Transcriptome Profiling of IL-17A Preactivated Mesenchymal Stem Cells: A Comparative Study to Unmodified and IFN-γ Modified Mesenchymal Stem Cells

Human mesenchymal stem cells pretreatment with IL-17A (MSC-17) potently enhances T cell immunosuppression but not their immunogenicity, in addition to avidly promoting the induction of suppressive regulatory T cells. The aim of this study was to identify potential mechanisms by which human MSC-17 mediate their superior immunomodulatory function. Untreated-MSC (UT-MSC), IFN-γ treated MSC (MSC-γ), and MSC-17 were assessed for their gene expression profile by microarray. Significantly regulated genes were identified for their biological functions (Database for Annotation, Visualisation and Integrated Discovery, DAVID). Microarray analyses identified 1278 differentially regulated genes between MSC-γ and UT-MSC and 67 genes between MSC-17 and UT-MSC. MSC-γ were enriched for genes involved in immune response, antigen processing and presentation, humoral response, and complement activation, consistent with increased MSC-γ immunogenicity. MSC-17 genes were associated with chemotaxis response, which may be involved in T cell recruitment for MSC-17 immunosuppression. MMP1, MMP13, and CXCL6 were highly and specifically expressed in MSC-17, which was further validated by real-time PCR. Thus, MMPs and chemokines may play a key role in mediating MSC-17 superior immunomodulatory function. MSC-17 represent a potential cellular therapy to suppress immunological T cell responses mediated by expression of an array of immunoregulatory molecules.


Introduction
Human bone marrow derived mesenchymal stem cells (MSC) pretreated with interleukin-17A (IL-17A) represent a novel immunomodulatory strategy and an alternative to interferongamma (IFN-) treatment of MSC in enhancing MSC immunosuppression of T cells [1]. We have previously demonstrated that human MSC-17 potently suppresses human T cell proliferation and activation. In cocultures of MSC with purified human CD4 + CD25 − T cells, MSC-17 induced high numbers of functionally suppressive iTregs [1]. Whilst MSC-17 appeared to be superior modulators of T cells, mechanisms exclusive to MSC-17 mediated immunomodulation warrant further investigation.
IL-17A is a member of the family of IL-17 cytokines secreted predominantly by the T helper 17 (Th17) subset of CD4 + T cells. IL-17A is a potent proinflammatory mediator and is involved in the pathogenesis of autoimmune diseases, allergic responses, and other immune cell mediated diseases including allograft rejection, sepsis, and graft versus 2 Stem Cells International host disease (GvHD) [2,3]. Apart from the pathogenic roles of IL-17A, this cytokine is important for host defense response against fungal and bacterial infections [3,4]. The IL-17A homodimer signals through the IL-17RA and IL-17RC dimeric receptor complex, where binding of IL-17A homodimer to the IL-17RA/RC complex recruits the key cytosolic adaptor molecule Act1 (NF-kappa B-activating protein), that is known to be the master mediator of downstream IL-17 signaling [3,5]. Act1 binds to the IL-17RA/RC complex via its SEFIR (SEF/IL-17R) domains and this complex then recruits TRAF6 (TNF receptor-associated factor 6), leading to the activation of several downstream signaling pathways including the MAPKs-AP-1 (mitogenactivated protein kinases, MAPKs; activator protein-1, AP-1), C/EBPs (CCAAT/enhancer-binding proteins) and NF B (nuclear factor kappa B). Activation of these signaling cascades induces the gene expression of antimicrobial peptides, chemokines, MMPs, and proinflammatory cytokines as shown in other cell types such as endothelial cells, epithelial cells, and fibroblasts [3,4]. IL-17A has emerged to be a growth factor for MSC by activating the Akt-Erk-MEK-p38 transduction molecules involved in MAPK signaling cascades [6][7][8]. Published work from our laboratory, demonstrated for the first time that IL-17A also enhances the immunomodulatory capacity of human MSC [1].
IFN-is produced predominantly by CD8 + T cells and NK cells and at lower levels by CD4 + T cells [9]. IFN-binds to a heterodimeric cell surface receptor complex consisting of the interferon-gamma receptor 1 (IFNGR1) and IFGR2, activating the classical JAK-STAT (signal transducer and activator of transcription) signaling pathways [10]. Activation of this pathway regulates several downstream cascades and induces expression of many genes, thereby contributing to the diverse biological effects of IFN-in different cell types [10][11][12]. IFN-activates macrophages to induce antitumor [13] and antimicrobial activities [14]. It is also well established that IFN-induces antigen processing and presentation pathways in different cell types for MHC antigen presentation to T cells [9,[15][16][17]. In B cells, IFN-regulates immunoglobulin production and class switching [16,18]. IFN-also attracts leukocytes and favours the growth, differentiation, and maturation of many cells types [11,16]. IFN-is classically known as a cytokine that favours Th1 cell development [16,19]. In an allotransplantation setting, IFN-promotes antigenspecific Th1 differentiation that drives cell mediated allograft rejection [20]. Together, these findings suggest the potent proinflammatory role of IFN-.
The role of IFN-in MSC immunomodulation, reparative properties, and homing potential has been extensively reviewed as previously published [21]. IFN-treated MSC (MSC-) have enhanced immunomodulatory properties but are potentially immunogenic when administered in allogeneic or third-party hosts [1]. In this study, microarray and bioinformatics approaches were used to further identify novel candidate molecules expressed by MSC-and MSC-17 that enhance the immunomodulatory properties of MSC. Genes and biological processes that may contribute to MSCimmunogenicity in allogeneic or third-party hosts were also explored.

