Enhancing Haematopoeitic Stem Cell Recruitment to Injured Murine Colon
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Enhancing Haematopoeitic Stem Cell Recruitment to Injured Murine Colon By Adrian Ian Yemm A thesis submitted to The University of Birmingham for the degree of Doctor of Philosophy College of Medical and Dental Sciences School of Clinical and Experimental Medicine University of Birmingham September 2013 University of Birmingham Research Archive e-theses repository This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder. Abstract Haematopoietic stem cells (HSCs) have been described as potential therapeutic agents for the repair of several inflammatory injuries including inflammatory bowel diseases (IBDs). However, their efficacy within clinics has been poor. This has been partially attributed to poor recruitment to sites of injury. Thus identifying the mechanisms by which HSCs are recruited to inflamed bowel, and developing strategies to enhance this recruitment, may increase their clinical efficacy. Critical adhesive mechanisms and several pre-treatment strategies to enhance adhesion to chronically (DSS induced colitis) and acutely (IR) injured murine colon were investigated in vitro and in vivo. It was found that recruitment to IR injured colon was mediated by CD49d, whereas recruitment to colitic colon was mediated by both CD18 and CD49d. In vitro investigation revealed that both hydrogen peroxide (H2O2) and platelet derived pre-treatments, such as coating HSCs with platelet microparticles (PMPs), could enhance adhesion to colon endothelial cells, immobilised endothelial counterligands ICAM-1 and VCAM-1 and frozen tissue sections. Furthermore, pre-treatment of HSCs with PMPs significantly enhanced their adhesion to chronically injured colon in vivo. These increases in adhesion were likely to be attributed to the altered distribution of integrins on the HSC surface as determined confocally. Furthermore, electron micrscopy showed that pre-treatment also resulted in overt HSC morphological changes reminiscent of activated macrophages. Overall, these investigations describe a two-component recruitment mechanism for pre-treated cells in which enhanced recruitment is dependent on both activation of stem cells and also vascular endothelium. These studies provide novel evidence that pre-treatment of HSCs can result in their increased recruitment to injured colon, a finding that may allow for stem cell therapy for IBDs to be fully realised. i Acknowledgements Publications Yemm AI, Adams DH & Kalia N. Enhancing the Recruitment of Haematopoietic Stem Cells to the injured colon in vivo. Manuscript in Preparation Kavanagh DPJ, Yemm AI, Zhao Y, Frampton J & Kalia N. (2013) Mechanisms of Adhesion and Subsequent Actions of a Haematopoietic Stem Cell Line, HPC-7, in the Injured Murine Intestinal Microcirculation in vivo. PLoS One; 8(3):e59150 Kavanagh DPJ, Yemm AI, Alexander JS, Frampton J & Kalia N. (2012) Enhancing the Adhesion of Haematopoietic Precursor Cell Integrins with Hydrogen Peroxide Increases Recruitment Within Murine Gut. Cell Transplant; 22(8): 1485-99 Oral Communications 24th UK Adhesion Society Meeting, Birmingham, 2011. Modulating haematopoietic stem cell adhesion to intestinal microvasculature Yemm AI, Adams D, Kalia N. 9th World Congress for Microcirculation, Paris, 2010. Cyto/chemokines modulate haematopoietic stem cell adhesion to endothelial cells in vitro and following murine ischaemia-reperfusion injury in vivo Yemm AI, Hamzah HH, Kavanagh DPJ, Kalia N. Poster Presentations British Microcirculation Society Meeting, Oxford, 2012. Haematopoietic stem cell adhesion to injured murine colon can be modulated by platelet microparticles and hydrogen peroxide Yemm AI, Adams D, Kalia N. Medical and Dental Sciences Research Gala, University of Birmingham 2012. Modulating haematopoietic stem cell adhesion to intestinal microvasculature with chemical and biological factors Yemm AI, Adams D, Kalia N. British Microcirculation Society Meeting, London, 2011. Modulating haematopoietic stem cell adhesion to intestinal microcirculation Yemm AI, Adams D, Kalia N. Awards University of Birmingham, College of Medical and Dental Sciences Research Gala 2012. Highly Commended Award in Poster Competition British Microcirculation Society Meeting Travel Award 2011 ii Acknowledgements Acknowledgements First and foremost, to the unending list of people who have helped, guided and, quite frankly, put up with me for the last four years a massive thank you. Without your help I would never have never made it through this, let alone (finally) put together a thesis I am proud of. To begin with I must thank Dr Neena Kalia; first you gave me a job, then taught me how to do my job, gave me a hand when the times were hard and shared a laugh when times were good. Without you I would never be in this position, so thank you for all of your time and effort, it will never be forgotten. I must also thank Professor David Adams for his help and insight over the years and his chats on his way for coffee. Similarly, to all of the members of the various stem cell groups at Birmingham, your advice and support has always been tremendous - I cannot say how much I appreciate it. I would also like to thank the Bardhan Research and Education trust for providing the funding for this work. A special mention must be made to several other people. The guys within the Kalia Lab; Kav, Becky and Joe you have been the best people I could ever hope to work with. Always willing to put up with everything, help out whenever it was needed, the enormous quantities of tea, the highly relevant and intelligent conversations (the downright weird ones too) and the welcoming laughs and smiles throughout the years, it has been an absolute pleasure to work with you all, and I miss you all already! To the guys from other labs, Hughes, Nash, Stevie T, Brenda, Giacomo and the huge list that goes on forever, thank you. Your advice and comradeship has been invaluable throughout the ordeal that is a PhD. My family must also receive the greatest of thanks. My Mam and Dad with the constant nagging and checking in on me has (mainly) been an unending help, Antony and Alison (and their families) for their advice, patience and support and to my in-laws Jo, Ian, Caz and Mike for the help, iii Acknowledgements understanding and copious amounts of alcohol! To you all thank you – I would have been bugg… I mean lost, without you all. Finally, to Heather, my fiancée and soon to be wife; I have put you through hell whilst undertaking this task and yet you have stood by me through all of it. Thank you for sharing your life with me and for being such a big part of mine – even when the majority of it has been so focussed on stem cells! I can only hope that when it is your turn to write up your thesis I can help you as much as you have helped me. I am forever grateful. iv Table of Contents Table of Contents Abstract ................................................................................................................................................. i Publications .......................................................................................................................................... ii Oral Communications ........................................................................................................................... ii Poster Presentations ............................................................................................................................ ii Awards .................................................................................................................................................. ii Acknowledgements ............................................................................................................................. iii Table of Contents ................................................................................................................................. v Table of Figures .................................................................................................................................... x Table of Tables ................................................................................................................................... xii Table of Abbreviations ...................................................................................................................... xiii Chapter 1 ................................................................................................................................................. 1 INTRODUCTION ........................................................................................................................................ 1 1.1 Inflammatory Disorders of the Colon ...................................................................................... 2 1.1.1 Inflammatory Bowel Disease........................................................................................... 2 1.1.2 Pathology of Colon Colitis Injury ..................................................................................... 3 1.1.3 Inflammatory Cells Involved in Colitis Injury ..................................................................