Unveiling the immunogenicity of allogeneic mesenchymal stromal cells: Challenges and strategies for enhanced therapeutic efficacy.

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Main Authors: Li, Yuanhui, Jin, Mengting, Guo, Dongyang, Shen, Shuang, Lu, Kaining, Pan, Ruolang, Sun, Li, Zhang, Hongchen, Shao, Jianzhong, Pan, Gang
Format: Artículo científico
Language:en
Published: Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie 2024
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author Li, Yuanhui
Jin, Mengting
Guo, Dongyang
Shen, Shuang
Lu, Kaining
Pan, Ruolang
Sun, Li
Zhang, Hongchen
Shao, Jianzhong
Pan, Gang
author_facet Li, Yuanhui
Jin, Mengting
Guo, Dongyang
Shen, Shuang
Lu, Kaining
Pan, Ruolang
Sun, Li
Zhang, Hongchen
Shao, Jianzhong
Pan, Gang
Li, Yuanhui
Jin, Mengting
Guo, Dongyang
Shen, Shuang
Lu, Kaining
Pan, Ruolang
Sun, Li
Zhang, Hongchen
Shao, Jianzhong
Pan, Gang
collection PubMed - marine biology
contents Unveiling the immunogenicity of allogeneic mesenchymal stromal cells: Challenges and strategies for enhanced therapeutic efficacy. Li, Yuanhui Jin, Mengting Guo, Dongyang Shen, Shuang Lu, Kaining Pan, Ruolang Sun, Li Zhang, Hongchen Shao, Jianzhong Pan, Gang Mesenchymal Stem Cells Humans Mesenchymal Stem Cell Transplantation Animals Transplantation, Homologous Allogeneic Cells Mesenchymal stromal cells (MSCs) exhibit significant potential in the context of cell therapy because of their capacity to perform a range of interconnected functions in damaged tissues, including immune modulation, hematopoietic support, and tissue regeneration. MSCs are hypoimmunogenic because of their diminished expression of major histocompatibility molecules, absence of costimulatory molecules, and presence of coinhibitory molecules. While autologous MSCs reduce the risk of rejection and infection, variability in cell numbers and proliferation limits their potential applications. Conversely, allogeneic MSCs (allo-MSCs) possess broad clinical applications unconstrained by donor physiology. Nonetheless, preclinical and clinical investigations highlight that transplanted allo-MSCs are subject to immune attack from recipients. These cells exhibit anti-inflammatory and proinflammatory phenotypes contingent on the microenvironment. Notably, the proinflammatory phenotype features enhanced immunogenicity and diminished immunosuppression, potentially triggering allogeneic immune reactions that impede long-term clinical efficacy. Consequently, preserving the low immunogenicity of allo-MSCs in vivo and mitigating immune rejection in diverse microenvironments represent crucial challenges for the widespread clinical application of MSCs. In this review, we elucidate the immune regulation of allo-MSCs, specifically focusing on two distinct subgroups, MSC1 and MSC2, that exhibit varying polarization states and immunogenicity. We discuss the factors and underlying mechanisms that induce MSC immunogenicity and polarization, highlighting the crucial role of major histocompatibility complex class I/II molecules in rejection post-transplantation. Additionally, we summarize the immunogenic regulatory targets and applications of allo-MSCs and outline strategies to address challenges in this promising field, aiming to enhance allo-MSC therapeutic efficacy for patients.
format Artículo científico
id pubmed_39405918
institution PubMed
language en
publishDate 2024
publisher Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie
record_format pubmed
spellingShingle Unveiling the immunogenicity of allogeneic mesenchymal stromal cells: Challenges and strategies for enhanced therapeutic efficacy.
Li, Yuanhui
Jin, Mengting
Guo, Dongyang
Shen, Shuang
Lu, Kaining
Pan, Ruolang
Sun, Li
Zhang, Hongchen
Shao, Jianzhong
Pan, Gang
Mesenchymal Stem Cells
Humans
Mesenchymal Stem Cell Transplantation
Animals
Transplantation, Homologous
Allogeneic Cells
Unveiling the immunogenicity of allogeneic mesenchymal stromal cells: Challenges and strategies for enhanced therapeutic efficacy. Li, Yuanhui Jin, Mengting Guo, Dongyang Shen, Shuang Lu, Kaining Pan, Ruolang Sun, Li Zhang, Hongchen Shao, Jianzhong Pan, Gang Mesenchymal Stem Cells Humans Mesenchymal Stem Cell Transplantation Animals Transplantation, Homologous Allogeneic Cells Mesenchymal stromal cells (MSCs) exhibit significant potential in the context of cell therapy because of their capacity to perform a range of interconnected functions in damaged tissues, including immune modulation, hematopoietic support, and tissue regeneration. MSCs are hypoimmunogenic because of their diminished expression of major histocompatibility molecules, absence of costimulatory molecules, and presence of coinhibitory molecules. While autologous MSCs reduce the risk of rejection and infection, variability in cell numbers and proliferation limits their potential applications. Conversely, allogeneic MSCs (allo-MSCs) possess broad clinical applications unconstrained by donor physiology. Nonetheless, preclinical and clinical investigations highlight that transplanted allo-MSCs are subject to immune attack from recipients. These cells exhibit anti-inflammatory and proinflammatory phenotypes contingent on the microenvironment. Notably, the proinflammatory phenotype features enhanced immunogenicity and diminished immunosuppression, potentially triggering allogeneic immune reactions that impede long-term clinical efficacy. Consequently, preserving the low immunogenicity of allo-MSCs in vivo and mitigating immune rejection in diverse microenvironments represent crucial challenges for the widespread clinical application of MSCs. In this review, we elucidate the immune regulation of allo-MSCs, specifically focusing on two distinct subgroups, MSC1 and MSC2, that exhibit varying polarization states and immunogenicity. We discuss the factors and underlying mechanisms that induce MSC immunogenicity and polarization, highlighting the crucial role of major histocompatibility complex class I/II molecules in rejection post-transplantation. Additionally, we summarize the immunogenic regulatory targets and applications of allo-MSCs and outline strategies to address challenges in this promising field, aiming to enhance allo-MSC therapeutic efficacy for patients.
title Unveiling the immunogenicity of allogeneic mesenchymal stromal cells: Challenges and strategies for enhanced therapeutic efficacy.
topic Mesenchymal Stem Cells
Humans
Mesenchymal Stem Cell Transplantation
Animals
Transplantation, Homologous
Allogeneic Cells
url https://pubmed.ncbi.nlm.nih.gov/39405918/