Emerging Therapeutic Potential of Mesenchymal Stem/Stromal Cells in Preeclampsia

S Suvakov1,2, C Richards3, V Nikolic4

  • 1Department of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.

Insights

Mesenchymal stem/stromal cells (MSCs) show promise for treating preeclampsia, a dangerous pregnancy condition. MSCs, acting via paracrine signaling, offer immunomodulatory and regenerative effects, supporting further clinical trials for this disease.

Area of Science:

  • Reproductive Medicine
  • Immunology
  • Regenerative Medicine

Background:

  • Preeclampsia is a severe pregnancy complication with unknown causes, impacting maternal and fetal health.
  • Key pathogenic factors include maternal immune response, inflammation, oxidative stress, and endothelial dysfunction.
  • Current treatments for preeclampsia are limited, necessitating novel therapeutic approaches.

Purpose of the Study:

  • To provide a comprehensive review of mesenchymal stem/stromal cells (MSCs) as a potential therapeutic strategy for preeclampsia.
  • To elucidate the mechanisms underlying MSC-based therapies in the context of preeclampsia.
  • To assess the current evidence supporting MSCs for preeclampsia treatment.

Main Methods:

  • Review of existing literature on MSCs and their therapeutic potential in preeclampsia.
  • Analysis of MSC properties, including low immunogenicity and in vitro expansion capabilities.
  • Examination of preclinical studies in animal models of preeclampsia.

Main Results:

  • MSCs exert therapeutic effects primarily through paracrine signaling via their secretomes.
  • These secretomes mediate potent immunomodulatory, pro-angiogenic, and regenerative actions.
  • Preclinical studies in preeclampsia animal models have yielded promising outcomes.

Conclusions:

  • MSCs represent a promising cell-based therapy for preeclampsia.
  • Further research into MSC mechanisms and therapeutic efficacy is warranted.
  • Clinical trials are a logical next step to evaluate MSC-based treatments for preeclampsia.
Abstract