Review Article

Stem Cell-Based Cell Therapy for Glomerulonephritis

Table 1

Animal studies of stem cell therapy in glomerulonephritis (GN).

Authors (year)Animal model (host)Type of GNType of stem cellTime of cell therapyDose and route of administrationFollow-up period after cell therapyOutcomesReference number

Kunter et al. (2007)Anti-Thy1,1 nephritis (Wistar/Lewis rats)mesPGNBM-MSCs2 d after disease induction cells left renal artery injection10 d ↑recovery from mesangiolysis
↑glomerular cell proliferation
↓proteinuria
[17]

Rampino et al. (2011)Anti-Thy1,1 nephritis (Sprague-Dawley rats)mesPGNBM-MSCs3 d after anti-Thy1 injection cells tail vein injection11 d↑renal function
↓glomerular monocyte influx,
↓renal injury
[18]

Sakr et al. (2013)Anti-Thy1,1 nephritis (albino rats)mesPGNBM-MSCs5 d after anti-Thy1 injection cells tail vein injection28 d↓renal injury
↓apoptosis, α-SMA
↑renal function
[19]

Uchimura et al. (2005)Anti-Thy1,1 nephritis (rats)mesPGNBMDCs5 wk before anti-Thy1 antibody injection cells tail vein injection28 d↑microvascular repair
↑differentiation into glomerular endothelial and mesangial cell
[20]

Li et al. (2006)Anti-Thy1,1 nephritis (rats)mesPGNBMDCs5 wk before experimental progressive glomerulosclerosis cells tail vein injection12 wk↑renal function
↑improvement in glomerular hemodynamics
↓renal injury
[21]

Uchimura et al. (2005)Anti-Thy1,1 nephritis (Lewis rats)mesPGNBM-EPCs1 d after antibody injection cells left renal artery injection6 d↓glomerular injury score, the area positive for mesangial α-SMA, infiltration of macrophages[20]

Tsuda et al. (2010)Anti-Thy1,1 nephritis (Lewis rats)mesPGNFM-MSCs2 d after anti-Thy1 antibody injection cells tail vein injection14 d↓urinary protein excretion, activated mesangial cell, glomerular monocyte/macrophage infiltration, mesangial matrix accumulation, TNF-α, MCP-1, type I collagen, TGF-β, PAI-1[22]

Abe-Yoshio et al. (2008)Habu-snake venom-induced glomerulonephritis (TIE2/L mice)mesPGNBM-EPCsOn the same date of disease induced cells tail vein injection56 d↓renal injury[23]

Imasawa et al. (1999)HIGA mice (high content of serum IgA)IgA nephropathyBMDCs cells intravenously injection26 wk↓serum IgA
↓renal injury
[14]

Imasawa and Utsunomiya (2002)High serum level IgA ddY miceIgA nephropathyBM-MSCs6 h after Gy injection cells 26 wk↓mesangial recipients of IgA and C3, glomerular sclerosis, IgA level[24]

Ma et al. (2012)MRL/lpr miceLNBM-MSCs cells intravenous injection26 wk↓BAFF, IL-10
↑TGF-β
[25]

Good et al. (2002)BXSB mice and (NZW × BXSB) F1 W/BF1 miceLNBone marrow cells HSC cells16 wk or 30 wk↓renal injury[26]

Gu et al. (2010)MRL/lpr miceLNUC-MSCsat the 18th, 19th, and 20th wk of age cells ↑renal function
↓renal injury
↓MCP-1, HMGB-1
[27]

Chang et al. (2011)NZB/W F1 miceLNUC-MSCs cells tail vein injection8 months↑renal function
↓renal injury
↓TNF-α, IL-6, IL-12
↓IL-4, IL-10
[28]

El-Ansary et al. (2012)STZ-induced DN (C57BL/6 mice)DNBM-MSCs25 d after the first
STZ dose
cells tail vein injection62 d↑renal function
normal histologically glomeruli
[29]

Zhou et al. (2009)STZ-induced DN (Sprague-Dawley rats)DNBM-MSCs4 wk after STZ cells left cardiac ventricle8 wk↑renal function
↓renal mass index
[30]

