Evidence map›Paper›PMID 41981417›Full record

ArticleStem cell research & therapy2026

ATG5 overexpression enhances the therapeutic efficacy of mesenchymal stem cells in a mouse colitis model by augmenting anti-inflammatory and antioxidative mechanisms.

Yang Sun, Huiyan Sun, Tengfei Zhao, Yanyun Zhao, Fengjun Xiao, Lisheng Wang

Abstract read
In one paragraph

Article in Stem cell research & therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yang SunDepartment of Special Medicine, School of Basic Medicine, Qingdao University, Qingdao, 266071, People's Republic of China.
Huiyan SunYanda Medical Research Institute, Hebei Yanda Hospital, Langfang, 065201, People's Republic of China.
Tengfei ZhaoSchool of Pharmaceutical Science and Technology, Faculty of Medicine, Tianjin University, Tianjin, 300072, People's Republic of China.
Yanyun ZhaoDepartment of Hematology, the Affiliated Hospital of Qingdao University, Qingdao, 266000, People's Republic of China.
Fengjun XiaoDepartment of Experimental Hematology and Biochemistry, Beijing Institute of Radiation Medicine, Beijing, 100850, People's Republic of China.
Lisheng WangLaboratory of Molecular Diagnosis and Regenerative Medicine, The Affiliated Hospital of Qingdao University, Qingdao, 266000, People's Republic of China. lishengwang@qdu.edu.cn.

Funding

Key Research and Development Program of Shandong Province 2025CXGC011114Natural Science Foundation of Shandong Province ZR2023ZD49
6 · The paper itself

Abstract

backgroundThe therapeutic efficacy of mesenchymal stem cells (MSCs) can be improved by enhancing their adaptation to the inflammatory microenvironment. Autophagy maintains MSCs functionality, and autophagy-related gene 5 (ATG5) mediates autophagy and regulates the biological functions and therapeutic efficacy of these cells. The aim of this study was to investigate the role of ATG5 in the antioxidant capacity and evaluate the therapeutic effect of ATG5-engineered MSCs for colitis treatment.

methodsCell viability was assessed using a Cell Counting Kit-8. The mRNA expression of autophagy-, antioxidant-, and polarization-related genes was determined through real-time quantitative polymerase chain reaction, and protein expression was analyzed via western blotting. Macrophage polarization markers were analyzed using flow cytometry. Multiomics approaches, including RNA transcriptome sequencing, untargeted metabolomics, and 16S ribosomal RNA microbiota analysis, were also used. Mice with dextran sulfate sodium-induced colitis were used to evaluate the therapeutic efficacy of MSCs.

resultsPreconditioning MSCs with hypoxia (1% O₂) and serum deprivation significantly enhanced autophagy and upregulated ATG5 expression. Adenovirus-mediated ATG5 overexpression in MSCs (MSCs-ATG5) enhanced their autophagic activity and antioxidant capacity, upregulated HMOX-1, SOD2, and CAT expression, and increased glutathione peroxidase and catalase enzymatic activity, while enhancing cell proliferation, without altering surface marker expression. Further, MSCs-ATG5 significantly promoted M2 macrophage polarization and regulated oxidative stress-related signaling pathways. Additionally, MSCs-ATG5-based therapy markedly ameliorated colitis disease signs in mice. Transcriptome analysis revealed that MSCs-ATG5 suppressed the IL-17/NF-κB inflammatory signaling pathway. This treatment also regulated levels of the anti-inflammatory metabolite prostaglandin D2 (PGD2) in colon tissues. Finally, MSCs-ATG5 increased the abundance of butyrate-producing bacteria (e.g., Oscillospirales), thereby alleviating intestinal microbiota dysbiosis.

conclusionAdenovirus-mediated ATG5 overexpression enhances the autophagic activity, immunomodulatory functions, and antioxidant capacity of MSCs. MSCs-ATG5 can alleviate colitis by inhibiting the IL-17/NF-κB inflammatory signaling pathway, enhancing secretion of the anti-inflammatory metabolite PGD2, and increasing the abundance of butyrate-producing bacteria. Our findings support the potential clinical efficacy of MSCs-ATG5-based therapies.

Indexed as

AntioxidantsAutophagy-Related Protein 5ColitisMesenchymal Stem CellsMesenchymal Stem Cell TransplantationAnimalsAnti-Inflammatory AgentsAutophagyDextran SulfateDisease Models, AnimalMaleMiceMice, Inbred C57BLOxidative StressAnti-Inflammatory AgentsAntioxidantsAtg5 protein, mouseAutophagy-Related Protein 5Dextran SulfateAutophagy-related gene 5Butyrate-producing bacteriaInflammatory bowel diseaseMesenchymal stem cellsOxidative stressProstaglandin D2

Identifiers

PMID41981417
PMCPMC13188642

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.