Mesenchymal stromal cells for tolerance induction in organ transplantation

Research output: Contribution to journalReview article

Abstract

The primary challenge in organ transplantation continues to be the need to suppress the host immune system long-term to ensure prolonged allograft survival. Long-term non-specific immunosuppression can, however, result in life-threatening complications. Thus, efforts have been pursued to explore novel strategies that would allow minimization of maintenance immunosuppression, eventually leading to transplant tolerance. In this scenario, bone marrow-derived mesenchymal stromal cells (MSC), given their unique immunomodulatory properties to skew the balance between regulatory and memory T cells, have emerged as potential candidates for cell-based therapy to promote immune tolerance. Here, we review our initial clinical experience with bone marrow-derived MSC in living-donor kidney transplant recipients and provide an overview of the available results of other clinical programs with MSC in kidney and liver transplantation, highlighting hurdles and success of this innovative cell-based therapy.

Original languageEnglish
Pages (from-to)304-313
Number of pages10
JournalHuman Immunology
Volume79
Issue number5
DOIs
Publication statusPublished - May 2018

Keywords

  • Animals
  • Graft Survival/immunology
  • Humans
  • Immunosuppression
  • Immunosuppressive Agents/therapeutic use
  • Kidney Transplantation
  • Liver Transplantation
  • Mesenchymal Stem Cell Transplantation
  • Mesenchymal Stem Cells/cytology
  • T-Lymphocytes, Regulatory/cytology
  • Transplantation Tolerance/immunology

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