Mesenchymal Stem Cells: Advances and Surgical Applications

Pp: 250-276 (27)

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Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

Mesenchymal stem cells (MSCs) are used in regenerative medicine mainly based on their capacity to differentiate into specific cell types and also as bioreactors of soluble factors that will promote tissue regeneration from the damaged tissue cellular progenitors. Moreover, MSCs can stop a variety of immune cell functions: cytokine secretion and cytotoxicity of T and NK cells; B cell maturation and antibody secretion; DC maturation and activation; as well as antigen presentation. In this scenario, an inflammatory environment seems to be necessary to promote their effect. Preclinical studies have been conducted in rodents, rabbits and baboon monkeys among others for bone marrow, skin, heart, and corneal transplantation, graft-vs.-host disease, hepatic and renal failure, lung injury, multiple sclerosis, rheumatoid arthritis, and diabetes and lupus diseases. Preliminary results from some of these studies have led to human clinical trials; prevention of allograft rejection and enhancement of the survival of bone marrow and kidney grafts.

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