Properties of MSC populations enriched in CD146-expressing MSCs - a systematic review and meta-analysis of in vitro

Christian Behm1, Katharina Schwarz1, Oliwia Miłek1

  • 1Competence Center for Periodontal Research, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria.

Abstract

Insights

Mesenchymal stromal cells (MSCs) enriched for CD146 show higher colony-forming potential and migration but similar population doubling time compared to depleted cells. Heterogeneity limits definitive conclusions on CD146+ MSC characteristics.

Area of Science:

  • Regenerative Medicine
  • Cell Biology
  • Immunology

Background:

  • Mesenchymal stromal cells (MSCs) are key in regenerative medicine and treating inflammatory diseases.
  • MSC therapeutic efficacy is hindered by cellular heterogeneity.
  • Subpopulations, like CD146-expressing MSCs, may offer improved therapeutic outcomes.

Purpose of the Study:

  • To systematically review and explore the basic cellular characteristics of MSC populations with varying CD146 expression levels.
  • To compare CD146-enriched (CD146Enr.) and CD146-depleted (CD146Depl.) MSC subpopulations.

Main Methods:

  • Systematic review of 29 in vitro studies up to September 2024, following PRISMA guidelines.
  • Meta-analysis of population doubling time (PDT) and colony-forming (CF) potential.
  • Risk of bias assessment using modified Samuel et al. criteria.

Main Results:

  • CD146Enr. MSCs showed significantly higher CF potential (p=0.004) and enhanced migration.
  • PDT was slightly higher in CD146Enr. MSCs but not statistically significant (p=0.63).
  • Results for differentiation, proliferation, and immunomodulation were highly variable.

Conclusions:

  • CD146Enr. MSCs exhibit partially enhanced cellular characteristics.
  • Significant heterogeneity across studies limits firm conclusions.
  • Standardized protocols are necessary to evaluate the clinical potential of CD146Enr. MSCs.