4.4 Article

Recent advances in the induced pluripotent stem cell-based skin regeneration

期刊

WOUND REPAIR AND REGENERATION
卷 29, 期 5, 页码 697-710

出版社

WILEY
DOI: 10.1111/wrr.12925

关键词

chronic wound healing; induced pluripotent stem cells (iPSCs); regulatory hurdles; skin disease modeling; skin regeneration

资金

  1. Council of Scientific and Industrial Research (CSIR), Ministry of Science & Technology, Government of India [CSIR-IICT MLP0053]
  2. UGC-JRF/SRF

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The review discusses the current treatment strategies for chronic wounds and challenges, as well as the application of iPSC technology in the field of regenerative therapy. It also highlights the advantages of using iPSCs for skin cell generation and skin disease modeling over existing clinical therapies.
Skin regeneration has been a challenging clinical problem especially in cases of chronic wounds such as diabetic foot ulcers, and epidermolysis bullosa-related skin blisters. Prolonged non-healing wounds often lead to bacterial infections increasing the severity of wounds. Current treatment strategies for chronic wounds include debridement of wounds along with antibiotics, growth factors, and stem cell transplantation therapies. However, the compromised nature of autologous stem cells in patients with comorbidities such as diabetes limits the efficacy of the therapy. The discovery of induced pluripotent stem cell (iPSC) technology has immensely influenced the field of regenerative therapy. Enormous efforts have been made to develop integration-free iPSCs suitable for clinical therapies. This review focuses on recent advances in the methods and reprogramming factors for generating iPSCs along with the existing challenges such as genetic alterations, tumorigenicity, immune rejection, and regulatory hurdles for the clinical application of iPSCs. Furthermore, this review also highlights the benefits of using iPSCs for the generation of skin cells and skin disease modeling over the existing clinical therapies for skin regeneration in chronic wounds and skin diseases.

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