Review Article

Bioprocessing of Mesenchymal Stem Cells and Their Derivatives: Toward Cell-Free Therapeutics

Table 2

Effects of differing culture conditions on the MSC secretome. The results shown are in comparison to the secretome of control cells cultured as a 2D monolayer in static tissue culture flasks under normoxic (21% O2) conditions. The medium listed does not include antibiotics or antimycotics.

MSC sourceCulture modeMediumResultsRef.

3D spheroid cultures
Human femoral heads3D spheroid culture in spinner flasks and rotating wall vesselsαMEM + 15% FBS(i) Decrease in surface marker expression levels
(ii) Decreased cell size
(iii) Enhanced osteogenic and adipogenic differentiation
(iv) Differing gene expression profile
[77]
Human umbilical cord bloodSpheroids (hanging drop method)DMEM + 10% FBS, 1% L-glutamine(i) IL-2Rα, IL-7, IL-16, MCP-3, TGF-β3, and VEGF detected only in spheroid CM
(ii) Significant increase in IL-6, MCP-1, LIF, G-CSF, and SDF-1α
(iii) Decrease in TGF-β1 and TGF-β2 levels
(iv) Decreased chemotactic index of CD14+ cells
(v) Enhanced capability to promote signal factors secretion
[83]
Human bone marrow3D spheroids (hanging drop method)CCM + 17% FBS(i) More effective in suppressing inflammatory responses in the coculture system with LPS-activated macrophages
(ii) Maximally expressed TSG-6
(iii) Expressed high levels of stanniocalcin-1, IL-24, TNF-α-related apoptosis inducing ligand, and CD82
(iv) 1/4 of the volume of monolayer cells
[82]
Human bone marrow3D spheroids (hanging drop method)CCM + 17% FBS(i) Inhibited LPS-stimulated macrophages from secreting proinflammatory cytokines TNF-α, CXCL2, IL-12p40, and IL-23
(ii) Increased secretion of anti-inflammatory cytokines IL-10 and IL-1rα
[28]
Human adipose tissue3D spheroids in suspension using ultra low attachment platesαMEM + 10% FBS(i) Enhanced production of VEGF, SDF, and HGF
(ii) Lowered expression of proapoptotic markers
[78]

Oxygen tension (hypoxia/anoxia)
Human adipose tissueHypoxia (1% O2)DMEM(i) Higher HIF-1α expression
(ii) Increased release of EVs
(iii) Induced overexpression of miRNAs implicated in inflammatory (miR-223, -146b), proliferative, and differentiative phases (miR-126, -199a) of the healing process
(iv) Enhanced muscle regeneration process
[89]
HumanAnoxia (0.1% O2), hypoxia (5% O2)αMEM +5 g/L glucose(i) CM from anoxic conditions enhanced chemotactic and proangiogenic properties and reduced inflammatory mediator content
(ii) Enhanced expression of VEGF-A, VEGF-C, IL-8, RANTES, and monocyte chemoattractant protein 1
[86]
Human adipose tissueHypoxia (5% O2)RKCM(i) Promoted antiapoptotic effects
(ii) Higher levels of GM-CSF, VEGF, IL-6, and IGF-1
(iii) Lower levels of TGF-β1
[92]
Human umbilical cord Wharton jellyHypoxia (5% O2)PPRF-msc6(i) Increased secretion profile
(ii) Upregulated thymosin-beta and EF-2 significantly
(iii) Enhanced neuroregulatory secretome profile
[90]
Human bone marrowHypoxia (1% O2)DMEM + 10% FBS + 2 mM L-glutamine(i) Upregulated protein level of vimentin, fibronectin, and N-cadherin
(ii) Enhanced stemness genes Oct4, Nanog, Sall4, and Klf4
(iii) Higher levels of osteocalcin and osteopontin
(iv) Reduced levels of COL2A1, COMP, and aggrecan
(v) Lower expression of adipsin, FASN, and FABP4
(vi) Upregulated IGFs, VEGF, EGF, GCSF, GM-CSF, TGF-β1, and TGF-β2
[93]
Human bone marrowHypoxia (1% O2) with serum starvationOpti-MEM + 1% L-glutamine(i) Significant increases in rate-limiting proteins of glycolysis and the NRF2/glutathione pathway
(ii) Upregulated angiogenic associated pathways of PDGF, EGF, and FGF
(iii) Microvesicle secretion decreased, exosome secretion substantially increased
[88]
Murine bone marrowRepeated cycles of anoxiaStemPro MSC SFM(i) miR-11, miR-22, miR-24, miR-199a-3p, and miR-210 upregulated in exosomes[91]
Human bone marrowHypoxia for 30, 60, or 90 minUnknown(i) The 60 min group had the greatest protective effect on endotoxin-induced acute lung injury model[94]

