2017
DOI: 10.1186/s13287-017-0576-4
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Role of mesenchymal stem cells, their derived factors, and extracellular vesicles in liver failure

Abstract: Liver failure is a severe clinical syndrome with a poor prognosis. Mesenchymal stem cell (MSC) transplantation has emerged as a new intervention in treating liver failure. It is conventionally recognized that MSCs exert their therapeutic effect mainly through transdifferentiation. Recently, published articles have shown that MSCs work in liver failure by secreting trophic and immunomodulatory factors as well as extracellular vesicles (EVs) before transdifferentiation. In particular,MSC-derived EVs have shown s… Show more

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Cited by 47 publications
(44 citation statements)
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“…Mesenchymal stem/stromal cells (MSCs) are heterogeneous populations capable of multipotential differentiation together with hematopoietic supporting and immunosuppressive properties [9][10][11]. MSCs have been wildly used in preclinical and clinical studies for disease remodeling including acute-on-chronic liver failure, diabetes, Crohn's disease, and acquired AA [9,[12][13][14][15][16]. Generally, as the key component in the microenvironment, MSCs serve as a potential supplementary alternative for refractory AA treatment and have exhibited unexceptionably therapeutic effect mainly through transdifferentiation, immunomodulatory activity, autocrine, and paracrine together with providing an ideal niche [17,18].…”
Section: Introductionmentioning
confidence: 99%
“…Mesenchymal stem/stromal cells (MSCs) are heterogeneous populations capable of multipotential differentiation together with hematopoietic supporting and immunosuppressive properties [9][10][11]. MSCs have been wildly used in preclinical and clinical studies for disease remodeling including acute-on-chronic liver failure, diabetes, Crohn's disease, and acquired AA [9,[12][13][14][15][16]. Generally, as the key component in the microenvironment, MSCs serve as a potential supplementary alternative for refractory AA treatment and have exhibited unexceptionably therapeutic effect mainly through transdifferentiation, immunomodulatory activity, autocrine, and paracrine together with providing an ideal niche [17,18].…”
Section: Introductionmentioning
confidence: 99%
“…Therefore, hUCMSCs have higher utilization value and can be used for mass production [30]. Many published articles have demonstrated MSCs to be therapeutic in liver failure by secretion of trophic and immunomodulatory factors that support hepatocyte function, promote proliferation, inhibit apoptosis, promote angiogenesis, and reverse liver fibrosis before transdifferentiation [31]. They create a microenvironment for tissue regeneration while restraining life-threating cytokine storms and immunocyte infiltration.…”
Section: Discussionmentioning
confidence: 99%
“…The molecular mechanisms underlying these beneficial effects are manifold, but are believed to be derived from paracrine factors affecting apoptosis, immune responses, stellate cell activation, angiogenesis, etc. (as reviewed in [76][77][78]). Moreover, as for BM-HSCs and BMMs, fusion of human MSCs with host liver cells has been suggested [79].…”
Section: Undifferentiated Mesenchymal Stromal Cellsmentioning
confidence: 99%