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Published on: May 15, 2021
(Mesenchymal) Stem Cell-Based Therapy in Cisplatin-Induced Acute Kidney Injury Animal Model: Risk of Immunogenicity
Ž Večerić-Haler1, A Cerar2, M Perše2
1Department of Nephrology, University Medical Centre Ljubljana, SI-1000 Ljubljana, Slovenia.
Abstract:
Pathogenesis of AKI is complex and involves both local events in the kidney as well as systemic effects in the body that are interconnected and interdependent. Despite intensive investigations there is still no pharmacological agent that could provide complete protection against cisplatin nephrotoxicity. In the last decade mesenchymal stem cells (MSCs) have been proposed as a potentially useful therapeutic strategy in various diseases, including acute kidney injury. Although MSCs have potent immunosuppressive properties, animal studies also suggest that transplanted MSCs may elicit immune response. Interestingly, tumorigenicity of transplanted MSCs in animal studies has been rarely studied. Since the risk of tumorigenicity of particular therapy as well as the immune response to solid or cell grafts is a major issue in clinical trials, the aim of the present paper is to critically summarize the results of MSC transplantation on animal models of AKI, particularly cisplatin-induced animal models, and to expose results and main concerns about immunogenicity and tumorigenicity of transplanted MSCs, two important issues that need to be addressed in future studies.
Insights
Mesenchymal stem cells (MSCs) show promise for treating acute kidney injury (AKI), but their potential for immune response and tumor formation requires further investigation in preclinical models.
Area of Science:
- Nephrology
- Regenerative Medicine
- Immunology
Background:
- Acute kidney injury (AKI) pathogenesis is complex, involving local kidney and systemic effects.
- No current pharmacological agent fully protects against cisplatin-induced nephrotoxicity.
- Mesenchymal stem cells (MSCs) are explored for AKI treatment due to their therapeutic potential.
Purpose of the Study:
- To critically review MSC transplantation in animal AKI models, focusing on cisplatin-induced models.
- To summarize findings on MSC immunogenicity and tumorigenicity.
- To highlight key concerns for future clinical translation.
Main Methods:
- Literature review of animal studies on MSC transplantation for AKI.
- Focus on studies utilizing cisplatin-induced AKI models.
- Analysis of reported immunogenicity and tumorigenicity data.
Main Results:
- MSCs exhibit immunosuppressive properties but can also elicit immune responses.
- Tumorigenicity of transplanted MSCs in AKI models is infrequently studied.
- Concerns regarding immunogenicity and tumorigenicity are significant for clinical application.
Conclusions:
- MSC therapy for AKI warrants careful consideration of immune responses and tumor risk.
- Further research is essential to address immunogenicity and tumorigenicity concerns.
- Preclinical data is crucial for guiding safe and effective clinical trials of MSCs in AKI.
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