The use of human mesenchymal stem cells (hMSCs) in cell-based therapy has
attracted extensive interest in the field of regenerative medicine, and it shows
applications to numerous incurable diseases. hMSCs show several superior
properties for therapeutic use compared to other types of stem cells. Different
cell types are discussed in terms of their advantages and disadvantages, with
focus on the characteristics of hMSCs. hMSCs can proliferate readily and produce
differentiated cells that can substitute for the targeted affected tissue. To
maximize the therapeutic effects of hMSCs, a substantial number of these cells
are essential, requiring extensive ex vivo cell expansion.
However, hMSCs have a limited lifespan in an in vitro culture
condition. The senescence of hMSCs is a double-edged sword from the viewpoint of
clinical applications. Although their limited cell proliferation potency
protects them from malignant transformation after transplantation, senescence
can alter various cell functions including proliferation, differentiation, and
migration, that are essential for their therapeutic efficacy. Numerous trials to
overcome the limited lifespan of mesenchymal stem cells are discussed.