MSC Culture and Characterisation.
Human bone marrow aspirates were obtained from the posterior iliac crest of normal adults volunteers (subjects with informed consent; age 20-35 yr) according to guidelines approved by the Human Ethics Committee of the Royal Adelaide Hospital, Australia (Protocol 940911a). Bone marrow derived MSC cultures were established and maintained as previously described [22,23]. Cryopreserved MSC were cultured to log-phase and used at passage 6 in experiments. The immunophenotype of culture expanded MSC and their ability to differentiate into adipocytes, osteocytes, or chondrocytes have been confirmed and published [1].

Cytokine Treatment of MSC.
MSC were seeded in tissue culture flasks at a density of 4000 cells/cm 2 and were allowed to adhere overnight. Fresh MSC media containing either no cytokines or recombinant human cytokines, 500 U/ml IFN-(eBioscience) or 50 ng/ml IL-17A (Peprotech), were added to the MSC cultures to derive UT-MSC, MSC-, or MSC-17, respectively. At day 5, cytokines were washed out with Hank's Balanced Salt Solution (HBSS, Sigma) and modified MSC were used for microarray gene expression profiling and analysis.

Human MSC RNA Isolation.
MSC were harvested using 0.25% trypsin/EDTA (Sigma) for 4 min, 37 ∘ C, and rinsed with 5% FBS/HBSS and RNA was extracted according to the protocol established by the Adelaide Microarray Centre (http://www.microarray.adelaide.edu.au/protocols/). Briefly, total RNA was extracted by dissolving the cell pellet in 500 L TRIzol reagent (Invitrogen) and 100 L chloroform was added to the mixture. The mixture was kept on ice for 15 min followed by centrifugation at 6500 ×g for 30 min, 4 ∘ C. The upper aqueous phase was retained and mixed with an equal volume of 70% ethanol in diethylpyrocarbonate H 2 O. Total RNA was further purified using the RNeasy mini kit (Qiagen) with the following modification: DNA was digested using the DNase I from the RNase-free DNase set (Qiagen). The quantity of total RNA was measured using NanoDrop 1000 (Thermo Scientific). Samples were adjusted to a concentration of 100 ng/ L for microarray and were sent to the Adelaide Microarray Centre, University of Adelaide, for microarray gene expression profiling. The RNA sample was determined using the Agilent RNA Bioanalyzer. Only RNA samples with RNA integrity number (RIN) of ≥8 were used for microarray analysis.

