Tabriz University of Medical Sciences Advanced Pharmaceutical Bulletin 2228-5881 16 3 2026 09 30 Neurogenic Effect of Hypoxia-Conditioned UC-MSC Secretome from Macaca Fascicularis in an in Vitro Stroke Model 583 592 10.34172/apb.46137 EN Gita Serafika Shannon https://orcid.org/0009-0004-8962-1555 Ratih Rinendyaputri https://orcid.org/0000-0002-7527-4079 Sela Septima Mariya Sunarno Sunarno Amarila Malik https://orcid.org/0000-0003-4899-6778 Rachmawati Noverina Putri Retno Intan Wireni Ayuningtyas Fathul Huda Ahmad Faried Journal Article 10.34172/apb.46137 2025 08 05 2026 03 20 Introduction: Mesenchymal stem cells (MSCs) hold therapeutic promise for ischemic stroke through paracrine release of bioactive factors that promote angiogenesis and neurogenesis. This study investigated the neurogenic potential of secretomes derived from Macaca fascicularis UC-MSCs cultured under hypoxic and normoxic conditions in an in vitro ischemic stroke model and evaluated their potential as a regenerative, cell-free therapeutic strategy. Methods: mUC-MSCs were cultured under normoxic (21% O2) and hypoxic (3% O2) conditions for 48 hours. Secretomes were collected and analyzed for Brain-Derived Neurotrophic Factor (BDNF) and Stromal Cell-Derived Factor-1 (SDF-1) levels via enzyme-linked immunosorbent assay (ELISA), while exosome morphology was characterized using scanning electron microscopy (SEM). An in vitro ischemic stroke model was created using SH-SY5Y cells exposed to 6 hours of oxygen-glucose deprivation (OGD) followed by 24 hours of reperfusion. During reperfusion, cells were treated with normoxic or hypoxic secretome. Neurogenesis-related gene expression was assessed by RT-PCR and statistically analyzed. Results: The secretome from 3% O2 hypoxic preconditioning showed elevated levels of BDNF and SDF-1 compared to normoxic conditions. RT-qPCR analysis revealed significant upregulation of neurogenesis-related genes BDNF, TrkB, ERK1/2, Nestin, and β-tubulin following treatment with the hypoxic secretome, indicating enhanced neurogenic activity and neuronal survival in the in vitro ischemic stroke model. Conclusion: The hypoxia-preconditioned UC-MSC secretome enhances neurogenesis by upregulating key neurogenic markers, promoting neuronal differentiation and regeneration under ischemic conditions. These findings highlight the promise of this approach as a regenerative, cell-free therapy for promoting recovery following ischemic stroke.