differentiation capacity, and were both over 90% positive for CD73, CD105, and CD166, and negative for CD31 and CD45. They demonstrated comparable population doubling times, rates of apoptosis, and were both capable of inhibiting allo-antigen-and anti-CD3/CD28-activated peripheral blood mononuclear cell proliferation. In response to immune activation they both increased the expression of pro-inflammatory and anti-inflammatory factors. These mesenchymal stem cells were genetically stable after extensive expansion and, importantly, were not affected by uremic serum. Thus, mesenchymal stem cells of patients with renal disease have similar characteristics and functionality as those from healthy controls. Hence, our results indicate the feasibility of their use in autologous cell therapy in patients with renal disease.

end-stage renal disease, immunosuppression, kidney transplantation, stem cell, uremia,
Kidney International
Erasmus MC: University Medical Center Rotterdam

van Rhijn, M.R.V, Reinders, M.E, de Klein, J.E.M.M, Douben, H, Korevaar, S.S, Mensah, F.K.F, … Hoogduijn, M.J. (2012). Mesenchymal stem cells derived from adipose tissue are not affected by renal disease. Kidney International, 82(7), 748–758. doi:10.1038/ki.2012.187