Bone marrow derived stem cells in health and disease (2024)

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Multipotent, bone marrow–derived stromal cells (BMSCs, also known as mesenchymal stem cells [MSCs]), are culture-expanded, nonhematopoietic cells with immunomodulatory effects currently being investigated as novel cellular therapy to prevent and to treat clinical disease associated with aberrant immune response. Emerging preclinical studies suggest that BMSCs may protect against infectious challenge either by direct effects on the pathogen or through indirect effects on the host. BMSCs may reduce pathogen burden by inhibiting growth through soluble factors or by enhancing immune cell antimicrobial function. In the host, BMSCs may attenuate pro-inflammatory cytokine and chemokine induction, reduce pro-inflammatory cell migration into sites of injury and infection, and induce immunoregulatory soluble and cellular factors to preserve organ function. These preclinical studies provide provocative hints into the direction MSC therapeutics may take in the future. Notably, BMSCs appear to f...

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Adult Stem Cell therApy for ACute renAl fAilure: the hope Beyond the hype

CHU-LIN CHOU

Acute renal failure (ARF) is a complication that occurs frequently in hospitalized patients, and ARF has 50-80% mortality in spite of major advances in intensive care and renal replacement therapy. Stem cells are generally defined as clonogenic cells that are capable of both self-renewal and multi-lineage differentiation. Many experimental animal studies have also showed that cell therapy [bone marrow cells (BMCs), hematopoietic stem cells (HSCs), mesenchymal stem cells (MSCs)] might have the potential to rescue animals from organ injuries. Several recent works have demonstrated that repopulation of damaged renal tubules after ARF occurs primarily due to proliferation of surviving tubular epithelial cells and putative renal-specific stem cells, with some contribution of paracrine factors from bone marrow-derived MSCs. When BMCs or HSCs are injected into rodents subjected to ischemic or toxin-induced acute tubular necrosis (ATN), the results with regard to whether they could rescue rodents from ATN are inconsistent. The reasons for the conflicting results of BMC and HSC therapy in ATN are unknown, but they may be due to the different types of cells injected, the number of cells injected, the route of injection, or the injury model of acute renal failure. However, MSCs can contribute to renal tubular regeneration after ATN even though the exact mechanism, either transdifferentiation or effects of paracrine/cytokines (mitogenic, antiapoptotic, anti-inflammatory, angiogenic effects), is uncertain. In the future, the most compelling issue is to determine exactly how MSCs protect the renal tubule from injury, and then to imitate this protective or reparative effect pharmacologically. (Acta Nephrologica 2009; 23: 61-76)

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Nature Medicine

A new role of substance P as an injury-inducible messenger for mobilization of CD29+ stromal-like cells

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우성 안

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Bone marrow derived stem cells in health and disease (2024)

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