1 Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy.
2 Medical Genetics, University "G. d'Annunzio" of Chieti Pescara, Chieti, Italy.
Cell Transplant. 2018 Jan;27(1):93-116. doi: 10.1177/0963689717724797.
The field of regenerative medicine is moving toward clinical practice in veterinary science. In this context, placenta-derived stem cells isolated from domestic animals have covered a dual role, acting both as therapies for patients and as a valuable cell source for translational models. The biological properties of placenta-derived cells, comparable among mammals, make them attractive candidates for therapeutic approaches. In particular, stemness features, low immunogenicity, immunomodulatory activity, multilineage plasticity, and their successful capacity for long-term engraftment in different host tissues after autotransplantation, allo-transplantation, or xenotransplantation have been demonstrated. Their beneficial regenerative effects in domestic animals have been proven using preclinical studies as well as clinical trials starting to define the mechanisms involved. This is, in particular, for amniotic-derived cells that have been thoroughly studied to date. The regenerative role arises from a mutual tissue-specific cell differentiation and from the paracrine secretion of bioactive molecules that ultimately drive crucial repair processes in host tissues (e.g., anti-inflammatory, antifibrotic, angiogenic, and neurogenic factors). The knowledge acquired so far on the mechanisms of placenta-derived stem cells in animal models represent the proof of concept of their successful use in some therapeutic treatments such as for musculoskeletal disorders. In the next future, legislation in veterinary regenerative medicine will be a key element in order to certify those placenta-derived cell-based protocols that have already demonstrated their safety and efficacy using rigorous approaches and to improve the degree of standardization of cell-based treatments among veterinary clinicians.
再生医学领域正朝着兽医科学的临床实践发展。在这种背景下,从家畜中分离出来的胎盘源性干细胞具有双重作用,既可以作为患者的治疗方法,也可以作为转化模型的宝贵细胞来源。胎盘源性细胞的生物学特性在哺乳动物中具有可比性,这使它们成为治疗方法的有吸引力的候选者。特别是,干细胞特性、低免疫原性、免疫调节活性、多能性以及它们在自体移植、同种异体移植或异种移植后在不同宿主组织中进行长期植入的成功能力已经得到证明。它们在家畜中的有益再生作用已经通过临床前研究以及开始定义相关机制的临床试验得到了证明。这特别是对于迄今为止已经进行了深入研究的羊膜源性细胞。再生作用源于组织特异性细胞分化的相互作用以及生物活性分子的旁分泌分泌,这些分子最终在宿主组织中驱动关键的修复过程(例如,抗炎、抗纤维化、血管生成和神经生成因子)。迄今为止在动物模型中获得的关于胎盘源性干细胞的机制知识代表了它们在一些治疗方法中的成功应用的概念验证,例如用于肌肉骨骼疾病的治疗。在未来,兽医再生医学的立法将是一个关键因素,以便认证那些已经使用严格方法证明其安全性和有效性的基于胎盘源性细胞的方案,并提高兽医临床医生之间基于细胞的治疗的标准化程度。