2018
DOI: 10.1007/s00441-018-2961-4
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Myths, reality and future of mesenchymal stem cell therapy

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Cited by 23 publications
(22 citation statements)
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“…During the past several decades, stem cell therapy has been the focus of tissue engineering and regenerative medicine (Wei et al, 2013;Thurairajah, Broadhead & Balogh, 2017). Attributed to their advantages, mesenchymal stem cells (MSCs) stand out from multiple stem cells and become the most promising choice for both autologous and allogeneic transplantation (Maxson et al, 2012;Wei et al, 2013;Poltavtseva et al, 2018). However, the application of MSCs from bench to bedside encounters many challenges, such as low cell dose, low survival rate and poor potency (Silva et al, 2018;Regmi et al, 2019).…”
Section: Introductionmentioning
confidence: 99%
“…During the past several decades, stem cell therapy has been the focus of tissue engineering and regenerative medicine (Wei et al, 2013;Thurairajah, Broadhead & Balogh, 2017). Attributed to their advantages, mesenchymal stem cells (MSCs) stand out from multiple stem cells and become the most promising choice for both autologous and allogeneic transplantation (Maxson et al, 2012;Wei et al, 2013;Poltavtseva et al, 2018). However, the application of MSCs from bench to bedside encounters many challenges, such as low cell dose, low survival rate and poor potency (Silva et al, 2018;Regmi et al, 2019).…”
Section: Introductionmentioning
confidence: 99%
“…Difficult to produce enough yield to be effective in humans [6] All isolation techniques have cons, including time, monetary cost, forming aggregates, introducing contaminants [6,54] Systemic administration has not reflected targeting potential [6] Difficult to produce enough yield to be effective in humans [10,64] All isolation techniques have cons, including time, monetary cost, forming aggregates, introducing contaminants [16,63,66] No single way to manufacture exosomes of a specific potency [10,16] advances over the past several years, challenges such as batch consistency and purity remain when transitioning from rodent models of lung disease to large-scale clinical trials [41]. Nevertheless, MSC-exosomes offer an alternative to cellular therapies that may provide similar regenerative abilities, devoid of adverse effects following cellular administration.…”
Section: Consmentioning
confidence: 99%
“…Furthermore, most of the intravenously injected MSCs do not reach the target tissues, but rather accumulate in the lungs where they can be phagocytosed by local macrophages that are then stimulated to produce IL10 [26]. On the other hand, MSC local infusion results in high cell mortality by trauma, hypoxia, or NK cells-mediated killing [26]. In summary, in vivo MSC homing appears to be insufficient since only 1% of the infused cells reaches the adequate tissue.…”
Section: Mesenchymal Stromal/stem Cells (Mscs)mentioning
confidence: 99%
“…Endothelial cells could also attract MSCs by producing CXCL12, but MSCs do not express its receptor, CXCR4. On the other hand, in vivo zebrafish analysis with intravital microscopy demonstrates that MSC transmigration takes hours rather than minutes because the cells do not undergo flattening and it occurs through a slow, passive process in which MSCs interact with endothelial cells via integrins [26].…”
Section: Mesenchymal Stromal/stem Cells (Mscs)mentioning
confidence: 99%