Clinical Translation of Mesenchymal Stromal Cell Therapies in Nephrology.

Abstract

Mesenchymal stromal cells have emerged as potential candidates for cell-based therapies to modulate the immune response in organ transplantation and repair tissues after acute or chronic injury. Preclinical studies have shown convincingly in rodent models that mesenchymal stromal cells can prolong solid organ graft survival and that they can induce immune tolerance, accelerate recovery from AKI, and promote functional improvement in chronic nephropathies. Multiple complex properties of the cells, including immunomodulatory, anti-inflammatory, and proregenerative effects, seem to contribute. The promising preclinical studies have encouraged investigators to explore the safety, tolerability, and efficacy of mesenchymal stromal cell-based therapy in pilot clinical trials, including those for bone marrow and solid organ transplantation, autoimmune diseases, and tissue and organ repair. Here, we review the available data on culture-expanded mesenchymal stromal cells tested in renal transplantation, AKI, and CKD. We also briefly discuss the relevant issues that must be addressed to ensure rigorous assessment of the safety and efficacy of mesenchymal stromal cell therapies to allow the translation of this research into the practice of clinical nephrology.

• Authors: Norberto Perico, Federica Casiraghi, Giuseppe Remuzzi
• Journal: Journal of the American Society of Nephrology : JASN (J Am Soc Nephrol) Vol. 29 Issue 2 Pg. 362-375 (02 2018) ISSN: 1533-3450 [Electronic] United States
• PMID: 29191959 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)
• Copyright: Copyright © 2018 by the American Society of Nephrology.

Topics

• Acute Kidney Injury (therapy)
• Animals
• Cell- and Tissue-Based Therapy (adverse effects)
• Diabetic Nephropathies (complications, therapy)
• Graft Survival (immunology)
• Humans
• Kidney Transplantation
• Lupus Nephritis (complications, therapy)
• Mesenchymal Stem Cell Transplantation
• Mesenchymal Stem Cells (immunology)
• Nephrology
• Polycystic Kidney, Autosomal Dominant (therapy)
• Renal Insufficiency, Chronic (etiology, therapy)