Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Inhibition of aberrant tissue remodelling by mesenchymal stromal cells singly coated with soft gels presenting defined chemomechanical cues

Abstract

The precise understanding and control of microenvironmental cues could be used to optimize the efficacy of cell therapeutics. Here, we show that mesenchymal stromal cells (MSCs) singly coated with a soft conformal gel presenting defined chemomechanical cues promote matrix remodelling by secreting soluble interstitial collagenases in response to the presence of tumour necrosis factor alpha (TNF-α). In mice with fibrotic lung injury, treatment with the coated MSCs maintained normal collagen levels, fibre density and microelasticity in lung tissue, and the continuous presentation of recombinant TNF-α in the gel facilitated the reversal of aberrant tissue remodelling by the cells when inflammation subsided in the host. Gel coatings with predefined chemomechanical cues could be used to tailor cells with specific mechanisms of action for desired therapeutic outcomes.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Defining chemomechanical cues that enhance the production of soluble interstitial collagenases in mouse MSCs.
Fig. 2: Packaging chemomechanical cues into engineered gel coating for single mouse MSCs to enable paracrine matrix remodelling.
Fig. 3: Mouse MSCs in gel coating promote normal tissue remodelling after fibrotic lung injury.
Fig. 4: Donor MMP13 and host TNF-α determine effects of gel-coated mouse MSCs on fibrotic lung injury.
Fig. 5: Deterministic model predicts the effect of gel-coated MSCs on lung tissue collagen levels in different stages of bleomycin-induced injury.
Fig. 6: Continuous presentation of recombinant TNF-α in gel coating enables mouse MSCs to accelerate the resolution of fibrotic phenotypes.

Similar content being viewed by others

Data availability

The main data supporting the results in this study are available within the paper and its Supplementary Information. The data reported in the figures are available as Supplementary Information. The raw and analysed datasets generated during the study are available for research purposes from the corresponding authors on reasonable request.

Code availability

The codes used to solve ordinary differential equations for the mathematical modelling of MSC-mediated collagen degradation are available as Supplementary Information.

References

  1. Pinet, K. & McLaughlin, K. A. Mechanisms of physiological tissue remodelling in animals: manipulating tissue, organ and organism morphology. Dev. Biol. 451, 134–145 (2019).

    Article  CAS  PubMed  Google Scholar 

  2. Duffield, J. S., Lupher, M., Thannickal, V. J. & Wynn, T. A. Host responses in tissue repair and fibrosis. Annu. Rev. Pathol. 8, 241–276 (2013).

    Article  CAS  PubMed  Google Scholar 

  3. Anlas, A. A. & Nelson, C. M. Tissue mechanics regulates form, function and dysfunction. Curr. Opin. Cell Biol. 54, 98–105 (2018).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Tschumperlin, D. J., Ligresti, G., Hilscher, M. B. & Shah, V. H. Mechanosensing and fibrosis. J. Clin. Invest. 128, 74–84 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  5. Theocharis, A. D., Skandalis, S. S., Gialeli, C. & Karamanos, N. K. Extracellular matrix structure. Adv. Drug Deliv. Rev. 97, 4–27 (2016).

    Article  CAS  PubMed  Google Scholar 

  6. Mora, A. L., Rojas, M., Pardo, A. & Selman, M. Emerging therapies for idiopathic pulmonary fibrosis, a progressive age-related disease. Nat. Rev. Drug Discov. 16, 755–772 (2017).

    Article  CAS  PubMed  Google Scholar 

  7. Bailey, A. M., Mendicino, M. & Au, P. An FDA perspective on preclinical development of cell-based regenerative medicine products. Nat. Biotechnol. 32, 721–723 (2014).