Ezquer et al. (2009)STZ-induced DN (C57BL/6 mice)DNBM-MSCs4 wk after STZ2 doses of cells tail vein injection4 months↓sclerosis, mesangial expansion, tubular dilatation, proteins cylinders, podocytes lost[31]

Lv et al. (2013)STZ-induced DN (Wistar rats)DNBM-MSCs8 wk after establishment of diabetes model tail vein injection8 wk↑renal function
↓glomerulosclerosis, MCP-1, IL-1β, IL-6, TNFα
[32]

Thirabanjasak et al. (2010)STZ-induced DN (Sprague-Dawley rats)DNBM-MSCs4 wk after diabetes onset cells
kidney-targeted ultrasound-targeted microbubble destruction
8 wk↓renal damage
↓TGF-β1
↑synaptopodin, IL-10
[33]

Wang et al. (2013)STZ-induced DN (Sprague-Dawley rats)DNBM-MSCs30 d after diabetes induction by STZ injection cells renal artery injection60 d↑renal function
↓podocyte injury
↑BMP-7
[34]

Chen et al. (2009)db/db miceDNBMDCs cells tail vein injection50 d↑renal function
↓renal injury
[35]

Fang et al. (2012)STZ-induced DN (Sprague-Dawley rats)DNAD-MSCs4 wk after STZ injection cells renal artery injection12 wk↓renal injury, oxidative damage
↓p38, p-ERK, p-JNK
[36]

Masoad et al. (2012)STZ-induced DN (rates)DNMononuclear cells cells/rat tail vein injection8 wk↓renal function
↓renal injury
[37]

Magnasco et al. (2008)ADR-induced nephropathy (Rats)FSGSBM-MSCsConcomitantly to ADR/60 d after ADR cells tail vein injection24 h↓podocytes apoptosis
↓renal injury
[38]

Zoja et al. (2012)ADR-induced nephropathy (Rats)FSGSBM-MSCs36 h, 60 h, 3 d,
5 d, 7 d, 14 d, and 21 d
cells tail vein injection30 d↓podocyte loss, apoptosis ↑preserve nephrin and CD2AP
↑improvement in histological parameters
[39]

Ma et al. (2013)ADR-induced nephropathy (Sprague-Daoley rats)FSGSHuman UC-MSCs1, 8, 15, and 22 d cells tail vein injection12 wk↑improvement in clinical parameters and histology↓IL-6, TNF-α, CTGF
↑IL-10
[40]

Meyer-Schwesinger
et al. (2011)
Puromycin
aminoglycoside and renal ablation models (Wistar rats)
FSGSBM-EPCs8 wk before model induced cells intravenously injection10 wk↑renal function
↓renal injury
[41]

Suzuki et al. (2013)Wistar-Kyoto ratsAnti-GBM GNHuman BM-MSCs4 d after rats induced cells intravenous injection13 d↑improvement in functional and histological parameters
↓collagen types I and III, TGF-β
↓ED1-positive macrophages, CD8-positive cells, and TUNEL-positive apoptotic cells in glomeruli
↓renal cortical mRNA for TNF-α, IL-1β, IL-17a
↑renal cortical mRNA for TNF-α, IL-1β, IL-17, and serum IL-17A
[42]

mesPGN—mesangial proliferative glomerulonephritis.
LN—lupus nephritis.
STZ— streptozocin.
DN—Diabetic Nephropathy.
FSGS—Focal Segmental Glomerulosclerosis.
BM-MSCs—bone marrow mesenchymal stem cells.
BMDCs—bone marrow-derived cells.
BM-EPCs—bone marrow endothelial progenitors.
FM-MSCs—fetal membranes mesenchymal stem cells.
UC-MSC—umbilical cord mesenchymal stem cells.
AD-MSCs—adipose-derived mesenchymal stem cells.
α-SMA—α-smooth muscle actin.
BAFF—B-cell activating factor.
IL—interleukin.
TGF-β—transforming growth factor-β.
MCP-1—monocyte chemotactic protein-1.
HMGB-1—high-mobility group box 1.
TNF-α—tumour necrosis factor α.
BMP-7—bone morphogenic protein.
CTGF—connective tissue growth factor.