# Evaluating the Dose-Dependent Effects of Human Umbilical Cord-Derived Mesenchymal Stem Cells in a Preclinical Model of Interstitial Lung Disease

## TL;DR

This study explores how different doses of human umbilical cord-derived stem cells affect lung disease in mice, finding that a medium dose reduces inflammation and fibrosis.

## Contribution

The study introduces dose-dependent effects of huMSCs in treating interstitial lung disease, emphasizing optimal dosing for therapeutic efficacy.

## Key findings

- Medium dose of huMSCs (1.0 × 10⁴ cells) most effectively reduced pulmonary fibrosis and suppressed pro-inflammatory cytokines.
- Treatment modulated macrophage polarization and inhibited the pro-inflammatory M1 phenotype.
- huMSCs enhanced matrix remodeling by downregulating TIMP-1 and upregulating MMP-9.

## Abstract

Interstitial lung disease associated with connective tissue disease (CTD-ILD) is a severe condition characterized by inflammation and progressive lung fibrosis, with limited treatment options. Previous studies have demonstrated the anti-inflammatory and antifibrotic properties of human umbilical cord-derived mesenchymal stem cells (huMSCs), suggesting their potential as novel therapeutic agents. Therefore, we investigated the dose-dependent therapeutic effects of huMSCs on CTD-ILD. A bleomycin-induced mouse model of interstitial lung disease, in which female C57BL/6J mice developed diffuse pulmonary lesions following continuous subcutaneous infusion of bleomycin, was used. Mice subsequently received intravenous huMSCs at doses of 1.0 × 103, 1.0 × 104, or 1.0 × 105 cells. The medium dose (1.0 × 104 cells) showed the most pronounced effects on pulmonary fibrosis and collagen deposition, while significantly suppressing pro-inflammatory cytokines, including interleukin-1β and interleukin-6; however, this effect was not consistent across all measured outcomes. The treatment also enhanced beneficial matrix remodeling by downregulating TIMP-1 and upregulating MMP-9 expression. Furthermore, huMSC administration modulated macrophage polarization and inhibited the pro-inflammatory M1 phenotype. These findings highlight the therapeutic potential of huMSCs for CTD-ILD and underscore the importance of dose optimization to balance efficacy and safety.