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Updated: Dec 10, 2025

Isolation and Culture of Adult Epithelial Stem Cells from Human Skin
Published on: March 31, 2011
Cellular therapy options for genetic skin disorders with a focus on recessive dystrophic epidermolysis bullosa
Gaetano Naso1, Anastasia Petrova1
1Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, 30 Guilford street, London WC1N 1EH, UK.
Introduction:
Combinatorial cell and gene therapies for life-threatening inherited skin disorders have shown tremendous potential for preclinical and clinical implementation with significant progress made for recessive dystrophic epidermolysis bullosa (RDEB). To date, various cell lineages including resident skin cells and adult stem cells have been investigated for gene and cell therapy for RDEB reaching the clinical trial stage.
Sources Of Data:
Sources of data are key recent literature, ClinicalTrials.gov, Clinicaltrialsregister.eu and pharma press releases.
Areas Of Agreement:
Cell-based gene transfer using autologous patients' cells has demonstrated positive outcomes in preclinical and clinical trials and highlighted the importance of targeting resident skin stem cells to achieve a meaningful long-term effect. Additionally, adult stem cells, such as mesenchymal stromal cells, have the potential to ameliorate systemic manifestations of the disease.
Areas Of Controversy:
While proven safe, the clinical trials of localized treatment have reported only modest and transient improvements. On the other hand, the risks associated with systemic therapies remain high and should be carefully weighed against the potential benefits. It is unclear to what extent adult stem cells can contribute to skin regeneration/wound healing.
Growing Points:
Further research is warranted in order to fulfil the potential of cellular therapies for RDEB. The development of combinatorial gene and cell-based approaches is required to achieve long-term clinical benefits.
Areas Timely For Developing Research:
Induced pluripotent stem cells can potentially provide a valuable source of autologous patient material for cellular therapies. In addition, recent advances in the field of gene editing can overcome hurdles associated with conventional gene addition approaches.
Data Availability Statement:
No new data were generated or analysed in support of this review.
Insights
Combinatorial cell and gene therapies show promise for recessive dystrophic epidermolysis bullosa (RDEB). Further research into stem cell applications and gene editing is needed for long-term clinical benefits in RDEB treatment.
Area of Science:
- Regenerative Medicine
- Dermatology
- Genetic Disorders
Background:
- Recessive dystrophic epidermolysis bullosa (RDEB) is a severe inherited skin disorder with limited treatment options.
- Cell and gene therapies offer potential for RDEB treatment, with progress in preclinical and clinical studies.
- Various cell types, including resident skin stem cells and adult stem cells, are being explored for RDEB therapy.
Purpose of the Study:
- To review the current status and future directions of cell and gene therapies for RDEB.
- To identify areas of agreement and controversy in RDEB cellular therapies.
- To highlight promising research avenues for improving RDEB treatment outcomes.
Main Methods:
- Literature review of recent publications.
- Analysis of data from ClinicalTrials.gov and Clinicaltrialsregister.eu.
- Review of pharmaceutical company press releases.
Main Results:
- Autologous cell-based gene transfer shows positive outcomes, emphasizing the role of resident skin stem cells for long-term effects.
- Adult stem cells may help systemic RDEB manifestations, but their contribution to skin regeneration is unclear.
- Localized treatments have shown modest, transient improvements, while systemic therapies carry high risks.
Conclusions:
- Combinatorial cell and gene therapies are essential for achieving long-term clinical benefits in RDEB.
- Induced pluripotent stem cells and gene editing technologies present promising avenues for autologous RDEB therapies.
- Further research is crucial to optimize cellular therapies and address current limitations in RDEB treatment.
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