Mesenchymal Stem Cells Current Clinical Applications: A Systematic Review

Introduction. Human Mesenchymal Stem Cells (hMSCs) are multipotent stem cells capable of renewing themselves and differentiation in vitro into different kinds of tissues. In vivo hMSCs are sources of trophic factors modulating the immune system and inducing intrinsic stem cells to repair damaged tissues. Currently, there are multiple clinical trials (CT) using hMSCs for therapeutic purposes in a large number of clinical settings. Material and Methods. The search strategy on clinicaltrials.gov has focused on the key term Mesenchymal Stem Cells, and the inclusion and exclusion criteria were separated into two stages. Stage 1, CT on phases 1-4: location, the field of application, phase, and status. For stage 2, CT that have published outcome results: field of application, treatment, intervention model, source, preparation methods, and results. Results. By July 2020, there were a total of 1,138 registered CT. Most studies belong to either phase 2 (61.0%) or phase 1 (30.8%); most of them focused in the fields of traumatology, neurology, cardiology, and immunology. Only 18 clinical trials had published results: the most common source of isolation was bone marrow; the treatment varied from 1-200 M hMSCs; all of them have similar preparation methods; all of them have positive results with no serious adverse effects. Conclusions. There appears to be a broad potential for the clinical use of hMSCs with no reported serious adverse events. There are many trials in progress, their future results will help to explore the therapeutic potential of these promising cellular sources of medicinal signals. (C) 2020 IMSS. Published by Elsevier Inc.

Automated summary

The study found that there is a broad potential for the clinical use of human mesenchymal stem cells (hMSCs) in various fields, with most clinical trials focusing on traumatology, neurology, cardiology, and immunology. Trials that have published results show positive treatment outcomes with no serious adverse effects reported.