    Article  CAS  PubMed  Google Scholar 

  8. Ankrum, J. A., Ong, J. F. & Karp, J. M. Mesenchymal stem cells: immune evasive, not immune privileged. Nat. Biotechnol. 32, 252–260 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Srour, N. & Thebaud, B. Mesenchymal stromal cells in animal bleomycin pulmonary fibrosis models: a systematic review. Stem Cells Transl. Med. 4, 1500–1510 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Zhao, L., Chen, S., Shi, X., Cao, H. & Li, L. A pooled analysis of mesenchymal stem cell-based therapy for liver disease. Stem Cell Res. Ther. 9, 72 (2018).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Jeong, H. et al. Mesenchymal stem cell therapy for ischemic heart disease: systematic review and meta-analysis. Int. J. Stem Cells 11, 1–12 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  12. Ortiz, L. A. et al. Interleukin-1 receptor antagonist mediates the anti-inflammatory and antifibrotic effect of mesenchymal stem cells during lung injury. Proc. Natl Acad. Sci. USA 104, 11002–11007 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Lee, R. H. et al. Intravenous hMSCs improve myocardial infarction in mice because cells embolized in lung are activated to secrete the anti-inflammatory protein TSG-6. Cell Stem Cell 5, 54–63 (2009).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Wang, Y., Chen, X., Cao, W. & Shi, Y. Plasticity of mesenchymal stem cells in immunomodulation: pathological and therapeutic implications. Nat. Immunol. 15, 1009–1016 (2014).

    Article  CAS  PubMed  Google Scholar 

  15. Idiopathic Pulmonary Fibrosis Clinical Research Network et al. Prednisone, azathioprine and N-acetylcysteine for pulmonary fibrosis. N. Engl. J. Med. 366, 1968–1977 (2012).

    Article  Google Scholar 

  16. Assis-Ribas, T., Forni, M. F., Winnischofer, S. M. B., Sogayar, M. C. & Trombetta-Lima, M. Extracellular matrix dynamics during mesenchymal stem cells differentiation. Dev. Biol. 437, 63–74 (2018).

    Article  CAS  PubMed  Google Scholar 

  17. Bonnans, C., Chou, J. & Werb, Z. Remodelling the extracellular matrix in development and disease. Nat. Rev. Mol. Cell Biol. 15, 786–801 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Malik, R., Lelkes, P. I. & Cukierman, E. Biomechanical and biochemical remodelling of stromal extracellular matrix in cancer. Trends Biotechnol. 33, 230–236 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Lozito, T. P., Jackson, W. M., Nesti, L. J. & Tuan, R. S. Human mesenchymal stem cells generate a distinct pericellular zone of MMP activities via binding of MMPs and secretion of high levels of TIMPs. Matrix Biol. 34, 132–143 (2014).

    Article  CAS  PubMed  Google Scholar 

  20. Ries, C. et al. MMP-2, MT1-MMP and TIMP-2 are essential for the invasive capacity of human mesenchymal stem cells: differential regulation by inflammatory cytokines. Blood 109, 4055–4063 (2007).

    Article  CAS  PubMed  Google Scholar 

  21. Engler, A. J., Sen, S., Sweeney, H. L. & Discher, D. E. Matrix elasticity directs stem cell lineage specification. Cell 126, 677–689 (2006).

    Article  CAS  PubMed  Google Scholar 

  22. Liu, F. et al. Feedback amplification of fibrosis through matrix stiffening and COX-2 suppression. J. Cell Biol. 190, 693–706 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Shin, J. W. & Mooney, D. J. Improving stem cell therapeutics with mechanobiology. Cell Stem Cell 18, 16–19 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Desai, T. & Shea, L. D. Advances in islet encapsulation technologies. Nat. Rev. Drug Discov. 16, 338–350 (2017).

    Article  CAS  PubMed  Google Scholar 

  25. Mao, A. S. et al. Programmable microencapsulation for enhanced mesenchymal stem cell persistence and immunomodulation. Proc. Natl Acad. Sci. USA 116, 15392–15397 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Vegas, A. J. et al. Long-term glycemic control using polymer-encapsulated human stem cell-derived beta cells in immune-competent mice. Nat. Med. 22, 306–311 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Veiseh, O. et al. Size - and shape-dependent foreign body immune response to materials implanted in rodents and non-human primates. Nat. Mater. 14, 643–651 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Loffek, S., Schilling, O. & Franzke, C. W. Series “matrix metalloproteinases in lung health and disease”: biological role of matrix metalloproteinases: a critical balance. Eur. Respir. J. 38, 191–208 (2011).