Microarray
Analysis. RNA extracted from human MSC samples were analysed using the Affymetrix Human Gene 2.0 ST Array (Affymetrix Inc., High Wycombe, UK) for gene expression profiling. Microarray gene expression profiling was performed on UT-MSC, MSC-and MSC-17 from 3 human MSC donor biological replicates (passage 6). Microarray experiments were conducted by the Adelaide Microarray Centre, University of Adelaide.

Microarray Quality Control and Gene Expression Analysis.
Probe cell intensity (CEL) files were obtained from the Adelaide Microarray Centre. The Expression Console Software (Affymetrix) was used for data quality control, normalization, and differential gene level analysis. CEL files of each array showed no major issues or damage with the images. No outlier samples were identified based on the configurable QA/QC metrics. The RMA (robust multiarray analysis) algorithm was used to perform background subtraction, normalization, and summarization of probe sets. CHP files were generated from the Expression Console Software for further Principal Component Analysis (PCA) and gene level summarization using the Transcriptome Analysis Console (TAC) software (Affymetrix). After normalization, UT-MSC, MSC-, and MSC-17 from 3 donor samples of each treatment group were averaged and an unpaired one-way ANOVA was performed with significantly regulated genes identified by < 0.05 and fold changes < −2 and >2. Gene lists for comparison of MSC-17 versus UT-MSC, MSC-versus UT-MSC, and MSC-17 versus MSC-were generated for subsequent bioinformatics analysis.

Functional Enrichment Analysis by DAVID.
Gene lists for comparison of MSC-17 versus UT-MSC, MSC-versus UT-MSC, and MSC-17 versus MSC-were analysed for their biological functions using the Database for Annotation, Visualisation and Integrated Discovery (DAVID; https://david.ncifcrf.gov/). The gene list was uploaded using the official gene symbol onto DAVID for functional annotation clustering analysis with medium classification stringency, enrichment scores > 1.5, and < 0.05 [24]. Functional annotation clustering analysis based on DAVID's default settings was performed. The gene sets were also subcategorised based on functional annotation of interest such as biological process (GOTERM BP FAT), molecular function (GOTERM MF FAT), and cellular component (GOTERM CC FAT).

Results
There were however donor variances that exist between MSC-17 and UT-MSC. Among the 3 MSC donor samples evaluated, 2 MSC donors (i.e., donor C and F) "clustered" together and were distinct from UT-MSC ( Figure 1). It should also be noted that in donor C and F MSC-17 "clusters,   Table 3. Volcano plots ( Figure 2) and supervised hierarchical clustering of the differentially expressed genes ( Figure 3) provided a global visualisation of genes regulated by IL-17 or IFN-treatment of MSC compared to UT-MSC.

