Pre‐treatments enhance the therapeutic effects of mesenchymal stem cells in liver diseases

Liver diseases caused by viral infection, alcohol abuse and metabolic disorders can progress to end‐stage liver failure, liver cirrhosis and liver cancer, which are a growing cause of death worldwide. Although liver transplantation and hepatocyte transplantation are useful strategies to promote live...

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Veröffentlicht in:Journal of cellular and molecular medicine 2020-01, Vol.24 (1), p.40-49
Hauptverfasser: Hu, Chenxia, Wu, Zhongwen, Li, Lanjuan
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description Liver diseases caused by viral infection, alcohol abuse and metabolic disorders can progress to end‐stage liver failure, liver cirrhosis and liver cancer, which are a growing cause of death worldwide. Although liver transplantation and hepatocyte transplantation are useful strategies to promote liver regeneration, they are limited by scarce sources of organs and hepatocytes. Mesenchymal stem cells (MSCs) restore liver injury after hepatogenic differentiation and exert immunomodulatory, anti‐inflammatory, antifibrotic, antioxidative stress and antiapoptotic effects on liver cells in vivo. After isolation and culture in vitro, MSCs are faced with nutrient and oxygen deprivation, and external growth factors maintain MSC capacities for further applications. In addition, MSCs are placed in a harsh microenvironment, and anoikis and inflammation after transplantation in vivo significantly decrease their regenerative capacity. Pre‐treatment with chemical agents, hypoxia, an inflammatory microenvironment and gene modification can protect MSCs against injury, and pre‐treated MSCs show improved hepatogenic differentiation, homing capacity, survival and paracrine effects in vitro and in vivo in regard to attenuating liver injury. In this review, we mainly focus on pre‐treatments and the underlying mechanisms for improving the therapeutic effects of MSCs in various liver diseases. Thus, we provide evidence for the development of MSC‐based cell therapy to prevent acute or chronic liver injury. Mesenchymal stem cells have potential as a therapeutic to prolong the survival of patients with end‐stage liver diseases in the near future.
doi_str_mv 10.1111/jcmm.14788
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Although liver transplantation and hepatocyte transplantation are useful strategies to promote liver regeneration, they are limited by scarce sources of organs and hepatocytes. Mesenchymal stem cells (MSCs) restore liver injury after hepatogenic differentiation and exert immunomodulatory, anti‐inflammatory, antifibrotic, antioxidative stress and antiapoptotic effects on liver cells in vivo. After isolation and culture in vitro, MSCs are faced with nutrient and oxygen deprivation, and external growth factors maintain MSC capacities for further applications. In addition, MSCs are placed in a harsh microenvironment, and anoikis and inflammation after transplantation in vivo significantly decrease their regenerative capacity. Pre‐treatment with chemical agents, hypoxia, an inflammatory microenvironment and gene modification can protect MSCs against injury, and pre‐treated MSCs show improved hepatogenic differentiation, homing capacity, survival and paracrine effects in vitro and in vivo in regard to attenuating liver injury. In this review, we mainly focus on pre‐treatments and the underlying mechanisms for improving the therapeutic effects of MSCs in various liver diseases. Thus, we provide evidence for the development of MSC‐based cell therapy to prevent acute or chronic liver injury. 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subjects Abuse
Alcohol abuse
Analgesics
Animals
Anoikis
Anti-Inflammatory Agents - pharmacology
Apoptosis
Bile
Cell culture
Cell Differentiation
Cell Hypoxia
Cell therapy
Chemical agents
Cirrhosis
Collagen
Cytokeratin
Cytokines
Drug abuse
Fibroblasts
gene modification
Genetic modification
Growth factors
Hepatitis
Hepatocytes
Homing
Humans
Hypoxia
Immunomodulation
Inflammation
Kinases
Liver
Liver cancer
Liver cirrhosis
liver disease
Liver diseases
Liver Diseases - pathology
Liver Diseases - therapy
Liver Regeneration
Liver transplantation
Medical prognosis
mesenchymal stem cell
Mesenchymal Stem Cell Transplantation - methods
Mesenchymal stem cells
Mesenchymal Stem Cells - cytology
Mesenchymal Stem Cells - drug effects
Mesenchyme
Metabolic disorders
Metabolism
Metastasis
Microenvironments
Organs
Oxidative stress
Paracrine signalling
pre‐treatment
Proteins
Review
Reviews
Stem cells
Surgical outcomes
Survival
Transplantation
Transplantation Conditioning
Tumor necrosis factor-TNF
title Pre‐treatments enhance the therapeutic effects of mesenchymal stem cells in liver diseases
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