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Advanced Neurology





                                        ORIGINAL RESEARCH ARTICLE
                                        Local cytokine changes following

                                        fibrin-encapsulated mesenchymal stem
                                        cell-derived extracellular vesicle therapy in rat

                                        spinal cord injury



                                        Ilyas M. Kabdesh * , Ekaterina E. Garanina 1  , Alexander A. Kostennikov 1  ,
                                                       1
                                        Albert A. Rizvanov 1,2  , and Yana O. Mukhamedshina 1,2,3
                                        1 OpenLab Gene and Cell Technologies, Institute of Fundamental Medicine and Biology, Kazan
                                        (Volga region) Federal University, Kazan, Russia
                                        2 Division of Medical and Biological Sciences, Tatarstan Academy of Sciences, Kazan, Russia
                                        3 Department of Histology, Cytology, and Embryology, Kazan State Medical University, Kazan,
                                        Russia




                                        Abstract

                                        Spinal cord injury (SCI) induces a prolonged and complex inflammatory response
                                        that contributes to secondary damage and influences functional recovery. Targeting
            *Corresponding author:
            Ilyas M. Kabdesh            this inflammatory milieu represents a promising therapeutic strategy. In this study,
            (ikabdesh@kpfu.ru)          we investigated the effects of extracellular vesicles (EVs) derived from mesenchymal
            Citation: Kabdesh IM,       stem cells (MSCs) and encapsulated in a fibrin matrix (FM) on cytokine regulation in
            Garanina EE, Kostennikov AA,   a rat model of SCI 60 days post-injury. MSCs were isolated from rat adipose tissue,
            Rizvanov AA, Mukhamedshina YO.   and EVs were obtained using cytochalasin B-induced vesiculation. The EVs were
            Local cytokine changes following
            fibrin-encapsulated mesenchymal   encapsulated in FM and applied locally to the injury site at doses of 5 and 10 µg.
            stem cell-derived extracellular   The SCI rat models were divided into four groups: untreated, treated with FM alone,
            vesicle therapy in rat spinal cord
            injury. Adv Neurol. 2025;4(4):77-87.   treated with 5 µg of EVs in FM (FM+EVs5), and treated with a 10 µg dose (FM+EVs10).
            doi: 10.36922/AN025110022   A multiplex assay was employed to quantify the levels of 23 cytokines in spinal cord
            Received: March 13, 2025    tissue homogenates. The application of FM alone altered cytokine levels, notably
                                        increasing granulocyte colony-stimulating factor (G-CSF) levels by 2.8-fold, which
            Revised: July 9, 2025
                                        may be attributed to the hemostatic and bioactive properties of fibrin. Treatment
            Accepted: August 8, 2025    with MSC-derived EVs resulted in a dose-dependent modulation of inflammatory
            Published online: September 4,   responses. In the FM+EVs10 group, pro-inflammatory cytokines interleukin (IL)-1β
            2025                        and IL-5, as well as the anti-inflammatory cytokine IL-10, were significantly reduced
            Copyright: © 2025 Author(s).   compared to both the untreated and FM-alone groups, with IL-10 levels decreasing
            This is an Open-Access article   2.4-fold. A similar trend was observed for IL-17A, which was 1.6-fold lower in the
            distributed under the terms of the
            Creative Commons Attribution   FM+EVs10 group compared to the FM-alone group. These findings suggest that
            License, permitting distribution,   fibrin-encapsulated MSC-derived EVs can modulate inflammation in chronic SCI and
            and reproduction in any medium,   warrant further investigation as a therapeutic approach for neuroprotection and
            provided the original work is
            properly cited.             tissue repair.
            Publisher’s Note: AccScience
            Publishing remains neutral with   Keywords: Spinal cord injury; Mesenchymal stem cells; Extracellular vesicles; Fibrin
            regard to jurisdictional claims in
            published maps and institutional   matrix; Cytokine modulation; Rats
            affiliations.




            Volume 4 Issue 4 (2025)                         77                           doi: 10.36922/AN025110022
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