MSC-Enriched for Genes Associated with Increased
Immunogenicity. Upregulated and downregulated gene lists were submitted to DAVID for functional annotation clustering analysis to identify gene sets that were enriched in MSC-. There were 90 and 62 official gene symbols from the upregulated (see Table S1 in Supplementary Material available online at https://doi.org/10.1155/2017/1025820) and downregulated (Table S2) gene entry lists, respectively, that were unmapped by DAVID. These were mainly noncoding genes including microRNA (miRNA), long noncoding RNA (lncRNA), and small nucleolar RNA (snoRNA). Gene ontology analysis by DAVID functional annotation clustering was performed on the upregulated and downregulated MSCversus UT-MSC gene lists to identify enriched gene sets for biological processes (Tables S3, S4), molecular functions  (Tables S5, S6), and cellular components (Tables S7, S8). Gene ontology analysis for biological processes of upregulated MSC-genes (Table S3) uncovered highest enrichment of genes associated with antigen processing and presentation via MHC class I (annotation cluster 1, enrichment score 8.03). These genes were mainly HLA type genes and have roles in antigen presentation. Enriched genes in annotation cluster 1 also include aminopeptidases that hydrolyse antigenic peptides for MHC class I peptide binding and antigen presentation (e.g., endoplasmic reticulum aminopeptidase ERAP1 and ERAP2), peptide transporter genes (e.g., transported associated with antigen processing, TAP2), and other genes involved in the antigen processing and presentation pathway (e.g., TAP binding protein, TAPBPL; 2 microglobulin, B2M; CD74). Gene sets involved with antigen processing and presentation via MHC class II were also upregulated in the MSC-groups (annotation cluster 4, enrichment score 4.45). In annotation cluster 2 (enrichment score 6.06) there were also enriched gene sets involved in immune response activation (innate, adaptive, and lymphocytes mediated immunity), humoral response (immunoglobulin mediated immune response, B cell mediated immunity, and humoral immune response mediated by circulating immunoglobulin), and complement pathways (classical and alternative) activation. Apart from genes that are involved in increased MSCimmunogenicity, there were genes with regulatory roles upregulated in MSC- (Table S3). For example, these gene sets were involved in the regulation of programmed cell  death, apoptosis, translation regulation, protein modification, transcription regulation and DNA binding activity, cell-cell communication, and signal transduction as well as the regulation of cytokine production. Moreover, genes upregulated in the MSC-group were enriched for the TGFreceptor signaling pathway (annotation cluster 19, enrichment score 1.74, e.g., FMOD, CCL2, MAPK3K1, SMAD6, GDF15, and TGFB2). Other genes of interest upregulated in MSC-include IL-6, toll-like receptor-3 (TLR3), TLR4, and indoleamine 2,3-dioxygenase (IDO), with the gene ontology term for positive regulation of defense response. There was also upregulation of the PD-L1 transcript in MSC-compared to UT-MSC (3.46-fold, < 0.0104; data not shown), consistent with the observed increase in cell surface protein expression of PD-L1 following IFN-pretreatment of MSC, as we have previously published [1]. Regulatory genes with nucleotide binding activity and transcription (corepressor, repressor, and cofactor) activity were also enriched and upregulated in MSC-as identified by DAVID gene ontology analysis for molecular function (Table S5).
MSC-have enhanced migratory potential to sites of inflammation [21]. Based on DAVID analysis for biological processes, we have identified gene sets in annotation cluster 10 (enrichment score 2.78) that were enriched for the gene ontology terms regulation of cell motion, cell migration, and locomotion (Table S3). These upregulated MSC-genes include chemokines (CXCL10, CXCL16), intracellular adhesion molecule-1 (ICAM1), IL-6, and VEGFA. The upregulation of chemotactic factors that may increase MSC-homing potential was also identified when gene ontology analysis for molecular function was performed on DAVID. In annotation cluster 3 (enrichment score 3.10; Table S5), genes were enriched for chemokine receptor binding and chemokine activity. These chemokines include CCL13, CCL2, CXCL16, CXCL9, CCL8, CXCL11, and CXCL10.
Based on the downregulated MSC-versus UT-MSC gene list, we identified that there were genes highly enriched for the gene ontology terms for biological processes involving extracellular matrix or structure organisation (annotation cluster 1, enrichment score 11.10; Table S4), consistent with our previous observation of changes in MSC-morphology from fibroblastic-like appearance to a hypertrophic flattened irregular shape [1]. These were mainly collagen type genes (collagenases I, III, IV, V, XI, XII, and XIV). Interestingly, the downregulated gene sets also have enriched terms for biological processes involved in the cell division cycle (annotation cluster 2, enrichment score 8.80; Table  S4) These downregulated genes were essential for M phase, nuclear division, mitosis, and cell division. Genes essential for regulation of cell-cycle division were also downregulated in MSC-(annotation cluster 7, enrichment score 2.03), in  coherence with the observation of decreased MSC-growth kinetics compared to UT-MSC [1]. Gene ontology analysis for cellular components (Tables S7, S8) of the differentially regulated genes in the MSCversus UT-MSC groups uncovered that these genes were located in the extracellular space (or) region (annotation cluster 1, enrichment score 2.69, Table S7; enrichment score 12.76, Table S8). Many downregulated genes were located in collagen, the main structural protein in the extracellular region.

