Mesenchymal stem cell therapy of intestinal disease: are their effects systemic or localized?

Nicholas A Manieri1, Thaddeus S Stappenbeck

  • 1Department of Pathology and Immunology, Washington University School of Medicine, St Louis, MO 63110, USA.

Abstract

Insights

Mesenchymal stem cells (MSCs) show promise for treating intestinal diseases. Research is exploring how MSCs repair injury, potentially through direct action or secreted factors, to improve therapeutic use.

Area of Science:

  • Gastroenterology
  • Regenerative Medicine
  • Cell Therapy

Background:

  • Stem cell therapy is an emerging field in clinical gastroenterology.
  • Mesenchymal stem cells (MSCs) are being investigated for various gastrointestinal diseases.
  • Preclinical models have shown promise, with clinical trials now underway for conditions like inflammatory bowel disease.

Purpose of the Study:

  • To review recent literature on mesenchymal stem cells (MSCs) for intestinal diseases.
  • To explore the current understanding of MSC mechanisms in preclinical and clinical contexts.
  • To highlight the therapeutic potential of MSCs in gastroenterology.

Main Methods:

  • Literature review of studies published within the last two years.
  • Analysis of research on mesenchymal stem cell (MSC) mechanisms of action.
  • Examination of preclinical data and progression towards clinical trials.

Main Results:

  • Significant advancements have been made in understanding MSC mechanisms.
  • Two primary hypotheses explain MSC function: direct repair at injury sites or secretion of reparative and anti-inflammatory factors.
  • Recent studies provide insights into how MSCs might exert therapeutic effects.

Conclusions:

  • Mesenchymal stem cells (MSCs) demonstrate considerable therapeutic promise for various intestinal diseases.
  • Further elucidation of MSC mechanisms is crucial for optimizing their clinical application.
  • Continued research is expected to enhance the efficacy of MSC-based therapies in gastroenterology.

Related Concept Videos

Mesenchymal Stem Cells01:19

Mesenchymal Stem Cells

Mesenchymal stem cells (MSCs) are adult stem cells that can differentiate into most connective tissue cell types, except for hematopoietic cells, depending upon the source of MSCs. For example, bone-marrow-derived MSCs (BM-MSCs) can differentiate into osteocytes, hepatocytes, and pancreatic and neuronal cells. MSCs can be isolated from various sources such as bone marrow, placenta, adipose tissue, teeth, and Wharton’s jelly, a gelatinous substance in the umbilical cord. The ease of their access...
Stem Cell Therapy for Tissue Regeneration01:21

Stem Cell Therapy for Tissue Regeneration

Stem cell therapy is a method used in regenerative medicine to repair and restore function to damaged tissues and organs. Stem cells have the potential to proliferate and differentiate into various tissue types, making them ideal candidates for tissue regeneration. For example, hematopoietic stem cell transplants are commonly used in blood cancer treatment to replenish damaged bone marrow and restore healthy blood cells.
Types of Stem Cells used in Stem Cell Therapy
The two main cell types that...
Renewal of Intestinal Stem Cells01:23

Renewal of Intestinal Stem Cells

The intestinal epithelial lining rapidly renews every 4 to 5 days. The renewal is facilitated by intestinal stem cells (ISCs) located at the base of the crypt– a gland located at the bottom of each villus. ISCs divide asymmetrically to form new stem cells and progenitor daughter cells. The daughter cells are called transit-amplifying (TA) cells which move upwards along the crypt and either differentiate into absorptive cells– the enterocytes or secretory cells– including the goblet,...
Stem Cell Culture01:17

Stem Cell Culture

Stem cell research aims to find ways to use stem cells to regenerate and repair cellular damage. Over time, most adult cells undergo the wear and tear of aging and lose their ability to divide and repair themselves. Stem cells do not display a particular morphology or function. Adult stem cells, which exist as a small subset of cells in most tissues, keep dividing and can differentiate into a number of specialized cells generally formed by that tissue. These cells enable the body to renew and...