Effect of Hypercholesterolemic Patient Serum on The Viability and Characteristics of Mesenchymal Stem Cells

Authors

  • Dini Cahyani Agung Putra University Author
  • Nurul Hidayah Immunology Laboratory, Biotechnology, Agung Putra University, Semarang, Indonesia Author
  • Dian Respati Ayu Stem Cell Metabolites Laboratory, Biomedical Science, Agung Putra University, Semarang, Indonesia Author
  • Habibi Habibi Stem Cell and Cancer Research (SCCR) Indonesia, Semarang, Indonesia Author
  • Yanuar Ardani Psychosomatic and Palliative Division, Department of Internal Medicine, Kariadi General Hospital, Semarang, Indonesia Author

DOI:

https://doi.org/10.30872/jtpc.v10i2.441

Keywords:

Characteristics, Hypercholesterolemic, Mesenchymal Stem Cells,, Serum patient, Viability

Abstract

Mesenchymal Stem Cells (MSCs) have regenerative therapeutic potential, including for diseases related to
hypercholesterolemia. This study aimed to assess how serum from hypercholesterolemia patients affects the
viability and characteristics of MSCs. It also investigated changes in MSC morphology and cytokine secretion
levels of TNF-α and IL-10 after 3 days of serum treatment. The study divided into three groups: control 10%
FBS, patient serum with cholesterol <200 mg/dL (P1), and patient serum with cholesterol >300 mg/dL
(P2). MSCs were exposed serum for 3 days. Cell viability was assessed using MTT assay; morphology was
observed microscopically; cytokine levels were measured by ELISA. Statistical analysis used one-way
ANOVA with Tukey’s test for normal data and Kruskal-Wallis with Dunn’s post hoc for non-normal data.
Viability was highest in the control group, slightly reduced in P1, and significantly lowered in P2.
Morphologically, control and P1 MSCs showed spindle-shaped fibroblast-like cells with high-confluency; P2
MSCs exhibited irregular, less elongated shapes and low-confluency. TNF-α levels were elevated in P1
compared to control and increased in P2. IL-10 levels cytokine secreted by MSCs showed increased in P1
compared to control and elevated in P2. Hypercholesterolemia serum reduced MSC proliferation, influenced
morphology, and differentially affected TNF-α and IL-10 secretion.

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References

[1] Kementerian Kesehatan Republik Indonesia. 2018. Profil Penyakit Tidak Menular Tahun 2018. Kemenkes RI. Jakarta.

[2] Balitbangkes. 2013. Laporan Hasil Riset Kesehatan Dasar Riskesdas Nasional. Jakarta: Depkes RI.

[3] Frodermann, V., van Duijn, J., van Pel, M. et al., 2015. Mesenchymal Stem Cells Reduce Murine Atherosclerosis Development. Sci Rep 5, 15559. https://doi.org/10.1038/srep15559.

[4] Li Hanyue, Dai Hongwei, Li Jie. 2023. Immunomodulatory properties of mesenchymal stromal/stemcell : The link with methabolism. Journal of Advanced Research. 45; 15-29. doi: 10.1016/j.jare.2022.05.012.

[5] Huang, Y., Wang, J., Cai, J., Qiu, Y., Zheng, W., and Liu, P. 2020. Hyperlipidemia impairs the regenerative potential of mesenchymal stem cells: mechanisms and implications for therapy. Stem Cells International, 8889763. https://doi.org/10.1155/2020/8889763.

[6] Takada, S., Uyama, T., Okumoto, K., Kondo, M., & Murakami, M. 2017. Impact of dyslipidemia on mesenchymal stem cell function in regenerative medicine. Biochemical and Biophysical Research Communications, 493(2), 1063–1068. https://doi.org/10.1016/j.bbrc.2017.09.032.

[7] Gharibi, T., Ahmadi, M., Seyfizadeh, N., Jadidi-Niaragh, F., and Yousefi, M. 2016. Immunomodulatory characteristics of mesenchymal stem cells and their role in the treatment of multiple sclerosis. Cellular Immunology, 310, 1–10. https://doi.org/10.1016/j.cellimm.2016.08.009.

[8] Putra, A., Widyatmoko, A., Ibrahim, S., Amansyah, F., Amansyah, F., Berlian, M. A., ... & Rachmad, B. (2021). Case series of the first three severe COVID-19 patients treated with the secretome of hypoxia-mesenchymal stem cells in Indonesia. F1000Research, 10, 228.

[9] Rone, M.B., Fan, J., Papadopoulos, V. 2009. Cholesterol transport in steroid biosynthesis: Role of protein-protein interactions and implications in disease states. Biochim. Biophys. Acta, 1791, 646–658. doi: 10.1016/j.bbalip.2009.03.001.

[10] Miller, W.L., Auchus, R.J. 2011. The molecular biology, biochemistry, and physiology of human steroidogenesis and its disorders. Endocr. Rev., 32, 81–151.

[11] Utami, A., Putra, A., Wibowo, J. W., Amalina, N. D., & Satria Irawan, R. C. (2023). Hypoxic secretome mesenchymal stem cells inhibiting interleukin-6 expression prevent oxidative stress in type 1 diabetes mellitus. Medicinski glasnik, 20(2).

[12] Taylor, M., Halicki, M., and Chazot, P. 2026. Cholesterol in Mitochondrial Diseases—Friend or Foe? International Journal of Molecular Sciences, 27(10), 4353. doi: https://doi.org/10.3390/ijms27104353.