MSC-17 Enriched for Genes Associated with Chemotaxis.
Differentially regulated genes were submitted to DAVID for functional annotation clustering to identify gene sets that were enriched in MSC-17. Genes that were mapped by DAVID were shown in Table 2. There were 23 genes from the gene entry list that were unmapped by DAVID (Table S9). These include noncoding genes, lncRNA, ribosomal RNA (rRNA), snoRNA, and miRNA.
Functional annotation clustering analysis was first performed using DAVID's default settings (Table S10) to identify overall gene sets that were highly enriched in MSC-17 compared to UT-MSC. Annotation cluster 1 with the highest enrichment score (3.58) had enriched terms for genes residing in the extracellular region, roles in inflammatory response, response to wounding, defense responses, signaling, and disulfide bonds (Table S10). Gene ontology  analysis of biological processes also revealed that MSC-17 compared to MSC-were upregulated and enriched for genes involved in angiogenesis (e.g., angiogenin, CXCL12, tissue plasminogen activator, and collagens), wound healing, and chemotaxis responses (Table S14). Interestingly, some gene sets were enriched for gene ontology terms such as glycosylation and glycoproteins (Table S10), which may relate to posttranslational modification processes [26,27]. There was also high enrichment of genes involved in chromatin remodelling processes (enrichment score 7.35, Table S14), suggesting the potential gene expression regulatory roles of MSC-17. Human MSC-17 were shown to be superior at regulating T cell inflammatory responses by suppressing T cell proliferation, activation, and secretion of proinflammatory cytokines [1]. In annotation cluster 3 (enrichment score 2.48, Table  S10), genes such as IL-6, C3, serum amyloid A1 (SAA1), and lipopolysaccharide binding protein (LBP) were enriched for regulation of immune responses. IL-6, SAA1, and LBP also have roles in regulation of cytokine production. Gene ontology analysis by DAVID functional annotation clustering was also performed on the MSC-17 versus UT-MSC and MSC-17 versus MSC-gene lists to specifically determine enriched gene sets for biological processes (Tables S11, S14, and S15), molecular functions (Tables S12, S16), and cellular components (Tables S13, S17, and S18) in MSC-17. There was no significant enrichment of gene sets for molecular functions in the downregulated gene list of MSC-17 versus MSC-comparison group.

12.21
MSC-17 were previously shown to mediate Treg induction via cell-cell contact dependent mechanisms [1]. To identify potential cell surface candidate molecules that mediate MSC-17 induction of Tregs, the cellular compartments of genes enriched in the MSC-17 were also evaluated. Functional enrichment for biological processes identified a set of upregulated genes (IL-6, CCL8, SLC22A3, STC1, and CXCL6) that were enriched for the gene ontology term cell-cell signaling (fold enrichment: 4.9; < 0.0148; annotation cluster 2, Table S11). Chemokines CCL2, CCL8, and CXCL6 detected by DAVID's functional enrichment for molecular function (Table S12) showed evidence that these gene sets have a different range of binding potential including chemokine receptor, heparin, glycosaminoglycan, pattern, and polysaccharide binding activities. These MSC-17 enriched genes, mainly the chemokines and MMPs, were located in the extracellular space (or) region (Table S13).
Biological processes (GOTERM BP FAT; Tables S11, S14) and molecular functions (GOTERM MF FAT; Table S12) of MSC-17 enriched genes were mainly associated with cell migration and chemotaxis responses. MMPs were also highly enriched in the MSC-17 groups. Specifically, MMP13 (FC 15.6) and MMP1 (FC 2.4) were induced in the MSC-17 groups as detected by microarray gene expression analysis (Tables 2 and 3). DAVID's bioinformatics analysis revealed that these genes were enriched for gene ontology terms such as secreted, extracellular space, signal, disulfide bond, glycosylation, glycoproteins, and response to stimulus (Table  S10). The MSC-17 versus UT-MSC gene list when analysed by DAVID functional annotation chart (default setting) showed that these MMPs where highly enriched for metal ion binding, peptidase, and collagen degradation functions (Table S10).