Mechanical stimuli
Human bone marrowTGF-β1 stimulation (1 ng/mL) or mechanical load (multiaxial shear and compression) in fibrin-poly(ester-urethane) scaffoldsαMEM + 10% FBS + 5 ng/mL bFGF(i) TGF-β1 stimulation and load had distinct effects, both enhanced chondrogenic profile compared to control
(ii) Nitrite content in media higher in loaded groups
(iii) TGF-β1 enhanced expression of leptin, leptin receptor, and MDC
(iv) Load enhanced expression of uPAR, LAP, MIP3α, angiogenin, ALCAM, angiopoietin 2, osteoprotegerin, and DR6; reduced expression of GRO
(v) Both TGF-β1 and load enhanced the expression of BLC, MCP3, MIF, VEGF, MMP13, and PDGFaa
[100]
Human bone marrowComputer-controlled bioreactors, on Cytodex 3 microcarriers (2 g/L)PPRF-msc6(i) Enhanced the neuroregulatory profile of secretome
(ii) Increased the secretion of Cys C, GDN, Gal-1, and PEDF
(iii) Upregulation of miR-16
(iv) Number of CNS regulators only detected in CM of bioreactor cultured MSCs
(v) Upregulation of classical trophic factors BDNF, VEGF, and IGF-1
[16]
Human bone marrowBioreactorsDMEM + 10% FBS(i) Enhanced angiogenesis by CM from mechanically stimulated MSCs via FGFR and VEGFR signalling cascades
(ii) Enrichment of MMP-2, TGF-β1, and bFGF
[102]
HumanPAM hydrogels of various rigidityDMEM-low glucose + 10% FBS(i) VEGF, angiogenin, and IGF upregulated with increasing elastic modulus
(ii) EGF, IL-6, and IL-8 were not stiffness-dependent
[103]
Adipose tissueFibrous scaffolds of variously aligned fibersα-MEM + 10% FBS(i) Higher levels of anti-inflammatory and proangiogenic cytokines were produced from cells seeded on electrospun scaffolds
(ii) CM from scaffold cultures accelerated wound closure and macrophage recruitment in wound bed
[163]

Electromagnetic stimuli
Equine adipose tissueStatic magnetic field (0.5 T)DMEM/F12 + 10% FBS(i) Reached doubling time earlier, colony-forming potential higher
(ii) Considerable increase in the number of secreted microvesicles
(iii) Release of BMP-2, VEGF, and p53 increased
(iv) Reduced release of TNF-α
[113]

Biochemical stimuli
Human bone marrowIFN-γ and TNF-α stimulationDMEM-low glucose(i) Elevated secretion levels of IL-6, HGF, VEGF, and TGF-β[119]
Murine bone marrowIFN-γ and either TNF-α, IL-1α, or IL-1β stimulationα-MEM+ 10% FBS + 2 mM glutamine(i) Provoked the expression of CXCL-9 and CXCL-10 and inducible nitric oxide synthase[118]
Human adipose tissueTGF-β1 stimulationDMEM + 0.1% BSA + 1% glutamine(i) Upregulated secretion of PIGF, IGFBP-3, LIF, OSM, IL-4, IL-7, IL-13, CXCL9, CCL26, and OPN
(ii) Downregulated secretion of CCL7, CCL11, CXCL6, OPG, IL-5, IL-10, CCL8, CXCL1, CXCL10, HGF, leptin, FGF-7, and GM-CSF
[123]
Adipose tissueTNF-α stimulationMesenPRO RS Basal Medium + 2 mM L-glutamine + MesenPRO RS Growth Supplement(i) TNF-α-preconditioned ASCs secreted exosomes with elevated Wnt-3a content
(ii) Enhanced proliferation and osteogenic differentiation in human primary osteoblastic cells
[120]
Human umbilical cordLPS preconditioningDMEM-low glucose + 10% FBS and sigma serum-free medium(i) Improved regulatory abilities for macrophage polarization and resolution of chronic inflammation
(ii) Unique expression of miR-let7b
[115]
Human adipose tissueLPS preconditioningDMEM-low glucose(i) Enhanced mRNA expression of IL-6, TNF-α, HGF, and VEGF
(ii) Enhanced liver regeneration in partially hepatectomized mice
[116]
Human adipose tissueH2O2 stimulationα-MEM + 10% exo-free FBS(i) Exosomes that had been H2O2-stimulated enhanced skin flap recovery and capillary density[121]