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Human mesenchymal stem cells as a two-edged sword in hepatic regenerative medicine: engraftment and hepatocyte differentiation versus profibrogenic potential
  1. L Valfrè di Bonzo1,
  2. I Ferrero2,
  3. C Cravanzola1,
  4. K Mareschi2,
  5. D Rustichell2,
  6. E Novo1,
  7. F Sanavio2,
  8. S Cannito1,
  9. E Zamara1,
  10. M Bertero1,
  11. A Davit1,
  12. S Francica1,
  13. F Novelli1,3,
  14. S Colombatto1,
  15. F Fagioli2,
  16. M Parola1
  1. 1
    Dip. Medicina e Oncologia Sperimentale, Scienze University of Torino, Italy
  2. 2
    Dip. Pediatriche and Centro Trapianti Cellule Staminali e Terapia Cellulare, Regina Margherita Children’s Hospital, and University of Torino, Italy
  3. 3
    Center for Experimental Research and Medical Studies (CERMS), S.Giovanni Battista Hospital, Torino, Italy
  1. Professor Maurizio Parola, Dip. Medicina e Oncologia Sperimentale, Universitè degli Studi di Torino, Corso Raffaello 30, 10125 Torino, Italy; maurizio.parola{at}


Background and aim: Mesenchymal stem cells from bone marrow (MSCs) may have the potential to differentiate in vitro and in vivo into hepatocytes. We investigated whether transplanted human MSCs (hMSCs) may engraft the liver of non-obese diabetic severe combined immuno-deficient (NOD/SCID) mice and differentiate into cells of hepatic lineage.

Methods: Ex vivo expanded, highly purified and functionally active hMSCs from bone marrow were transplanted (caudal vein) in sublethally irradiated NOD/SCID mice that were either exposed or not to acute liver injury or submitted to a protocol of chronic injury (single or chronic intraperitoneal injection of CCl4, respectively). Chimeric livers were analysed for expression of human transcripts and antigens.

Results: Liver engraftment of cells of human origin was very low in normal and acutely injured NOD/SCID mice with significantly higher numbers found in chronically injured livers. However, hepatocellular differentiation was relatively rare, limited to a low number of cells (ranging from less than 0.1% to 0.23%) as confirmed by very low or not detectable levels of human transcripts for α-fetoprotein, CK18, CK19 and albumin in either normal or injured livers. Finally, a significant number of cells of human origin exhibited a myofibroblast-like morphology.

Conclusions: Transplanted hMSCs have the potential to migrate into normal and injured liver parenchyma, particularly under conditions of chronic injury, but differentiation into hepatocyte-like cells is a rare event and pro-fibrogenic potential of hMSC transplant should be not under-evaluated.

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  • Funding: Financial support was from Regione Piemonte (Torino; M.P., F.F. and F.N.), Fondazione CRT (Torino; M.P.), Compagnia di San Paolo (Torino; F.F. and F.N.), University of Torino (M.P., S.C. and F.N.), MIUR (Rome, PRIN and FIRB projects; M.P. and F.N.).

  • Competing interests: None.

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