Immunomodulatory properties of MAPCs and uses thereof
Isolated cells are described that are not embryonic stem cells, not embryonic germ cells, and not germ cells. The cells can differentiate into at least one cell type of each of at least two of the endodermal, ectodermal, and mesodermal lineages. The cells do not provoke a harmful immune response. The cells can modulate immune responses. As an example, the cells can suppress an immune response in a host engendered by allogeneic cells, tissues, and organs. Methods are described for using the cells, by themselves or adjunctively, to treat subjects. For instance, the cells can be used adjunctively for immunosuppression in transplant therapy. Methods for obtaining the cells and compositions for using them also are described.
1. A method of ameliorating an immune dysfunction in a subject, comprising: administering to the subject multipotent adult progenitor cells characterized in that they are not embryonic stem cells, not embryonic germ cells, and not germ cells, can differentiate into at least one cell type of each of at least two of the endodermal, ectodermal, and mesodermal embryonic lineages, are allogeneic to the subject, wherein the cells are administered adjunctively to one or more other treatments, wherein the cells have not been genetically engineered to improve their immunological properties, and wherein the immune dysfunction is not GVHD and is not diabetes.
2. A method of ameliorating an immune dysfunction in a subject, comprising: administering to the subject multipotent adult progenitor cells characterized in that they are not embryonic stem cells, not embryonic germ cells, and not germ cells, express telomerase, have a normal karyotype, are not tumorigenic and are allogeneic to the subject; wherein the cells are administered adjunctively to one or more other treatments, wherein the cells have not been genetically engineered to improve their immunological properties, and wherein the immune dysfunction is not GVHD and is not diabetes.
3. A method of ameliorating an immune dysfunction in a subject, comprising: administering to the subject multipotent adult progenitor cells characterized in that they are not embryonic stem cells, not embryonic germ cells, and not germ cells, are positive for oct3/4, have a normal karyotype, are not tumorigenic and are allogeneic to the subject; wherein the cells are administered adjunctively to one or more other treatments, wherein the cells have not been genetically engineered to improve their immunological properties, and wherein the immune dysfunction is not GVHD and is not diabetes.
4. A method of ameliorating an immune dysfunction in a subject, comprising: administering to the subject multipotent adult progenitor cells characterized in that they are not embryonic stem cells, not embryonic germ cells, and not germ cells, have undergone at least 40 cell doublings in culture, have a normal karyotype, are not tumorigenic and are allogeneic to the subject; wherein the cells are administered adjunctively to one or more other treatments, wherein the cells have not been genetically engineered to improve their immunological properties, and wherein the immune dysfunction is not GVHD and is not diabetes.
5. A method according to claim 2 , wherein the cells can differentiate into at least one cell type of each of at least two of the endodermal, ectodermal, and mesodermal embryonic lineages.
6. A method according to claim 3 , wherein the cells can differentiate into at least one cell type of each of at least two of the endodermal, ectodermal, and mesodermal embryonic lineages.
7. A method according to claim 4 , wherein the cells can differentiate into at least one cell type of each of at least two of the endodermal, ectodermal, and mesodermal embryonic lineages.
8. A method according to claim 3 , wherein the cells express telomerase.
9. A method according to claim 4 , wherein the cells express telomerase.
10. A method according to claim 4 , wherein the cells are positive for oct 3/4.
11. A method according to claim 1 , wherein the cells express telomerase and are positive for oct 3/4.
12. A method according to claim 1 , wherein the cells express telomerase and have undergone at least 40 cell doublings.
13. A method according to claim 1 , wherein the cells express oct 3/4 and have undergone at least 40 cell doublings prior to their use.
14. A method according to claim 2 , wherein the cells express oct 3/4 and have undergone at least 40 cell doublings prior to their use.
15. A method according to claim 1 , wherein the cells express telomerase, are positive for oct 3/4 and have undergone at least 40 cell doublings prior to their use.
16. A method according to claim 1 , wherein the cells have a normal karyotype and are not tumorigenic.
17. A method according to any of claims 1 to 16 wherein the cells are human cells derived from human bone marrow and the subject is human.
18. A method according to any of claims 1 to 4 , wherein the cells can differentiate into at least one cell type of each of the endodermal, ectodermal, and mesodermal embryonic lineages.
19. A method according to any of claims 1 to 4 , wherein, the cells are derived from cells isolated from any one of placental tissue, umbilical cord tissue, umbilical cord blood, bone marrow, blood, spleen tissue, thymus tissue, spinal cord tissue, adipose tissue, and liver tissue.
20. A method according to any of claims 1 to 4 , wherein one or more doses of 10 4 to 10 8 of the cells per kilogram of the subject's mass are used.
21. A method according to any of claims 1 to 4 , one or more growth factors, differentiation factors, signaling factors, and/or factors that increase homing are administered to the subject.
22. A method according to any of claims 1 to 4 , wherein an anti-microbial agent, an anti-fungal agent, an anti-viral agent or a combination thereof is administered to the subject.
23. A method according to any of claims 1 to 4 , wherein the cells are in a formulation comprising one or more other pharmaceutically active agents.
24. A method according to any of claims 1 to 4 , wherein the cells are administered by a parenteral, intravenous or stereotactic method.