MSC-17 Express Chemokines and Matrix Metalloproteinases.
To validate the microarray data of MSC-17, upregulated genes were evaluated for their gene expression by RT-PCR ( Figure 4). IL-17A induced the expression of MMP1, MMP13, CXCL6, C3, CH25H, and LBP in MSC as determined by microarray and validated by RT-PCR ( < 0.05). CCL2 and CCL8 were highly expressed in both MSC-and MSC-17 compared to UT-MSC, consistent with the microarray data. CCL2 gene expression increased by 8.2-and 5.9fold in MSC-and MSC-17, respectively, relative to UT-MSC. CCL8 expression on the other hand was comparable between MSC-and MSC-17. Although the gene expression levels varied between the 3 MSC donors, these genes were consistently upregulated relative to UT-MSC in all the MSC donors.

Discussion
IFN-preactivation of human MSC induced the expression of various immunoregulatory molecules including IDO, TLR3/4, IL-6, and PD-L1 that may enhance the inhibitory activity of MSC-to mediate T cell suppression. IDO is a well characterised immunosuppressive molecule expressed by MSC upon induction with IFN- [1,[28][29][30]. Administration of IDO deficient MSC (IDO −/− MSC) or inhibition of IDO activity resulted in accelerated kidney allograft rejection, decreased intragraft, or circulating Tregs and showed absence of donor-specific tolerance [29]. IDO −/− MSC were also incapable of inhibiting donor DC maturation and function, thus enabling DC to stimulate strong recipient T cell proliferative responses [29]. Consistent with previous literature [28,29,31], gene expression analysis revealed that IDO was the most highly induced gene in MSC-and may be the key candidate molecule by which MSC-mediate enhanced T cell immunosuppression [1].
MSC constitutively express a range of TLRs, including TLR3 and TLR4 [32,33]. Activation of TLR3 and (or) TLR4 amplifies MSC trophic factors, antimicrobial activity, and immunosuppressive potential, thereby enhancing MSC therapeutic potency [33][34][35][36]. Both TLR3 and TLR4 were upregulated in MSC-compared to UT-MSC. Activation of TLR3 and TLR4 signaling with poly I:C or LPS, respectively, induced IDO expression in MSC [33]. TLR-driven induction of IDO in MSC resulted in the degradation of tryptophan and production of immunosuppressive kynurenines [33]. TLR3 activation has also been linked to expression of IL-6 in MSC [34]. IL-6 mediates the inhibitory effects of MSC on DC differentiation, maturation, and function [37,38]. Consistent with our previous report, the upregulation of IL-6 transcripts in MSC-and high protein concentrations of IL-6 in MSC--T cell coculture supernatants suggest that MSC-secreted IL-6 may be involved in suppression of proinflammatory T cell responses [1]. Nevertheless, TLR activation in MSC is known to abrogate their immunosuppressive properties [39,40]. The effects of TLR signaling in MSC are still not fully understood and remain to be further investigated.
TLR3/4 preactivated MSC have enhanced leukocyte binding activity mediated by the induction of the adhesion molecule ICAM-1, consistent with upregulation of ICAM-1 in MSC- [35]. ICAM-1 together with TLR3 and TLR4 were among the genes enriched for the gene ontology term positive regulation of immune system process, suggesting a potential biological role of TLR3/4 in MSC-induction of ICAM-1 [35]. Additionally, the upregulation of chemokines such as CXCL9, CXCL10, CXCL11, CXCL16, CCL2, CCL8, and CCL13 detected by microarray may facilitate T cell recruitment to MSC-. Mouse MSC preactivated with IFN-and TNFinduced CXCL9 and CXCL10 [41]. The production of these chemokines was abrogated by IFN-neutralization [41]. Moreover, the blockade of CXCR3, a T cell receptor for chemokines CXCL9 and CXCL10, eliminated T cell chemotaxis towards MSC and subsequent MSC inhibition of T cell proliferation [41]. These studies concluded that cytokines induce MSC-expression of chemokines to drive T cell recruitment into close proximity with MSC, enabling MSC to suppress T cells through the secretion of immunosuppressive molecules [41,42]. Chemokines also increased the in vivo migratory properties of human MSC-to sites of inflammation in colitis mouse models [43]. Studies to validate the functional role of human MSC-derived chemokines and ICAM-1 in the recruitment and subsequent modulation of T cell responses as well as in MSC-homing to sites of inflammation in vivo are required. Hence, IFNdirectly induces an array of immunosuppressive molecules in MSC and may further amplify the secretion of other MSC-inhibitory molecules such as IDO, IL-6, and ICAM-1 via TLR3/4 activation. MSC-with higher proximity to leukocytes may serve as an additional mechanism by which MSC-increase their modulatory activity on T cells.
