Strategies to Potentiate Paracrine Therapeutic Efficacy of Mesenchymal Stem Cells in Inflammatory Diseases

Int J Mol Sci. 2021 Mar 25;22(7):3397. doi: 10.3390/ijms22073397.

Abstract

Mesenchymal stem cells (MSCs) have been developed as cell therapeutics for various immune disorders using their immunoregulatory properties mainly exerted by their paracrine functions. However, variation among cells from different donors, as well as rapid clearance after transplantation have impaired the uniform efficacy of MSCs and limited their application. Recently, several strategies to overcome this limitation have been suggested and proven in pre-clinical settings. Therefore, in this review article, we will update the knowledge on bioengineering strategies to improve the immunomodulatory functions of MSCs, including genetic modification and physical engineering.

Keywords: bioengineering; cell therapeutics; immunomodulation; mesenchymal stem cells.

Publication types

  • Review

MeSH terms

  • Animals
  • Bioengineering
  • Dendritic Cells / metabolism
  • Genetic Engineering
  • Graft vs Host Disease / therapy
  • Humans
  • Immunity
  • Immunomodulation
  • Inflammation / therapy*
  • Inflammatory Bowel Diseases / therapy
  • Killer Cells, Natural / metabolism
  • Lupus Erythematosus, Systemic / therapy
  • Macrophages / metabolism
  • Mesenchymal Stem Cell Transplantation*
  • Mesenchymal Stem Cells / immunology*
  • Multiple Sclerosis / therapy
  • Neutrophils / metabolism
  • Paracrine Communication*