Mesenchymal Stem Cells in Renal Fibrosis: The Flame of Cytotherapy

Renal fibrosis, as the fundamental pathological process of chronic kidney disease (CKD), is a pathologic extension of the normal wound healing process characterized by endothelium injury, myofibroblast activation, macrophage migration, inflammatory signaling stimulation, matrix deposition, and remod...

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Main Authors: Quan Zhuang, Ruoyu Ma, Yanshuang Yin, Tianhao Lan, Meng Yu, Yingzi Ming
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2019/8387350
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author Quan Zhuang
Ruoyu Ma
Yanshuang Yin
Tianhao Lan
Meng Yu
Yingzi Ming
author_facet Quan Zhuang
Ruoyu Ma
Yanshuang Yin
Tianhao Lan
Meng Yu
Yingzi Ming
author_sort Quan Zhuang
collection DOAJ
description Renal fibrosis, as the fundamental pathological process of chronic kidney disease (CKD), is a pathologic extension of the normal wound healing process characterized by endothelium injury, myofibroblast activation, macrophage migration, inflammatory signaling stimulation, matrix deposition, and remodelling. Yet, the current method of treating renal fibrosis is fairly limited, including angiotensin-converting enzyme inhibition, angiotensin receptor blockade, optimal blood pressure control, and sodium bicarbonate for metabolic acidosis. MSCs are pluripotent adult stem cells that can differentiate into various types of tissue lineages, such as the cartilage (chondrocytes), bone (osteoblasts), fat (adipocytes), and muscle (myocytes). Because of their many advantages like ubiquitous sources, convenient procurement and collection, low immunogenicity, and low adverse effects, with their special identification markers, mesenchymal stem MSC-based therapy is getting more and more attention. Based on the mechanism of renal fibrosis, MSCs mostly participate throughout the renal fibrotic process. According to the latest and overall literature reviews, we aim to elucidate the antifibrotic mechanisms and effects of diverse sources of MSCs on renal fibrosis, assess their efficacy and safety in preliminarily clinical application, answer the controversial questions, and provide novel ideas into the MSC cellular therapy of renal fibrosis.
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institution Kabale University
issn 1687-966X
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publishDate 2019-01-01
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series Stem Cells International
spelling doaj-art-f151d5b2731540569dd05f1240a20d0e2025-02-03T01:24:26ZengWileyStem Cells International1687-966X1687-96782019-01-01201910.1155/2019/83873508387350Mesenchymal Stem Cells in Renal Fibrosis: The Flame of CytotherapyQuan Zhuang0Ruoyu Ma1Yanshuang Yin2Tianhao Lan3Meng Yu4Yingzi Ming5Transplantation Center of The 3rd Xiangya Hospital, Central South University, Changsha, Hunan 410013, ChinaXiangya School of Medicine, Central South University, Changsha, Hunan 410013, ChinaXiangya School of Medicine, Central South University, Changsha, Hunan 410013, ChinaXiangya School of Medicine, Central South University, Changsha, Hunan 410013, ChinaTransplantation Center of The 3rd Xiangya Hospital, Central South University, Changsha, Hunan 410013, ChinaTransplantation Center of The 3rd Xiangya Hospital, Central South University, Changsha, Hunan 410013, ChinaRenal fibrosis, as the fundamental pathological process of chronic kidney disease (CKD), is a pathologic extension of the normal wound healing process characterized by endothelium injury, myofibroblast activation, macrophage migration, inflammatory signaling stimulation, matrix deposition, and remodelling. Yet, the current method of treating renal fibrosis is fairly limited, including angiotensin-converting enzyme inhibition, angiotensin receptor blockade, optimal blood pressure control, and sodium bicarbonate for metabolic acidosis. MSCs are pluripotent adult stem cells that can differentiate into various types of tissue lineages, such as the cartilage (chondrocytes), bone (osteoblasts), fat (adipocytes), and muscle (myocytes). Because of their many advantages like ubiquitous sources, convenient procurement and collection, low immunogenicity, and low adverse effects, with their special identification markers, mesenchymal stem MSC-based therapy is getting more and more attention. Based on the mechanism of renal fibrosis, MSCs mostly participate throughout the renal fibrotic process. According to the latest and overall literature reviews, we aim to elucidate the antifibrotic mechanisms and effects of diverse sources of MSCs on renal fibrosis, assess their efficacy and safety in preliminarily clinical application, answer the controversial questions, and provide novel ideas into the MSC cellular therapy of renal fibrosis.http://dx.doi.org/10.1155/2019/8387350
spellingShingle Quan Zhuang
Ruoyu Ma
Yanshuang Yin
Tianhao Lan
Meng Yu
Yingzi Ming
Mesenchymal Stem Cells in Renal Fibrosis: The Flame of Cytotherapy
Stem Cells International
title Mesenchymal Stem Cells in Renal Fibrosis: The Flame of Cytotherapy
title_full Mesenchymal Stem Cells in Renal Fibrosis: The Flame of Cytotherapy
title_fullStr Mesenchymal Stem Cells in Renal Fibrosis: The Flame of Cytotherapy
title_full_unstemmed Mesenchymal Stem Cells in Renal Fibrosis: The Flame of Cytotherapy
title_short Mesenchymal Stem Cells in Renal Fibrosis: The Flame of Cytotherapy
title_sort mesenchymal stem cells in renal fibrosis the flame of cytotherapy
url http://dx.doi.org/10.1155/2019/8387350
work_keys_str_mv AT quanzhuang mesenchymalstemcellsinrenalfibrosistheflameofcytotherapy
AT ruoyuma mesenchymalstemcellsinrenalfibrosistheflameofcytotherapy
AT yanshuangyin mesenchymalstemcellsinrenalfibrosistheflameofcytotherapy
AT tianhaolan mesenchymalstemcellsinrenalfibrosistheflameofcytotherapy
AT mengyu mesenchymalstemcellsinrenalfibrosistheflameofcytotherapy
AT yingziming mesenchymalstemcellsinrenalfibrosistheflameofcytotherapy