Effect of Umbilical Cord Mesenchymal Stem Cells with/without Silymarin on Apoptosis, Immunomodulation, Proliferation, and Necrosis of HepG2 cells

Paulus Kusnanto, Bambang Purwanto, Brian Wasita, Vitri Widyaningsih

Abstract

Background: Liver cirrhosis and liver cancer are the main problems of liver disease, and liver cirrhosis is the 11th leading cause of death worldwide. Fibrosis is a progressive process of liver disease before cirrhosis. Currently, stem cells are designed to treat various conditions, including chronic liver disease. Stem cells can inhibit the progression of fibrosis based on their immunomodulation, anti-apoptotic and proliferative effects.  

Methods: This study was an in vitro experimental study. Mesenchymal stem cells (MSC) were taken from the umbilical cord of newborns. This study used the HepG2 cell line because it has the characteristics of Hepatocyte cells. Cell lines are made into four groups. The examination was performed on NF-κB, Caspase-3, Apoptosis, Necrosis, and Proliferation. 

Results: Mesenchymal stem cells have the effect of reducing NF-κB levels, increasing caspase 3 levels, reducing necrosis events, and increasing proliferation in HepG2 cells. Combining Mesenchymal stem cells with silymarin can increase caspase 3 levels and reduce the incidence of necrosis in HepG2 cells. 

Conclusion: Mesenchymal stem cells can regulate immunomodulation, increase proliferation, reduce necrosis, and regulate apoptosis of HepG2 cells.

Keywords

Mesenchymal stem cells, HepG2 cell line, Silymarin, Liver Fibrosis

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