Despite being highly immunosuppressive with enhanced homing and reparative capacities, allogeneic MSC-are ineffective in vivo due to their increased immunogenicity [44][45][46]. A large number of genes upregulated in MSC-were involved in the antigen processing and presentation pathways of MHC classes I and II. Antigen processing and presentation occurs via the cytosolic [47][48][49][50][51] or endocytic pathways Stem Cells International Stem Cells International 13 [51,52]. In the cytosolic pathway, degraded intracellular proteins are transported to the rough endoplasmic reticulum (RER) via TAP, a heterodimer consisting of TAP1 and TAP2. These peptides are further trimmed by aminopeptidases ERAP to enable optimal peptide loading onto MHC class I molecules. MHC class I components comprise the class I MHC -chain and the B2M chain. This MHC class I molecule associates with the chaperone molecules tapasin, calreticulin, and ERp57. Tapasin (TAPBPL) recruits the MHC I molecules into proximity to TAP, allowing efficient peptide loading onto MHC class I molecules, subsequently stabilizing the peptideclass I molecule complex. The class I MHC-peptide complex is then transported to the plasma membrane for antigenpeptide presentation to CD8 + T cells [47][48][49][50][51]. Induction of ERAP, TAP2, TAPBPL, and B2M, genes involved in this cytosolic pathway was evident in MSC-and correlated with the observed upregulation of MHC class I in these cells [1]. We have also shown that MHC class II is induced in MSC- [1]. In the endocytic pathway, assembly of MHC class II occurs in RER where the -and -chain associate and this newly synthesised class II MHC complex binds to the invariant chain (Ii, CD74). As MHC class II-Ii complex is translocated into the endosomal compartment, the Ii chain is degraded, leaving the CLIP fragment (class II associated Ii peptide) bound to the MHC II peptide binding cleft. HLA-DM catalyses the exchange of CLIP with the antigenic peptide. The MHC class II peptide complex is then transported to the plasma membrane for antigen presentation to CD4 + T cells [51,52]. We detected high expression of CD74 and HLA-DM in MSC-, supporting the induction of MHC class II on these cells. Alloimmune responses against UT-MSC are mediated by the recognition of allogeneic MHC molecules by recipient CD4 + and CD8 + memory T cells [53]. MHC class II expression on allogeneic MSC is also known to induce alloimmune responses in cocultures with MHC-mismatched responder cells [54]. Therefore, the amplification of this antigen processing and presentation machinery suggests that MSC-are highly immunogenic and can potently prime proinflammatory T cell responses in allogeneic hosts.
Moreover, MSC-were enriched for gene sets involved in augmentation of the humoral immunity and complement pathways activation. Our data may explain previously published data, where MSC-infused mice had higher levels of circulating anti-donor IgM and IgG alloantibodies, which resulted in the rapid induction of antibody-mediated rejection [44]. Although MSC-lack the expression of costimulatory signals (CD80, CD83, and CD86) to function as APC to mediate direct T cell allorecognition and activation [1,[55][56][57][58], we speculate that MSC-induce allogeneic T cell responses through the indirect or semidirect pathways of allorecognition [21,59]. Allogeneic MHC-peptide transfer from MSC-could be more rapid compared to UT-MSC due to high expression of MHC molecules. This enables allogeneic MHC-peptide to be recognised by recipient T cells through the semidirect pathway. Understanding mechanisms of MSC-immunogenicity may enable the targeting of MSC through different pathways of activation to increase their immunomodulatory function whilst retaining MSC in a nonimmunogenic and inert state.
