2019
DOI: 10.3390/ijms20225680
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The Importance of HLA Assessment in “Off-the-Shelf” Allogeneic Mesenchymal Stem Cells Based-Therapies

Abstract: The need for more effective therapies of chronic and acute diseases has led to the attempts of developing more adequate and less invasive treatment methods. Regenerative medicine relies mainly on the therapeutic potential of stem cells. Mesenchymal stem cells (MSCs), due to their immunosuppressive properties and tissue repair abilities, seem to be an ideal tool for cell-based therapies. Taking into account all available sources of MSCs, perinatal tissues become an attractive source of allogeneic MSCs. The allo… Show more

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Cited by 66 publications
(74 citation statements)
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References 151 publications
(226 reference statements)
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“…This question is still under debate. While some studies show that allogeneic MSCs can induce allorecognition responses, which include the expansion of immune cell subpopulations and detectable levels of allo-specific antibodies (Schnabel et al 2014;Wang et al 2019), a recent review shows that, although MSCs are not as immuneprivileged as previously though, evidence from clinical trials suggest that allogeneic MSCs transplantation is safe and can be used as an "off-the-shelf" medical product (Kot et al 2019).…”
Section: Discussionmentioning
confidence: 99%
“…This question is still under debate. While some studies show that allogeneic MSCs can induce allorecognition responses, which include the expansion of immune cell subpopulations and detectable levels of allo-specific antibodies (Schnabel et al 2014;Wang et al 2019), a recent review shows that, although MSCs are not as immuneprivileged as previously though, evidence from clinical trials suggest that allogeneic MSCs transplantation is safe and can be used as an "off-the-shelf" medical product (Kot et al 2019).…”
Section: Discussionmentioning
confidence: 99%
“…However, this proposal leads to the unsolved question of the MSC immunogenicity. It is well known that there is immune activation of host cytotoxicity mediated by complement, NK cells and/or cytotoxic T cells ( Noone et al, 2013 ; Ankrum et al, 2014 ; Berglund et al, 2017 ; Kot et al, 2019 ). In fact, syngeneic MSCs persist for more than 200 days, whereas allogeneic cells rapidly disappear ( Eliopoulos et al, 2005 ).…”
Section: Allogeneic or Autologous Mesenchymal Stromal Cells For Theramentioning
confidence: 99%
“…This may be considered a step forward in development of what is called "off-shelf stem cells drugs." A very recent review addressed this issue and the authors declared that MSCs can effectively be used as an allogenic off-shelf drug despite special concerns of their HLA make up (Kot et al, 2019). This notion requires further investigations and considerations of the challenges that will be further discussed in this review.…”
Section: Clinical Application Of Wj-mscs In Diabetesmentioning
confidence: 99%