Deo Dayanand, Marchioni Misty, Rao Prakash
Personalized Transplant Medicine Institute, 691 Central Avenue, New Providence, NJ 07974, USA.
Pharmaceutics. 2022 Apr 4;14(4):791. doi: 10.3390/pharmaceutics14040791.
Organ transplantation is essential and crucial for saving and enhancing the lives of individuals suffering from end-stage organ failure. Major challenges in the medical field include the shortage of organ donors, high rates of organ rejection, and long wait times. To address the current limitations and shortcomings, cellular therapy approaches have been developed using mesenchymal stem/stromal cells (MSC). MSC have been isolated from various sources, have the ability to differentiate to important cell lineages, have anti-inflammatory and immunomodulatory properties, allow immunosuppressive drug minimization, and induce immune tolerance towards the transplanted organ. Additionally, rapid advances in the fields of tissue engineering and regenerative medicine have emerged that focus on either generating new organs and organ sources or maximizing the availability of existing organs. This review gives an overview of the various properties of MSC that have enabled its use as a cellular therapy for organ preservation and transplant. We also highlight emerging fields of tissue engineering and regenerative medicine along with their multiple sub-disciplines, underlining recent advances, widespread clinical applications, and potential impact on the future of tissue and organ transplantation.
器官移植对于挽救和改善终末期器官衰竭患者的生命至关重要。医学领域的主要挑战包括器官供体短缺、器官排斥率高以及等待时间长。为了应对当前的限制和不足,已经开发了使用间充质干/基质细胞(MSC)的细胞治疗方法。MSC已从各种来源分离出来,具有分化为重要细胞谱系的能力,具有抗炎和免疫调节特性,可减少免疫抑制药物的使用,并诱导对移植器官的免疫耐受。此外,组织工程和再生医学领域迅速发展,重点是生成新的器官和器官来源或最大限度地提高现有器官的可用性。本综述概述了MSC的各种特性,这些特性使其能够用作器官保存和移植的细胞治疗方法。我们还强调了组织工程和再生医学的新兴领域及其多个子学科,强调了最近的进展、广泛的临床应用以及对组织和器官移植未来的潜在影响。