Department of Biological Sciences, Oakland University, Rochester, MI, USA.
OU-WB Institute for Stem Cell and Regenerative Medicine, Oakland University, Rochester, MI, USA.
J Tissue Eng Regen Med. 2019 Sep;13(9):1738-1755. doi: 10.1002/term.2914. Epub 2019 Jul 25.
Rapid advances in the isolation of multipotent progenitor cells, routinely called mesenchymal stromal/stem cells (MSCs), from various human tissues and organs have provided impetus to the field of cell therapy and regenerative medicine. The most widely studied sources of MSCs include bone marrow, adipose, muscle, peripheral blood, umbilical cord, placenta, fetal tissue, and amniotic fluid. According to the standard definition of MSCs, these clonal cells adhere to plastic, express cluster of differentiation (CD) markers such as CD73, CD90, and CD105 markers, and can differentiate into adipogenic, chondrogenic, and osteogenic lineages in vitro. However, isolated MSCs have been reported to vary in their potency and self-renewal potential. As a result, the MSCs used for clinical applications often lead to variable or even conflicting results. The lack of uniform characterization methods both in vitro and in vivo also contributes to this confusion. Therefore, the name "MSCs" itself has been increasingly questioned lately. As the use of MSCs is expanding rapidly, there is an increasing need to understand the potential sources and specific potencies of MSCs. This review discusses and compares the characteristics of MSCs and suggests that the variations in their distinctive features are dependent on the source and method of isolation as well as epigenetic changes during maintenance and growth. We also discuss the potential opportunities and challenges of MSC research with the hope to stimulate their use for therapeutic and regenerative medicine.
从各种人体组织和器官中分离出多能祖细胞(通常称为间充质基质/干细胞,MSCs)的技术取得了快速进展,这为细胞治疗和再生医学领域提供了动力。最广泛研究的 MSCs 来源包括骨髓、脂肪、肌肉、外周血、脐带、胎盘、胎儿组织和羊水。根据 MSCs 的标准定义,这些克隆细胞黏附在塑料上,表达分化群(CD)标志物,如 CD73、CD90 和 CD105 标志物,并可在体外分化为脂肪、软骨和成骨谱系。然而,已报道分离的 MSCs 在其效力和自我更新潜力方面存在差异。因此,用于临床应用的 MSCs 常导致结果的可变性甚至冲突。体外和体内缺乏统一的表征方法也促成了这种混乱。因此,最近“MSCs”这个名称本身受到了越来越多的质疑。随着 MSCs 的应用迅速扩展,人们越来越需要了解 MSCs 的潜在来源和特定效力。本文讨论并比较了 MSCs 的特征,并提出它们独特特征的变化取决于来源和分离方法,以及在维持和生长过程中的表观遗传变化。我们还讨论了 MSC 研究的潜在机遇和挑战,希望能刺激其用于治疗和再生医学。
J Tissue Eng Regen Med. 2019-7-25
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