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.
Purpose Of Review:
Stem cell therapy for intestinal diseases is an emerging area in clinical gastroenterology. We will review recent literature regarding mesenchymal stem cells, which have been utilized in preclinical models and are now headed for clinical trials in several gastrointestinal diseases including inflammatory bowel disease.
Recent Findings:
Important studies over the last 2 years have made significant inroads into understanding the mechanisms of action of these cell types. The two major competing hypotheses are that mesenchymal stem cells home to areas of injury where they repair based on their stem cell activity or that mesenchymal stem cells act as a source of secreted factors that stimulate repair and inhibit inflammation.
Summary:
Mesenchymal stem cells show promise for therapy in a number of intestinal diseases. Further understanding of their mechanism of action should improve our ability to use them therapeutically.
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 Cells
Stem Cell Therapy for Tissue Regeneration
Types of Stem Cells used in Stem Cell Therapy
The two main cell types that...
Renewal of Intestinal Stem Cells
Stem Cell Culture