    Article  CAS  PubMed  Google Scholar 

  29. Le Blanc, K. & Mougiakakos, D. Multipotent mesenchymal stromal cells and the innate immune system. Nat. Rev. Immunol. 12, 383–396 (2012).

    Article  PubMed  Google Scholar 

  30. Mao, A. S., Shin, J. W. & Mooney, D. J. Effects of substrate stiffness and cell−cell contact on mesenchymal stem cell differentiation. Biomaterials 98, 184–191 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Lenzini, S., Bargi, R., Chung, G. & Shin, J. W. Matrix mechanics and water permeation regulate extracellular vesicle transport. Nat. Nanotechnol. 15, 217–223 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Holle, A. W. et al. Cell−extracellular matrix mechanobiology: forceful tools and emerging needs for basic and translational research. Nano Lett. 18, 1–8 (2018).

    Article  CAS  PubMed  Google Scholar 

  33. Mao, A. S. et al. Deterministic encapsulation of single cells in thin tunable microgels for niche modelling and therapeutic delivery. Nat. Mater. 16, 236–243 (2017).

    Article  CAS  PubMed  Google Scholar 

  34. Wong, S. W. et al. Controlled deposition of 3D matrices to direct single cell functions. Adv. Sci. 7, 2001066 (2020).

    Article  CAS  Google Scholar 

  35. Dingal, P. C. et al. Fractal heterogeneity in minimal matrix models of scars modulates stiff-niche stem-cell responses via nuclear exit of a mechanorepressor. Nat. Mater. 14, 951–960 (2015).

    Article  CAS  PubMed  Google Scholar 

  36. Galazka, G., Windsor, L. J., Birkedal-Hansen, H. & Engler, J. A. APMA (4-aminophenylmercuric acetate) activation of stromelysin-1 involves protein interactions in addition to those with cysteine-75 in the propeptide. Biochemistry 35, 11221–11227 (1996).

    Article  CAS  PubMed  Google Scholar 

  37. Liu, T., De Los Santos, F. G. & Phan, S. H. The bleomycin model of pulmonary fibrosis. Methods Mol. Biol. 1627, 27–42 (2017).

    Article  CAS  PubMed  Google Scholar 

  38. Thannickal, V. J., Zhou, Y., Gaggar, A. & Duncan, S. R. Fibrosis: ultimate and proximate causes. J. Clin. Invest. 124, 4673–4677 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Seger, S. et al. A fully automated image analysis method to quantify lung fibrosis in the bleomycin-induced rat model. PLoS ONE 13, e0193057 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  40. Pena, A. M. et al. Three-dimensional investigation and scoring of extracellular matrix remodelling during lung fibrosis using multiphoton microscopy. Microsc. Res. Tech. 70, 162–170 (2007).

    Article  PubMed  Google Scholar 

  41. Liu, F. et al. Distal vessel stiffening is an early and pivotal mechanobiological regulator of vascular remodelling and pulmonary hypertension. JCI Insight https://doi.org/10.1172/jci.insight.86987 (2016).

  42. Parekkadan, B. & Milwid, J. M. Mesenchymal stem cells as therapeutics. Annu. Rev. Biomed. Eng. 12, 87–117 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Smith, R. E., Strieter, R. M., Phan, S. H., Lukacs, N. & Kunkel, S. L. TNF and IL-6 mediate MIP-1alpha expression in bleomycin-induced lung injury. J. Leukoc. Biol. 64, 528–536 (1998).

