51. Preconditioning strategies for improving the survival rate and paracrine ability of mesenchymal stem cells in acute kidney injury
- Author
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Lingfei Zhao, Hua Jiang, Ping Zhang, Chenxia Hu, and Jianghua Chen
- Subjects
Graft Rejection ,0301 basic medicine ,Oncology ,medicine.medical_specialty ,Cell Survival ,preconditioning strategy ,medicine.medical_treatment ,Cell Culture Techniques ,Reviews ,Review ,Mesenchymal Stem Cell Transplantation ,Regenerative medicine ,03 medical and health sciences ,Paracrine signalling ,0302 clinical medicine ,Internal medicine ,Paracrine Communication ,medicine ,Animals ,Humans ,Survival rate ,Dialysis ,Gene Editing ,Clinical Trials as Topic ,mesenchymal stem cells ,business.industry ,Graft Survival ,Mesenchymal stem cell ,Acute kidney injury ,Hydrogels ,Cell Biology ,Acute Kidney Injury ,medicine.disease ,Cell Hypoxia ,Transplantation ,Clinical trial ,030104 developmental biology ,030220 oncology & carcinogenesis ,Cytokines ,Intercellular Signaling Peptides and Proteins ,Molecular Medicine ,business ,survival and paracrine ability - Abstract
Acute kidney injury (AKI) is a common, severe emergency case in clinics, with high incidence, significant mortality and increased costs. Despite development in the understanding of its pathophysiology, the therapeutic choices are still confined to dialysis and renal transplantation. Considering their antiapoptotic, immunomodulatory, antioxidative and pro‐angiogenic effects, mesenchymal stem cells (MSCs) may be a promising candidate for AKI management. Based on these findings, some clinical trials have been performed, but the results are contradictory (NCT00733876, NCT01602328). The low engraftment, poor survival rate, impaired paracrine ability and delayed administration of MSCs are the four main reasons for the limited clinical efficacy. Investigators have developed a series of preconditioning strategies to improve MSC survival rates and paracrine ability. In this review, by summarizing these encouraging studies, we intend to provide a comprehensive understanding of various preconditioning strategies on AKI therapy and improve the prognosis of AKI patients by regenerative medicine.
- Published
- 2018
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