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Current Progress of Tissue Engineering With Stem Cells in Urology Updated Review in 2025
Kenichi Kobayashi1, Tsunehito Horii1, Akinori Wada1
1The Department of Urology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Summary
Tissue engineering advances regenerative medicine for urology, using stem cells for kidney, bladder, and urethral repair. Challenges like vascularization persist, but clinical translation is nearing reality.
Area of Science:
- Regenerative Medicine
- Urology
- Stem Cell Biology
Background:
- Tissue engineering aims to restore organ structure and function using cells, scaffolds, and factors.
- Stem cell integration has significantly advanced preclinical models for kidney, bladder, and urethral regeneration.
Purpose of the Study:
- To review the progress and challenges of stem cell-based tissue engineering in urology.
- To highlight the potential of pluripotent and multipotent stem cells in organ regeneration.
Main Methods:
- Review of pluripotent stem cells (embryonic stem cells, induced pluripotent stem cells) for kidney organoids.
- Evaluation of multipotent stem cells (mesenchymal stem cells, urine-derived stem cells) for bladder and urethral repair.
- Discussion of challenges including vascularization, functional integration, safety, and scalability.
Main Results:
- Pluripotent stem cells show potential in kidney organoid development.
- Multipotent stem cells demonstrate promise in bladder and urethral repair due to immunomodulatory properties.
- Key challenges for clinical application include vascularization, functional integration, long-term safety, and scalability.
Conclusions:
- Despite challenges in kidney and lower urinary tract regeneration, clinical translation is becoming more feasible.
- Urologists must stay informed and collaborate with basic scientists to guide regenerative strategies.
- Integrating clinical expertise with basic science is crucial for developing effective, patient-specific therapies.
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