    Article  CAS  PubMed  Google Scholar 

  44. Redente, E. F. et al. Tumor necrosis factor-alpha accelerates the resolution of established pulmonary fibrosis in mice by targeting profibrotic lung macrophages. Am. J. Respir. Cell Mol. Biol. 50, 825–837 (2014).

    Article  PubMed  PubMed Central  Google Scholar 

  45. Ortiz, L. A. et al. Mesenchymal stem cell engraftment in lung is enhanced in response to bleomycin exposure and ameliorates its fibrotic effects. Proc. Natl Acad. Sci. USA 100, 8407–8411 (2003).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Huang, K. et al. Conversion of bone marrow mesenchymal stem cells into type II alveolar epithelial cells reduces pulmonary fibrosis by decreasing oxidative stress in rats. Mol. Med. Rep. 11, 1685–1692 (2015).

    Article  CAS  PubMed  Google Scholar 

  47. Reinhard, C., Shamoon, B., Shyamala, V. & Williams, L. T. Tumor necrosis factor alpha-induced activation of c-jun N-terminal kinase is mediated by TRAF2. EMBO J. 16, 1080–1092 (1997).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Rothe, M., Wong, S. C., Henzel, W. J. & Goeddel, D. V. A novel family of putative signal transducers associated with the cytoplasmic domain of the 75 kDa tumor necrosis factor receptor. Cell 78, 681–692 (1994).

    Article  CAS  PubMed  Google Scholar 

  49. Grell, M. et al. The transmembrane form of tumor necrosis factor is the prime activating ligand of the 80 kDa tumor necrosis factor receptor. Cell 83, 793–802 (1995).

    Article  CAS  PubMed  Google Scholar 

  50. Huebsch, N. et al. Harnessing traction-mediated manipulation of the cell/matrix interface to control stem-cell fate. Nat. Mater. 9, 518–526 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Wong, S. W., Lenzini, S., Cooper, M. H., Mooney, D. J. & Shin, J. W. Soft extracellular matrix enhances inflammatory activation of mesenchymal stromal cells to induce monocyte production and trafficking. Sci. Adv. 6, eaaw0158 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Du, J. et al. Integrin activation and internalization on soft ECM as a mechanism of induction of stem cell differentiation by ECM elasticity. Proc. Natl Acad. Sci. USA 108, 9466–9471 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Devine, D. et al. Hydrogel micropost arrays with single post tunability to study cell volume and mechanotransduction. Adv. Biosyst. 4, e2000012 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  54. Khetan, S. et al. Degradation-mediated cellular traction directs stem cell fate in covalently crosslinked three-dimensional hydrogels. Nat. Mater. 12, 458–465 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. Chaudhuri, O. et al. Hydrogels with tunable stress relaxation regulate stem cell fate and activity. Nat. Mater. 15, 326–334 (2016).

    Article  CAS  PubMed  Google Scholar 

  56. Rodriguez, P. L. et al. Minimal “self” peptides that inhibit phagocytic clearance and enhance delivery of nanoparticles. Science 339, 971–975 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Hurst, L. C. et al. Injectable collagenase clostridium histolyticum for Dupuytren’s contracture. N. Engl. J. Med. 361, 968–979 (2009).

    Article  CAS  PubMed  Google Scholar 

  58. Gelbard, M. et al. Clinical efficacy, safety and tolerability of collagenase clostridium histolyticum for the treatment of Peyronie disease in 2 large double-blind, randomized, placebo controlled phase 3 studies. J. Urol. 190, 199–207 (2013).

    Article  CAS  PubMed  Google Scholar 

  59. Loebel, C., Mauck, R. & Burdick, J. A. Local nascent protein deposition and remodelling guide mesenchymal stromal cell mechanosensing and fate in three-dimensional hydrogels. Nat. Mater. https://doi.org/10.1038/s41563-019-0307-6 (2019).

  60. Freeman, I., Kedem, A. & Cohen, S. The effect of sulfation of alginate hydrogels on the specific binding and controlled release of heparin-binding proteins. Biomaterials 29, 3260–3268 (2008).

