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Engineered Mesenchymal Stem Cells as Treatment for Cancers: Opportunities, Clinical Applications and Challenges
Aishah Amirah Shamsul Kamal1,2, Kamal Shaik Fakiruddin3, Khadijat Abubakar Bobbo1,2
1UPM-MAKNA Cancer Research Laboratory, Institute of Bioscience, Universiti Putra Malaysia, Selangor, Malaysia.
Abstract:
The insufficient and unspecific target of classical chemotherapies often leads to therapy resistance and cancer recurrence. Over the past decades, discoveries about mesenchymal stem cell (MSC) biology have provided new potential approaches to improve cancer therapy. Researchers have utilised the multipotent, regenerative and immunosuppressive qualities of MSCs and tropisms towards inflammatory, hypoxic and malignant sites in various therapeutic applications. Although MSC-based therapies have generally been demonstrated safe, their effectiveness remains limited when these cells are used alone. However, through genetic engineering, researchers have proven that MSCs can be modified to have specialised delivery roles to increase their therapeutic efficacy in cancer treatment. They can be made to overexpress therapeutic proteins through viral or non-viral genetic modification, which enhances their innate properties. Nevertheless, these engineering strategies must be optimised to increase therapeutic efficacy and targeting effectiveness while minimising any loss of MSC function. This review underscores the cutting-edge methods for engineering MSCs, discusses their promise and the difficulties in translating them into clinical settings, and offers some prospective suggestions for the future on achieving their full therapeutic potential.
Insights
Genetically engineered mesenchymal stem cells (MSCs) show promise for improved cancer therapy by enhancing targeted drug delivery. Optimizing these modified MSCs is key to overcoming limitations in current cancer treatments.
Area of Science:
- Biomedical Engineering
- Cancer Biology
- Stem Cell Therapy
Background:
- Classical chemotherapy often results in therapy resistance and cancer recurrence due to insufficient targeting.
- Mesenchymal stem cells (MSCs) possess unique properties like multipotency, regeneration, and immunosuppression, with tropism towards tumor sites, offering novel therapeutic avenues.
- While MSC-based therapies are generally safe, their standalone efficacy in cancer treatment is limited.
Purpose of the Study:
- To review cutting-edge methods for engineering mesenchymal stem cells (MSCs) for enhanced cancer therapy.
- To discuss the potential and challenges of translating engineered MSC therapies into clinical settings.
- To provide future perspectives for optimizing MSC engineering to achieve full therapeutic potential in oncology.
Main Methods:
- Review of current literature on genetic engineering techniques applied to MSCs.
- Analysis of viral and non-viral methods for modifying MSCs to overexpress therapeutic proteins.
- Evaluation of strategies to enhance MSC therapeutic efficacy and targeting while preserving cell function.
Main Results:
- Genetic engineering can equip MSCs with specialized delivery roles, significantly increasing their therapeutic potential in cancer treatment.
- Engineered MSCs can be designed to overexpress therapeutic proteins, augmenting their inherent anti-cancer properties.
- Optimization of engineering strategies is crucial to maximize therapeutic benefits and minimize functional impairment of MSCs.
Conclusions:
- Engineered MSCs represent a promising strategy to overcome limitations of traditional cancer therapies.
- Further research and optimization are needed to translate the potential of engineered MSCs into effective clinical applications.
- Future directions involve refining engineering techniques to enhance targeting precision and therapeutic payload delivery for improved cancer patient outcomes.
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