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Three-Dimensional Collagen Matrix Scaffold Implantation as a Liver Regeneration Strategy
Published on: June 29, 2021
Mesenchymal stem cell therapy for liver fibrosis/cirrhosis
Yan Cao1, Chenbo Ji1, Ling Lu2,3
1Nanjing Maternity and Child Health Care Institute, Women's Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital), Nanjing 210004, China.
Abstract:
Liver fibrosis represents a common outcome of most chronic liver diseases. Advanced fibrosis leads to cirrhosis for which no effective treatment is available except liver transplantation. Because of the limitations of liver transplantation, alternative therapeutic strategies are an urgent need to find. Recently, mesenchymal stem cells (MSCs) based therapy has been suggested as an attractive therapeutic option for liver fibrosis and cirrhosis, based on the promising results from preclinical and clinical studies. Although the precise mechanisms of MSC transplantation are still not fully understood, accumulating evidence has indicated that MSCs eliminate the progression of fibrosis due to their immune-modulatory properties. In this review, we summarise the properties of MSCs and their clinical application in the treatment of liver fibrosis and cirrhosis. We also discuss the mechanisms involved in MSC-dependent regulation of immune microenvironment in the context of liver fibrosis and cirrhosis.
Insights
Mesenchymal stem cells (MSCs) show promise for treating liver fibrosis and cirrhosis by modulating the immune system. This review explores MSC properties and their therapeutic potential for liver disease, highlighting immune regulation mechanisms.
Area of Science:
- Hepatology and Regenerative Medicine
Background:
- Liver fibrosis is a common consequence of chronic liver diseases, often progressing to cirrhosis.
- Current treatments for advanced liver fibrosis and cirrhosis are limited, with liver transplantation being the only definitive option.
- Alternative therapeutic strategies are urgently needed due to the limitations of liver transplantation.
Purpose of the Study:
- To review the properties and clinical applications of mesenchymal stem cells (MSCs) in treating liver fibrosis and cirrhosis.
- To discuss the immune-modulatory mechanisms underlying MSC-based therapy for liver fibrosis and cirrhosis.
Main Methods:
- Literature review of preclinical and clinical studies on MSC therapy for liver fibrosis.
- Analysis of the immune microenvironment regulation by MSCs in liver fibrosis models.
Main Results:
- MSCs demonstrate therapeutic potential for liver fibrosis and cirrhosis in preclinical and clinical studies.
- Evidence suggests MSCs exert antifibrotic effects primarily through their immune-modulatory properties.
- MSC transplantation influences the immune microenvironment, impacting fibrosis progression.
Conclusions:
- Mesenchymal stem cells (MSCs) represent a promising therapeutic option for liver fibrosis and cirrhosis.
- The immune-modulatory capacity of MSCs is key to their efficacy in treating liver fibrosis.
- Further research into MSC mechanisms can optimize their application in liver disease therapy.
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