Research Article

Alterations in the Secretome of Clinically Relevant Preparations of Adipose-Derived Mesenchymal Stem Cells Cocultured with Hyaluronan

Table 1

Summary of cytokines across all conditions.

CytokinesFold change from control (CI = 95%)Role in OA
SVF day 1SVF day 3SVF + adipo day 1SVF + adipo day 3MSC seedingMSC media

Proinflammatory
 MIF 0.940.930.890.991.490.79Induce the release of proinflammatory cytokines, such as TNF-, IFN-, IL-1, IL-6, and IL-8 [6] and MIF levels in synovial fluid correlate to OA severity [7]
 TNF-β1.001.261.031.281.521.18 TNF-beta stimulates cartilage matrix breakdown [8]
 IL-1α1.211.350.981.261.34N.D. Highly expressed in OA-derived human articular cartilage [9]
 IL-1β1.031.12 0.590.891.000.94Induce inflammatory reactions and catabolic effects independently as well as in combination with other mediators in OA with respect to the articular cartilage [10]
 IL-12 0.670.860.490.781.000.90Expressed by infiltrating macrophages and synovial cells in OA [11]
 IL-17 0.701.170.830.900.960.09 Inhibit the synthesis of proteoglycans in OA and upregulate catabolic enzymes which break down cartilage [10]
 IFN-0.960.860.890.800.990.93Stimulate cartilage breakdown by production of enzymes via IL-1β [12]

Anti-inflammatory/dual role
 IL-10 0.900.850.400.611.050.86Expressed in chondrocytes and involved in collagen and aggrecan synthesis. Inhibition of catabolic enzymes and apoptosis of chondrocytes [10]
 IL-2 0.812.350.690.741.231.35Elevated levels are found in OA synovial fluid and increased levels correlate to increase severity [13]
 IL-6 0.930.840.470.941.110.84Catabolism aggrecan via aggrecanase activity [14] involved in the synthesis of tissue inhibitor of metalloproteinases known to stop cartilage breakdown [15]

Chemokines
 GROα1.020.890.790.870.941.12Constitutively secreted by chondrocytes and secretion of this chemotactic protein is increased in stimulated osteoarthritic chondrocytes and synovial fibroblasts [16]
 MIP-1β0.920.830.861.171.161.14Present in significantly higher levels in OA synovial fluid compared to normal synovial fluid [17]
 RANTES 0.780.990.941.311.090.67Secreted by IL-1 stimulated osteoarthritic chondrocytes and TNF-α stimulated synovial fibroblasts [16]
 MCP-10.790.650.750.90 0.950.91Constitutively expressed in osteoarthritic chondrocytes and increased secretion in IL-1 stimulated osteoarthritic chondrocytes [16]
 MCP-3 0.831.070.820.950.97N.D.Activate immune cells such as monocytes, T lymphocytes, basophils, and eosinophils [18]
 MIP-1α0.830.670.820.901.040.95Expressed by osteoarthritic derived chondrocytes and production is enhanced by TNF-α stimulated chondrocytes [19]

Growth factors
 HGF 0.690.830.831.561.420.95Promote osteophyte formation via MCP-1 mediated infiltration of immune cells into OA affected joint [20]
 FGF-β0.891.210.790.981.260.84Potentiate articular cartilage resurfacing and may stimulate expression of MMP-13 [21, 22]
β-NGF1.020.920.730.860.780.86Higher expression is found in osteoarthritic derived chondrocyte compared to healthy chondrocytes [23]
 GM-CSF 0.841.820.760.911.38N.D.Key mediator in inflammation and arthritic pain [24]
 VEGF 0.710.820.510.711.000.84Expressed in osteoarthritic-derived chondrocytes and shown to increase osteochondral angiogenesis in OA patients [25]
 G-CSF 0.970.960.510.801.060.84Can significantly increase nitrite levels in cartilage when combined with IL-1β explants [26]

A summary of cytokines across all the conditions treated with HA. The data is represented as fold change in concentration compared to control. A value more than one indicates the HA treatment increased the secretion of that cytokine in that condition. Bold values represent a significant fold change from control determined numerically using confidence interval set at 95%. Italic values were only detected in one of the three biological replicates for that condition.