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  4. Mesenchymal Stem Cells in the Pathogenesis and Therapy of Autoimmune and Autoinflammatory Diseases

Mesenchymal Stem Cells in the Pathogenesis and Therapy of Autoimmune and Autoinflammatory Diseases

Int. J. Mol. Sci., 2023 · DOI: 10.3390/ijms242216040 · Published: November 7, 2023

Regenerative MedicineImmunology

Simple Explanation

Mesenchymal stem cells (MSCs) can control immune responses and help the body tolerate itself. They can potentially suppress the immune system to treat autoimmune and autoinflammatory diseases because they help regenerate tissues. MSCs are attracted to places where there is damage and inflammation. They can reduce inflammation and help the tissue heal itself. MSCs could be new treatments for serious autoimmune and autoinflammatory diseases, which currently only have treatments that manage the disease rather than cure it.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    MSCs are passive targets in inflammatory conditions, becoming impaired and losing their immunomodulatory function.
  • 2
    Clinical application of MSCs has shown potential in treating multiple diseases, including rheumatoid arthritis, systemic lupus erythematosus, myocardial infarction, liver cirrhosis, spinal cord injury, multiple sclerosis, and COVID-19 pneumonia.
  • 3
    Paracrine activity of MSCs regulates immune cell biology, promotes angiogenesis, and suppresses fibrotic remodelling.

Research Summary

Mesenchymal stem cells (MSCs) modulate immune responses and maintain self-tolerance, making them potential immunosuppressants for treating autoimmune and autoinflammatory diseases. An increased understanding reveals that MSCs can be passive targets in the inflammatory process, becoming impaired and losing immunomodulatory activity. This review explores the biological mechanisms, immunomodulatory capabilities, potential therapeutic applications, and challenges associated with MSC therapy in autoimmune and autoinflammatory diseases.

Practical Implications

Therapeutic Potential

MSCs offer a promising therapeutic avenue for severe autoimmune and autoinflammatory diseases that are refractory to conventional therapies.

Co-transplantation Support

MSCs can be used for co-transplantation with HSCs due to their role in forming the microenvironment niche and their immunosuppressive properties.

Personalized Medicine Considerations

The choice between allogeneic and autologous MSCs should consider patient age, health status, and potential genetic abnormalities.

Study Limitations

  • 1
    Risk of fever post-MSC administration
  • 2
    Potential for thrombosis or embolism
  • 3
    Oncological risks due to high proliferative capability of MSCs

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