Mesenchymal Stem Cells in Acquired Aplastic Anemia: The Spectrum from Basic to Clinical Utility

Aplastic anemia (AA), a rare but potentially life-threatening disease, is a paradigm of bone marrow failure syndromes characterized by pancytopenia in the peripheral blood and hypocellularity in the bone marrow. The pathophysiology of acquired idiopathic AA is quite complex. Mesenchymal stem cells (...

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Veröffentlicht in:International journal of molecular sciences 2023-02, Vol.24 (5), p.4464
Hauptverfasser: Wang, Xing-An, Li, Ju-Pi, Wu, Kang-Hsi, Yang, Shun-Fa, Chao, Yu-Hua
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creator Wang, Xing-An
Li, Ju-Pi
Wu, Kang-Hsi
Yang, Shun-Fa
Chao, Yu-Hua
description Aplastic anemia (AA), a rare but potentially life-threatening disease, is a paradigm of bone marrow failure syndromes characterized by pancytopenia in the peripheral blood and hypocellularity in the bone marrow. The pathophysiology of acquired idiopathic AA is quite complex. Mesenchymal stem cells (MSCs), an important component of the bone marrow, are crucial in providing the specialized microenvironment for hematopoiesis. MSC dysfunction may result in an insufficient bone marrow and may be associated with the development of AA. In this comprehensive review, we summarized the current understanding about the involvement of MSCs in the pathogenesis of acquired idiopathic AA, along with the clinical application of MSCs for patients with the disease. The pathophysiology of AA, the major properties of MSCs, and results of MSC therapy in preclinical animal models of AA are also described. Several important issues regarding the clinical use of MSCs are discussed finally. With evolving knowledge from basic studies and clinical applications, we anticipate that more patients with the disease can benefit from the therapeutic effects of MSCs in the near future.
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subjects Anemia
Anemia, Aplastic - pathology
Animal models
Animals
Antigens
Aplastic anemia
Apoptosis
Bone marrow
Bone Marrow - pathology
Cell cycle
Clinical outcomes
Cytokines
Cytotoxicity
Disease
Extracellular matrix
Granulocytes
Hematopoiesis
Hemopoiesis
Lymphocytes
Mesenchymal stem cells
Mesenchymal Stem Cells - physiology
Microenvironments
Mutation
Pancytopenia
Pathogenesis
Pathophysiology
Peripheral blood
Review
Stem cells
Tumor necrosis factor-TNF
title Mesenchymal Stem Cells in Acquired Aplastic Anemia: The Spectrum from Basic to Clinical Utility
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