Mesenchymal stem cell therapy as a game-changer in liver diseases: review of current clinical trials

Summary Chronic liver diseases, including cirrhosis and liver failure, remain formidable challenges due to their complex progression and limited therapeutic options. Mesenchymal stem cell (MSC) therapy has emerged as a game-changing approach, leveraging its potent immunomodulatory, anti-fibrotic, an...

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Main Authors: Wei-Chen Huang, Yuan-Chi Li, Pin-Xuan Chen, Kevin Sheng-Kai Ma, Li-Tzu Wang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Stem Cell Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13287-024-04127-y
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author Wei-Chen Huang
Yuan-Chi Li
Pin-Xuan Chen
Kevin Sheng-Kai Ma
Li-Tzu Wang
author_facet Wei-Chen Huang
Yuan-Chi Li
Pin-Xuan Chen
Kevin Sheng-Kai Ma
Li-Tzu Wang
author_sort Wei-Chen Huang
collection DOAJ
description Summary Chronic liver diseases, including cirrhosis and liver failure, remain formidable challenges due to their complex progression and limited therapeutic options. Mesenchymal stem cell (MSC) therapy has emerged as a game-changing approach, leveraging its potent immunomodulatory, anti-fibrotic, and regenerative capabilities, along with the ability to transdifferentiate into hepatocytes. This review delves into the latest advances in MSC-based treatments for chronic and end-stage liver diseases, as highlighted in current clinical trials. MSCs derived from bone marrow and umbilical cord have shown remarkable promise in reversing liver damage, improving liver function, and providing hope for patients who do not respond to conventional therapies. When administered through hepatic, portal, or peripheral veins, MSCs have significantly improved liver histology, reduced fibrosis, and restored functional capacity. Furthermore, MSC-derived materials, such as extracellular vesicles and exosomes, are emerging as cutting-edge tools for treating liver failure and mitigating post-transplant complications. While autologous MSC-derived hepatocytes hold promise for non-fatal cirrhosis, allogeneic MSCs are being applied in more severe conditions, including liver failure and transplantation cases. Despite these promising early outcomes, larger trials and long-term studies are essential to fully harness MSCs as a transformative, off-the-shelf alternative to liver transplantation, heralding a new era in regenerative liver therapies.
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publishDate 2025-01-01
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series Stem Cell Research & Therapy
spelling doaj-art-73520afe2a9d4aa2bc075603da1a56532025-01-12T12:10:21ZengBMCStem Cell Research & Therapy1757-65122025-01-0116111710.1186/s13287-024-04127-yMesenchymal stem cell therapy as a game-changer in liver diseases: review of current clinical trialsWei-Chen Huang0Yuan-Chi Li1Pin-Xuan Chen2Kevin Sheng-Kai Ma3Li-Tzu Wang4Division of Gastroenterology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical CenterSchool of Medical Laboratory Science and Biotechnology, College of Medical Science and Technology, Taipei Medical UniversitySchool of Medical Laboratory Science and Biotechnology, College of Medical Science and Technology, Taipei Medical UniversityCenter for Global Health, Perelman School of Medicine, University of PennsylvaniaSchool of Medical Laboratory Science and Biotechnology, College of Medical Science and Technology, Taipei Medical UniversitySummary Chronic liver diseases, including cirrhosis and liver failure, remain formidable challenges due to their complex progression and limited therapeutic options. Mesenchymal stem cell (MSC) therapy has emerged as a game-changing approach, leveraging its potent immunomodulatory, anti-fibrotic, and regenerative capabilities, along with the ability to transdifferentiate into hepatocytes. This review delves into the latest advances in MSC-based treatments for chronic and end-stage liver diseases, as highlighted in current clinical trials. MSCs derived from bone marrow and umbilical cord have shown remarkable promise in reversing liver damage, improving liver function, and providing hope for patients who do not respond to conventional therapies. When administered through hepatic, portal, or peripheral veins, MSCs have significantly improved liver histology, reduced fibrosis, and restored functional capacity. Furthermore, MSC-derived materials, such as extracellular vesicles and exosomes, are emerging as cutting-edge tools for treating liver failure and mitigating post-transplant complications. While autologous MSC-derived hepatocytes hold promise for non-fatal cirrhosis, allogeneic MSCs are being applied in more severe conditions, including liver failure and transplantation cases. Despite these promising early outcomes, larger trials and long-term studies are essential to fully harness MSCs as a transformative, off-the-shelf alternative to liver transplantation, heralding a new era in regenerative liver therapies.https://doi.org/10.1186/s13287-024-04127-yMesenchymal stem cells (MSCs)ImmunomodulationAnti-fibrosisTransdifferentiationLiver cirrhosisEnd-stage liver diseases
spellingShingle Wei-Chen Huang
Yuan-Chi Li
Pin-Xuan Chen
Kevin Sheng-Kai Ma
Li-Tzu Wang
Mesenchymal stem cell therapy as a game-changer in liver diseases: review of current clinical trials
Stem Cell Research & Therapy
Mesenchymal stem cells (MSCs)
Immunomodulation
Anti-fibrosis
Transdifferentiation
Liver cirrhosis
End-stage liver diseases
title Mesenchymal stem cell therapy as a game-changer in liver diseases: review of current clinical trials
title_full Mesenchymal stem cell therapy as a game-changer in liver diseases: review of current clinical trials
title_fullStr Mesenchymal stem cell therapy as a game-changer in liver diseases: review of current clinical trials
title_full_unstemmed Mesenchymal stem cell therapy as a game-changer in liver diseases: review of current clinical trials
title_short Mesenchymal stem cell therapy as a game-changer in liver diseases: review of current clinical trials
title_sort mesenchymal stem cell therapy as a game changer in liver diseases review of current clinical trials
topic Mesenchymal stem cells (MSCs)
Immunomodulation
Anti-fibrosis
Transdifferentiation
Liver cirrhosis
End-stage liver diseases
url https://doi.org/10.1186/s13287-024-04127-y
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