    Article  CAS  PubMed  Google Scholar 

  61. Yu, W. H. & Woessner, J. F. Jr. Heparan sulfate proteoglycans as extracellular docking molecules for matrilysin (matrix metalloproteinase 7). J. Biol. Chem. 275, 4183–4191 (2000).

    Article  CAS  PubMed  Google Scholar 

  62. Rowley, J. A., Madlambayan, G. & Mooney, D. J. Alginate hydrogels as synthetic extracellular matrix materials. Biomaterials 20, 45–53 (1999).

    Article  CAS  PubMed  Google Scholar 

  63. Ingavle, G. C. et al. Injectable mineralized microsphere-loaded composite hydrogels for bone repair in a sheep bone defect model. Biomaterials 197, 119–128 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Bell, P. J. & Karuso, P. Epicocconone, a novel fluorescent compound from the fungus Epicoccum nigrum. J. Am. Chem. Soc. 125, 9304–9305 (2003).

    Article  CAS  PubMed  Google Scholar 

  65. Rajasekaran, S., Vaz, M. & Reddy, S. P. Fra-1/AP-1 transcription factor negatively regulates pulmonary fibrosis in vivo. PLoS ONE 7, e41611 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Lin, S. J. et al. Evaluating cutaneous photoaging by use of multiphoton fluorescence and second-harmonic generation microscopy. Opt. Lett. 30, 2275–2277 (2005).

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We thank A. B. Malik and S. Lenzini (University of Illinois at Chicago) for critical reading of the manuscript and invaluable comments. This work made use of instruments in the Fluorescence Imaging Core (Research Resources Center, UIC). This work was supported by the National Institutes of Health grant nos. R01-HL141255 and R00-HL125884 (to J.-W.S.) and R01-GM124235 and R01-HL136946 (to S.P.R.).

Author information

Authors and Affiliations

Authors

Contributions

Conceptualization, S.W.W. and J.-W.S.; data curation, S.W.W. and J.-W.S.; formal analysis, S.W.W. and J.-W.S.; funding acquisition, J.-W.S. and S.P.R.; investigation, S.W.W., I.S.C., C.R.T., P.T.T., R.B. and P.B.; methodology, S.W.W., I.S.C., C.R.T., P.T.T., P.B., S.P.R. and J.-W.S.; project administration, J.-W.S.; resources, J.C.L., J.R., S.P.R. and J.-W.S.; software, S.W.W.; supervision, J.-W.S.; validation, S.W.W., I.S.C., C.R.T., R.B. and J.-W.S.; visualization, S.W.W., P.T.T. and J.-W.S.; writing original draft, S.W.W. and J.-W.S.; editing original draft, S.W.W., J.R., S.P.R. and J.-W.S.

Corresponding author

Correspondence to Jae-Won Shin.

Ethics declarations

Competing interests

The authors declare no competing interests.

Additional information

Peer review information Nature Biomedical Engineering thanks James Ankrum, Matthew Dalby and Jeffrey Spees for their contribution to the peer review of this work.

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Supplementary Information

Supplementary Text, references, Figs. 1–9 and Table 1.

Reporting Summary

Supplementary Code

Source code for mathematical modelling.

Supplementary Dataset 1

Source data for the main figures.

Supplementary Dataset 2

Source data for the supplementary figures.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wong, S.W., Tamatam, C.R., Cho, I.S. et al. Inhibition of aberrant tissue remodelling by mesenchymal stromal cells singly coated with soft gels presenting defined chemomechanical cues. Nat Biomed Eng 6, 54–66 (2022). https://doi.org/10.1038/s41551-021-00740-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41551-021-00740-x

This article is cited by

Search

Quick links

Nature Briefing: Translational Research

Sign up for the Nature Briefing: Translational Research newsletter — top stories in biotechnology, drug discovery and pharma.

Get what matters in translational research, free to your inbox weekly. Sign up for Nature Briefing: Translational Research