Review Article

The Regulation of Inflammatory Mediators in Acute Kidney Injury via Exogenous Mesenchymal Stem Cells

Table 1

Preclinical studies using mesenchymal stem cells isolated from various sources to treat acute kidney injury. All the results showed that MSCs could ameliorate the kidney injury [1828] (main mechanism involving inflammatory mediators).

MSC sourceType of AKI modelRoute of MSC deliveryMain mechanismReference

Rat BM-MSCs40 min
bilateral IRI
Intra-aortic delivery via left carotid artery ↓IL-1 , TNF- , IFN- , iNOS in kidney  [18]
↑IL-10, bFGF, TGF-a in kidney

Human BM-MSCsCisplatin-induced
kidney injury
i.p. injection ↓MIP-2, KC, CCL-2, IFN- , IL-6 in serum  [19]
↑P-Akt in kidney

Mouse BM-MSCsSepsis-associated AKI.Tail vein ↓IL-17, IL-6, IFN- , TNF- CXCL1, CXCL2, CXCL5, CCL2, CCL3 in kidney  [20]
↑IL-10 in kidney

Mouse AD-MSCs45 min
unilateral IRI
Tail vein ↓CCL3, IL-1b, CCL5, CXCL-10, IL-17 in serum;  [21]
↓CCL2, CCL3, CCL5, KC in kidney

Rat fetal membrane MSCs (FM-MSCs)60 min
unilateral IRI
Tail vein ↓infiltration of macrophages and T cells;
↓IL-6 and MCP-1 levels in kidney;
  [22]
↑IL-10 levels in serum

Rat BM-MSCs60 min 
bilateral IRI
i.v. injection ↓IL-1 , IL-6, TNF- in kidney  [23]
↑IL-4 and IL-10 in kidney

Human umbilical
cord-MSCs
60 min
bilateral IRI
Intra-aortic delivery via left carotid artery ↓IL-1 , IL-6, TNF- in kidney[24]

Rat BM-MSCs60 min 
bilateral IRI
i.v. injection ↓IL-1 in kidney  [25]
↑IL-4 in kidney

Rat BM-MSCsGentamicin-induced kidney injuryi.v. injection ↓IL6, INF- and TNF- levels in serum  [26]
↑IL-10 levels in serum

Human Wharton’s jelly-MSCs45 min
unilateral IRI
Tail vein↑IL-10, heme oxygenase (HO)-1 and HGF in kidney
↑p-Akt in kidney
[27]

Rat AD-MSCs60 min
bilateral IRI
Intrarenal injection and intravenous injection ↓oxidative stress
↓inflammatory response
↓bcl-2, eNOS in kidney
  [28]
↑IL-10, TNF- in kidney