[13] Goicoechea, L., Conde de la Rosa, L., Torres, S., Garcia-Ruiz, C., Fernandez-Checa, J.C. 2023. Mitochondrial cholesterol: Metabolism and impact on redox biology and disease. Redox Biol., 61, 102643. doi: 10.1016/j.redox.2023.102643.

[14] Holven, K. B., and Roeters van Lennep, J. 2023. Sex differences in lipids: A life course approach. Atherosclerosis, 384. doi: https://doi.org/10.1016/j.atherosclerosis.2023.117270.

[15] Azzahara, S. Y., Agustina, R., & Prawitasari, S. (2023). Therapeutic Potential of Secretome-Derived Wharton's Jelly Mesenchymal Stem Cells in Psoriasis Vulgaris: A Case Study. International Journal of Cell and Biomedical Science, 2(5), 160-166.

[16] Palmisano, B. T., Zhu, L., & Stafford, J. M. 2017. Role of Estrogens in the Regulation of Liver Lipid Metabolism. In Adv Exp Med Biol. Vol. 1043, pp. 227–256. Doi: https://doi.org/10.1007/978-3-319-70178-3_12.

[17] Rahmawati, Y., Rahmawati, F., and Perwitasari, E. 2022. Hiperkolesterolemia Pada Pasien Lanjut Usia : Studi Kasus Puskesmas Seyegan. Jurnal Kesehatan Tumbusai. Vol.3, No.1. doi: https://doi.org/10.31004/jkt.v3i1.3966.

[18] AA Intan Pramesti, Premayani Sidemen, Suma Wirawan, Kadek Nova Adi Putra. “An Exploratory Study of the Prevalence and Risk Factors of Hypercholesterolemia Among the Elderly in Kelating Village, Tabanan Regency”. Jurnal Sehat Indonesia (JUSINDO). 7(2):953-961. May 2025, doi: :10.59141/.v7i2.368.

[19] Lin, Y.-H.; Kang, L.; Feng, W.-H.; Cheng, T.-L.; Tsai, W.-C.; Huang, H.-T.; Lee, H.-C.; Chen, C.-H. 2020. Effects of Lipids and Lipoproteins on Mesenchymal Stem Cells Used in Cardiac Tissue Regeneration. Int. J. Mol. Sci. 21, 4770. https://doi.org/10.3390/ijms21134770.

[20] Sohn, J., Lin, H., Fritch, M.R. 2018. Influence of cholesterol/caveolin-1/caveolae homeostasis on membrane properties and substrate adhesion characteristics of adult human mesenchymal stem cells. Stem Cell Res Ther. 9, 86. https://doi.org/10.1186/s13287-018-0830-4.

[21] Nugraha, D. K., & Falah, A. (2024). In Vitro Transcription as a Strategy to Enhance Mesenchymal Stem Cell Secretome for Therapeutic Use: An Overview. International Journal of Cell and Biomedical Science, 3(9), 270-281.

[22] Nugraha, D. K., Anggoro, N. S., Sari, F. N., & Ardani, Y. (2025). Human-Umbilical Cord-Mesenchymal Stem Cells (hUC-MCSs) Therapy with Extravesicles (EVs) Booster Improves Recovery in Type 2 Diabetes Mellitus with Cardiovascular Disease. International Journal of Cell and Biomedical Science, 4(10), 318-323.

[23] Turinetto, V., Vitale, E., and Giachino, C. 2016. Senescence in human mesenchymal stem cells: Functional changes and implications in stem cell-based therapy. International Journal of Molecular Sciences. 17(7):1164. doi: 10.3390/ijms17071164.

[24] Li X, Li Y, Yu H, Men LL, Deng G, Liu Z, Du JL. Oxidized Low-Density Lipoprotein Decreases the Survival of Bone Marrow Stem Cells via Inhibition of Bcl-2 Expression. Tissue Eng Part A. 2025. Apr;31(7-8):325-333. doi: 10.1089/ten.TEA.2024.0025. Epub 2024 Jun 27. PMID: 38818810.

[25] Esposito K, Nappo F, Marfella R, Giugliano G, Giugliano F, Ciotola M, Quagliaro L, Ceriello A, Giugliano D. 2002. Inflammatory cytokine concentrations are acutely increased by hyperglycemia in humans: role of oxidative stress. Circulation. 106:2067–2072. doi: 10.1161/01.cir.0000034509.14906.ae.

[26] Sun Q, Li J, Gao F. 2014. New insights into insulin: The anti-inflammatory effect and its clinical relevance. World J Diabetes.15;5(2):89-96. doi: 10.4239/wjd.v5.i2.89. PMID: 24765237; PMCID: PMC3992527.

[27] Gao F, Chiu SM, Motan DA, Zhang Z, Chen L, Ji HL, Tse HF, Fu QL, Lian Q. 2016. Mesenchymal stem cells and immunomodulation: current status and future prospects. Cell Death Dis. 21;7(1):e2062. doi: 10.1038/cddis.2015.327. PMID: 26794657; PMCID: PMC4816164.

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Published

2026-07-31

How to Cite

Effect of Hypercholesterolemic Patient Serum on The Viability and Characteristics of Mesenchymal Stem Cells. (2026). Journal of Tropical Pharmacy and Chemistry , 10(2), 107-115. https://doi.org/10.30872/jtpc.v10i2.441

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