2017
DOI: 10.1097/mot.0000000000000452
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Adipose-derived cellular therapies in solid organ and vascularized-composite allotransplantation

Abstract: To date, most reports focus on adipose derived mesenchymal stem cells for immune modulation in transplantation despite their phenotypic plasticity and reliance upon culture expansion. Along with the capacity for immune modulation, the supplemental wound healing and vasculogenic properties of stromal vascular fraction, which are not shared by adipose derived mesenchymal stem cells, hint at the profound therapeutic impact stromal vascular fraction-derived treatments could have on controlling acute allograft reje… Show more

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Cited by 16 publications
(12 citation statements)
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“…ASCs are primarily mesodermal, but some are of neural crest (ectodermal) origin [33], and have the potential to differentiate into at least adipogenic, chondrogenic, and osteogenic cells [1, 2]. Additionally, ASCs have the ability to reduce inflammation, mediated primarily via paracrine effects [6, 7, 9, 34, 35]. Both SVF and ASCs are currently utilised in clinics, but selecting between these two should be based on the particular disease application.…”
Section: Adipose Stromal/stem Cellsmentioning
confidence: 99%
“…ASCs are primarily mesodermal, but some are of neural crest (ectodermal) origin [33], and have the potential to differentiate into at least adipogenic, chondrogenic, and osteogenic cells [1, 2]. Additionally, ASCs have the ability to reduce inflammation, mediated primarily via paracrine effects [6, 7, 9, 34, 35]. Both SVF and ASCs are currently utilised in clinics, but selecting between these two should be based on the particular disease application.…”
Section: Adipose Stromal/stem Cellsmentioning
confidence: 99%
“…However, these methods are expensive, time-consuming, and require specific Good Manufacturing Practice (GMP) facilities. Therefore, it is unlikely that they can be used in the peri-operative setting of a deceased donor KT [ 43 ]. Allogenic non-donor derived ASCs represent an intriguing option as off-the-shelf cellular products.…”
Section: Harvesting Proceduresmentioning
confidence: 99%
“…ASCs-based therapies have already been used to treat autoimmune disorders including systemic sclerosis, Crohn’s disease, systemic lupus erythematosus, and graft-versus-host disease [ 42 ]. Encouraging results have also been observed in pre-clinical and clinical models of renal allograft IRI and rejection [ 43 , 44 ]. However, the relatively small number of studies available and their methodological limitations do not allow conclusions to be drawn regarding ASCs efficacy and safety.…”
Section: Introductionmentioning
confidence: 99%
“…Human adipose-derived mesenchymal stem cells (hAdMSC) are known to have immunomodulatory properties. Their use in allograft transplantations was previously reported [ 63 ]. Interestingly, several animal models have shown promising results using hAdMSC in various autoimmune diseases.…”
Section: Future Perspectivementioning
confidence: 99%