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KMID : 1200020210450020260
Diabetes & Metabolism Journal
2021 Volume.45 No. 2 p.260 ~ p.269
Umbilical Cord-Mesenchymal Stem Cell-Conditioned Medium Improves Insulin Resistance in C2C12 Cell
Kim Kyung-Soo

Choi Yeon-Kyung
Kim Mi-Jin
Hwang Jung-Wook
Min Kyung-Hoon
Jung Sang-Youn
Kim Soo-Kyung
Choi Yong-Soo
Cho Yong-Wook
Abstract
Background: Umbilical cord-mesenchymal stem cell-conditioned medium (UC-MSC-CM) has emerged as a promising cell-free therapy. The aim of this study was to explore the therapeutic effects of UC-MSC-CM on insulin resistance in C2C12 cell.

Methods: Insulin resistance was induced by palmitate. Effects of UC-MSC-CM on insulin resistance were evaluated using glucose uptake, glucose transporter type 4 (GLUT4) translocation, the insulin-signaling pathway, and mitochondrial contents and functions in C2C12 cell.

Results: Glucose uptake was improved by UC-MSC-CM. UC-MSC-CM treatment increased only in membranous GLUT4 expression, not in cytosolic GLUT4 expression. It restored the insulin-signaling pathway in insulin receptor substrate 1 and protein kinase B. Mitochondrial contents evaluated by mitochondrial transcription factor A, mitochondrial DNA copy number, and peroxisome proliferator-activated receptor gamma coactivator 1-alpha were increased by UC-MSC-CM. In addition, UC-MSC-CM significantly decreased mitochondrial reactive oxygen species and increased fatty acid oxidation and mitochondrial membrane potential. There was no improvement in adenosine triphosphate (ATP) contents, but ATP synthesis was improved by UC-MSC-CM. Cytokine and active factor analysis of UC-MSC-CM showed that it contained many regulators inhibiting insulin resistance.

Conclusion: UC-MSC-CM improves insulin resistance with multiple mechanisms in C2C12 cell.
KEYWORD
Culture media, conditioned, Diabetes mellitus, Insulin resistance, Mesenchymal stem cells, Mitochondria, Muscles, Umbilical cord, Wharton jelly
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