Mesenchymal Stromal Cell Therapy for Pancreatitis: A Systematic Review

Background. Based on animal studies, adult mesenchymal stromal cells (MSCs) are promising for the treatment of pancreatitis. However, the best type of this form of cell therapy and its mechanism of action remain unclear. Methods. We searched the PubMed, Web of Science, Scopus, Google Scholar, and Cl...

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Veröffentlicht in:Oxidative medicine and cellular longevity 2018-01, Vol.2018 (2018), p.1-14
Hauptverfasser: Abdel-Daim, Mohamed M., Ghoneim, Nehal I., Morsi, Mahmoud, Ahmed, Sara M., El-Badri, Nagwa
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container_end_page 14
container_issue 2018
container_start_page 1
container_title Oxidative medicine and cellular longevity
container_volume 2018
creator Abdel-Daim, Mohamed M.
Ghoneim, Nehal I.
Morsi, Mahmoud
Ahmed, Sara M.
El-Badri, Nagwa
description Background. Based on animal studies, adult mesenchymal stromal cells (MSCs) are promising for the treatment of pancreatitis. However, the best type of this form of cell therapy and its mechanism of action remain unclear. Methods. We searched the PubMed, Web of Science, Scopus, Google Scholar, and Clinical Trials.gov websites for studies using MSCs as a therapy for both acute and chronic pancreatitis published until September 2017. Results. We identified 276 publications; of these publications, 18 met our inclusion criteria. In animal studies, stem cell therapy was applied more frequently for acute pancreatitis than for chronic pancreatitis. No clinical trials were identified. MSC therapy ameliorated pancreatic inflammation in acute pancreatitis and pancreatic fibrosis in chronic pancreatitis. Bone marrow and umbilical cord MSCs were the most frequently administered cell types. Due to the substantial heterogeneity among the studies regarding the type, source, and dose of MSCs used, conducting a meta-analysis was not feasible to determine the best type of MSCs. Conclusion. The available data were insufficient for determining the best type of MSCs for the treatment of acute or chronic pancreatitis; therefore, clinical trials investigating the use of MSCs as therapy for pancreatitis are not warranted.
doi_str_mv 10.1155/2018/3250864
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Based on animal studies, adult mesenchymal stromal cells (MSCs) are promising for the treatment of pancreatitis. However, the best type of this form of cell therapy and its mechanism of action remain unclear. Methods. We searched the PubMed, Web of Science, Scopus, Google Scholar, and Clinical Trials.gov websites for studies using MSCs as a therapy for both acute and chronic pancreatitis published until September 2017. Results. We identified 276 publications; of these publications, 18 met our inclusion criteria. In animal studies, stem cell therapy was applied more frequently for acute pancreatitis than for chronic pancreatitis. No clinical trials were identified. MSC therapy ameliorated pancreatic inflammation in acute pancreatitis and pancreatic fibrosis in chronic pancreatitis. Bone marrow and umbilical cord MSCs were the most frequently administered cell types. Due to the substantial heterogeneity among the studies regarding the type, source, and dose of MSCs used, conducting a meta-analysis was not feasible to determine the best type of MSCs. Conclusion. The available data were insufficient for determining the best type of MSCs for the treatment of acute or chronic pancreatitis; therefore, clinical trials investigating the use of MSCs as therapy for pancreatitis are not warranted.</description><identifier>ISSN: 1942-0900</identifier><identifier>EISSN: 1942-0994</identifier><identifier>DOI: 10.1155/2018/3250864</identifier><identifier>PMID: 29743979</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Analysis ; Angiogenesis ; Animals ; Bone marrow ; Cell growth ; Cell- and Tissue-Based Therapy - methods ; Cytokines ; Disease Models, Animal ; Gene expression ; Humans ; Hypotheses ; Inflammation ; Medical research ; Medicine, Experimental ; Mesenchymal Stem Cells - metabolism ; Mortality ; Pancreatitis ; Pancreatitis, Chronic - genetics ; Pancreatitis, Chronic - metabolism ; Pancreatitis, Chronic - therapy ; Review ; Stem cells ; Studies ; Transplantation ; Tumor necrosis factor-TNF ; Umbilical cord</subject><ispartof>Oxidative medicine and cellular longevity, 2018-01, Vol.2018 (2018), p.1-14</ispartof><rights>Copyright © 2018 Sara M. Ahmed et al.</rights><rights>COPYRIGHT 2018 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2018 Sara M. Ahmed et al.; This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2018 Sara M. 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Based on animal studies, adult mesenchymal stromal cells (MSCs) are promising for the treatment of pancreatitis. However, the best type of this form of cell therapy and its mechanism of action remain unclear. Methods. We searched the PubMed, Web of Science, Scopus, Google Scholar, and Clinical Trials.gov websites for studies using MSCs as a therapy for both acute and chronic pancreatitis published until September 2017. Results. We identified 276 publications; of these publications, 18 met our inclusion criteria. In animal studies, stem cell therapy was applied more frequently for acute pancreatitis than for chronic pancreatitis. No clinical trials were identified. MSC therapy ameliorated pancreatic inflammation in acute pancreatitis and pancreatic fibrosis in chronic pancreatitis. Bone marrow and umbilical cord MSCs were the most frequently administered cell types. 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Based on animal studies, adult mesenchymal stromal cells (MSCs) are promising for the treatment of pancreatitis. However, the best type of this form of cell therapy and its mechanism of action remain unclear. Methods. We searched the PubMed, Web of Science, Scopus, Google Scholar, and Clinical Trials.gov websites for studies using MSCs as a therapy for both acute and chronic pancreatitis published until September 2017. Results. We identified 276 publications; of these publications, 18 met our inclusion criteria. In animal studies, stem cell therapy was applied more frequently for acute pancreatitis than for chronic pancreatitis. No clinical trials were identified. MSC therapy ameliorated pancreatic inflammation in acute pancreatitis and pancreatic fibrosis in chronic pancreatitis. Bone marrow and umbilical cord MSCs were the most frequently administered cell types. Due to the substantial heterogeneity among the studies regarding the type, source, and dose of MSCs used, conducting a meta-analysis was not feasible to determine the best type of MSCs. Conclusion. The available data were insufficient for determining the best type of MSCs for the treatment of acute or chronic pancreatitis; therefore, clinical trials investigating the use of MSCs as therapy for pancreatitis are not warranted.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>29743979</pmid><doi>10.1155/2018/3250864</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-6621-0751</orcidid><orcidid>https://orcid.org/0000-0002-1965-611X</orcidid><orcidid>https://orcid.org/0000-0002-4341-2713</orcidid><oa>free_for_read</oa></addata></record>
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subjects Analysis
Angiogenesis
Animals
Bone marrow
Cell growth
Cell- and Tissue-Based Therapy - methods
Cytokines
Disease Models, Animal
Gene expression
Humans
Hypotheses
Inflammation
Medical research
Medicine, Experimental
Mesenchymal Stem Cells - metabolism
Mortality
Pancreatitis
Pancreatitis, Chronic - genetics
Pancreatitis, Chronic - metabolism
Pancreatitis, Chronic - therapy
Review
Stem cells
Studies
Transplantation
Tumor necrosis factor-TNF
Umbilical cord
title Mesenchymal Stromal Cell Therapy for Pancreatitis: A Systematic Review
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