Human MSC-17 showed superior suppression of T cell responses and were able to induce Tregs with minimal immunogenicity [1]. MSC constitutively express a range of MMPs including MMP2, membrane type 1 MMP (MTI-MMP), tissue inhibitor of MMP1 (TIMP1), and TIMP2 [60][61][62]. These MMPs are essential for MSC invasion and migration across the extracellular matrix (ECM) as demonstrated in in vitro transendothelial migration assays [62]. Absence of MMPs impairs MSC transmigration capacity across Matrigels [60][61][62]. In response to IL-1 and TNF-, MSC have also been shown to amplify the expression of MMP2, MTI-MMP, and (or) MMP9 in MSC, thereby promoting MSC invasiveness across the basement membrane [60]. Here, we demonstrated that IL-17A induced the gene expression of MMP13 and MMP1 in MSC. These MMPs were highly enriched for collagen degradation and metabolic processes, suggesting that these factors may be essential for MSC-17 to invade the ECM.
MSC-derived MMPs also have proteolytic activity on chemokines [63,64]. MMP processing of CC chemokines convert the biochemical properties of the chemokine target molecules from an agonist to an antagonist form with antiinflammatory properties in vivo [65]. MSC-derived MMP1 cleaves CCL2, leading to the generation of CCL2 with suppressive properties on B cell production of immunoglobulins and in CD4 + T cell activation [63,64]. We showed that MMP1, CCL2, and MMP13 were upregulated in human MSC-17. Evaluating the functional role of MMP-processed chemokine derivatives in MSC-17 immunomodulation on T cells in this study remains to be elucidated.
MMP-2 and MMP-9 secreted by MSC are known to cleave and reduce CD25 expression on T cells, thus impairing T cell activation and proliferation [66]. Administration of MMP inhibitors in an islet allotransplant model abrogated the suppressive effect of MSC on alloreactive T cells, resulting in allograft rejection. This study concluded that MMPs are crucial for MSC immunosuppression [66]. We have previously shown that MSC-17 further downregulated CD25 expression on CD4 + effector T cells compared to UT-MSC, a process partially mediated by cell contact dependent mechanisms [1]. The involvement of MSC-17-derived MMP13 and MMP1 in downregulating CD25 on T cells has not been previously established. Blocking MMP13 activity using specific inhibitors may provide insights on its role in inhibiting T cell activation.
Apart from the upregulation of chemotactic transcripts, MSC-17 were also enriched for genes involved in wound healing and angiogenesis. Tissue plasminogen activator (PLAT) was upregulated in human bone marrow derived MSC-17 when compared to MSC-. PLAT was enriched for biological processes involving cell motility, angiogenesis, and responses to wounding. A previous study reported that IL-17A can increase MSC migration in an in vitro wound healing assay [7]. In a latter study, IL-17A was shown to enhance peripheral blood-derived MSC migration in a wound healing assay by inducing the expression of the urokinase type plasminogen activator through the activation of ERK1,2-MAPK signaling pathway [67]. Increased expression of the urokinase type plasminogen activator has been reported to facilitate MSC transendothelial migration, potentially contributing to MSC motility to sites of inflammation for tissue regeneration or immunosuppression [67]. In other studies, tissue plasminogen activators have also shown to support angiogenesis by promoting vascular endothelial cell migration to ischemic regions [68,69]. These data suggest that MSC-17 in addition to their potent immunosuppressive properties may benefit disease conditions of ischemia injury that require tissue repair and angiogenesis.
In this study, donor to donor variation may have limited the robustness of our microarray data to detect subtle changes in MSC-17 gene expression profile. However, real-time PCR data validated changes detected in the highly regulated genes in MSC-17. More MSC-17 biological replicates may provide further insights into other genes that are differently regulated.

Conclusions
Enhanced expression of MHC in allogeneic MSC-increases their immunogenicity and this may negatively impact MSCpotency in vivo. Nevertheless, we have highlighted novel candidate immunosuppressive molecules and pathways in which MSC-can be targeted in future studies to increase the immunomodulatory capacity of MSC. We have also identified a few novel candidate molecules that may contribute to the potent MSC-17 regulation of immune responses. These candidate molecules can be explored for their regulatory roles in MSC-17 suppression of T cell responses and in the generation of Tregs in future studies.

Disclosure
An earlier version of this work was presented as an abstract at the Transplantation Science Symposium, 2015, and at the American Transplant Congress, 2016.