Application of mesenchymal stem cells in liver fibrosis and regeneration

Liver transplantation remains the most effective treatment for end-stage liver disease (ESLD), but it is fraught with challenges such as immunosuppression, high risk and cost, and donor shortage. In recent years, stem cell transplantation has emerged as a promising new strategy for ESLD treatment, w...

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Main Authors: Zhenyu Liu, Junkai Ren, Cheng Qiu, Ying Wang, Tong Zhang
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2024-12-01
Series:Liver Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2542568424000655
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author Zhenyu Liu
Junkai Ren
Cheng Qiu
Ying Wang
Tong Zhang
author_facet Zhenyu Liu
Junkai Ren
Cheng Qiu
Ying Wang
Tong Zhang
author_sort Zhenyu Liu
collection DOAJ
description Liver transplantation remains the most effective treatment for end-stage liver disease (ESLD), but it is fraught with challenges such as immunosuppression, high risk and cost, and donor shortage. In recent years, stem cell transplantation has emerged as a promising new strategy for ESLD treatment, with mesenchymal stem cells (MSCs) gaining significant attention because of their unique properties. MSCs can regulate signaling pathways, including hepatocyte growth factor/c-Met, Wnt/beta (β)-catenin, Notch, transforming growth factor-β1/Smad, interleukin-6/Janus kinase/signal transducer and activator of transcription 3, and phosphatidylinositol 3-kinase/PDK/Akt, thereby influencing the progression of liver fibrosis and regeneration. As a promising stem cell type, MSCs offer numerous advantages in liver disease treatment, including low immunogenicity; ease of acquisition; unlimited proliferative ability; pluripotent differentiation potential; immunomodulatory function; and anti-inflammatory, antifibrotic, and antiapoptotic biological characteristics. This review outlines the mechanisms by which MSCs reverse liver fibrosis and promote liver regeneration. MSCs are crucial in reversing liver fibrosis and repairing liver damage through the secretion of growth factors, regulation of signaling pathways, and modulation of immune responses. MSCs have shown good therapeutic effects in preclinical and clinical studies, providing new strategies for liver disease treatment. However, challenges still exist in the clinical application of MSCs, including low differentiation efficiency and limited sources. This review provides a reference for MSC application in liver disease treatment. With the continuous progress in MSC research, MSCs are expected to achieve breakthroughs in liver disease treatment, thereby improving patient treatment outcomes.
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spelling doaj-art-874f182d94884496ab9266a919f7eebc2025-08-20T02:43:38ZengKeAi Communications Co., Ltd.Liver Research2542-56842024-12-018424625810.1016/j.livres.2024.11.004Application of mesenchymal stem cells in liver fibrosis and regenerationZhenyu Liu0Junkai Ren1Cheng Qiu2Ying Wang3Tong Zhang4Organ Transplantation Clinical Medical Center of Xiamen University, Department of General Surgery, Xiang'an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China; Organ Transplantation Institute of Xiamen University, Xiamen Human Organ Transplantation Quality Control Center, Xiamen Key Laboratory of Regeneration Medicine, Fujian Provincial Key Laboratory of Organ and Tissue Regeneration, School of Medicine, Xiamen University, Xiamen, Fujian, ChinaDepartment of Hepatobiliary Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, ChinaOrgan Transplantation Clinical Medical Center of Xiamen University, Department of General Surgery, Xiang'an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China; Organ Transplantation Institute of Xiamen University, Xiamen Human Organ Transplantation Quality Control Center, Xiamen Key Laboratory of Regeneration Medicine, Fujian Provincial Key Laboratory of Organ and Tissue Regeneration, School of Medicine, Xiamen University, Xiamen, Fujian, ChinaOrgan Transplantation Clinical Medical Center of Xiamen University, Department of General Surgery, Xiang'an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, ChinaOrgan Transplantation Clinical Medical Center of Xiamen University, Department of General Surgery, Xiang'an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China; Organ Transplantation Institute of Xiamen University, Xiamen Human Organ Transplantation Quality Control Center, Xiamen Key Laboratory of Regeneration Medicine, Fujian Provincial Key Laboratory of Organ and Tissue Regeneration, School of Medicine, Xiamen University, Xiamen, Fujian, China; Corresponding author. Organ Transplantation Clinical Medical Center of Xiamen University, Department of General Surgery, Xiang'an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China.Liver transplantation remains the most effective treatment for end-stage liver disease (ESLD), but it is fraught with challenges such as immunosuppression, high risk and cost, and donor shortage. In recent years, stem cell transplantation has emerged as a promising new strategy for ESLD treatment, with mesenchymal stem cells (MSCs) gaining significant attention because of their unique properties. MSCs can regulate signaling pathways, including hepatocyte growth factor/c-Met, Wnt/beta (β)-catenin, Notch, transforming growth factor-β1/Smad, interleukin-6/Janus kinase/signal transducer and activator of transcription 3, and phosphatidylinositol 3-kinase/PDK/Akt, thereby influencing the progression of liver fibrosis and regeneration. As a promising stem cell type, MSCs offer numerous advantages in liver disease treatment, including low immunogenicity; ease of acquisition; unlimited proliferative ability; pluripotent differentiation potential; immunomodulatory function; and anti-inflammatory, antifibrotic, and antiapoptotic biological characteristics. This review outlines the mechanisms by which MSCs reverse liver fibrosis and promote liver regeneration. MSCs are crucial in reversing liver fibrosis and repairing liver damage through the secretion of growth factors, regulation of signaling pathways, and modulation of immune responses. MSCs have shown good therapeutic effects in preclinical and clinical studies, providing new strategies for liver disease treatment. However, challenges still exist in the clinical application of MSCs, including low differentiation efficiency and limited sources. This review provides a reference for MSC application in liver disease treatment. With the continuous progress in MSC research, MSCs are expected to achieve breakthroughs in liver disease treatment, thereby improving patient treatment outcomes.http://www.sciencedirect.com/science/article/pii/S2542568424000655Liver transplantationEnd-stage liver disease (ESLD)Mesenchymal stem cells (MSCs)Liver regenerationLiver fibrosis
spellingShingle Zhenyu Liu
Junkai Ren
Cheng Qiu
Ying Wang
Tong Zhang
Application of mesenchymal stem cells in liver fibrosis and regeneration
Liver Research
Liver transplantation
End-stage liver disease (ESLD)
Mesenchymal stem cells (MSCs)
Liver regeneration
Liver fibrosis
title Application of mesenchymal stem cells in liver fibrosis and regeneration
title_full Application of mesenchymal stem cells in liver fibrosis and regeneration
title_fullStr Application of mesenchymal stem cells in liver fibrosis and regeneration
title_full_unstemmed Application of mesenchymal stem cells in liver fibrosis and regeneration
title_short Application of mesenchymal stem cells in liver fibrosis and regeneration
title_sort application of mesenchymal stem cells in liver fibrosis and regeneration
topic Liver transplantation
End-stage liver disease (ESLD)
Mesenchymal stem cells (MSCs)
Liver regeneration
Liver fibrosis
url http://www.sciencedirect.com/science/article/pii/S2542568424000655
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AT junkairen applicationofmesenchymalstemcellsinliverfibrosisandregeneration
AT chengqiu applicationofmesenchymalstemcellsinliverfibrosisandregeneration
AT yingwang applicationofmesenchymalstemcellsinliverfibrosisandregeneration
AT tongzhang applicationofmesenchymalstemcellsinliverfibrosisandregeneration