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Stem Cell Therapy: Overview, Benefits & Risks (2024)

This article defines and reviews the potential of stem cell therapy as a promising treatment option for various medical conditions. It also discusses and defines stem cells and their importance in the field of regenerative medicine.

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Stem Cell Therapy: Overview, Benefits & Risks (2024)

Louis A. Cona, MD
Updated on
Feb 21, 2024

This article defines and reviews the potential of stem cell therapy as a promising treatment option for various medical conditions. It also discusses and defines stem cells and their importance in the field of regenerative medicine.

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Stem cell therapy represents a groundbreaking shift in medical treatment, utilizing the body's own cells for repairing and regenerating damaged tissues.

This innovative approach is at the forefront of medical research, aiming to drastically enhance patient health outcomes through its potential in regenerative medicine.

Our focus delves into the ongoing studies evaluating its safety and effectiveness, heralding a new era in treating various conditions.

What is Stem Cell Therapy?

Stem cell therapy, a pioneering approach in regenerative medicine, leverages the unique ability of stem cells to repair and regenerate diverse tissues in the body. Regeneration occurs through immune regulation and inflammation reduction.

Mesenchymal stem cells (MSCs), a type of adult stem cell, stand out for their versatility and fewer ethical concerns compared to embryonic or fetal stem cells. Extracted from various tissues like bone, tendon, skin, and umbilical cord, MSCs can differentiate into multiple tissue types, including muscle, bone, and cartilage.

Stem Cell therapy has shown promising results in treating a range of conditions, from Multiple Sclerosis, Parkinson's Disease, Crohn's Disease and heart diseases like myocardial infarction and heart failure, to the potential management of osteoarthritis.

While new stem cell therapies don't necessarily cure these conditions, the premise is to allow the body to heal itself well enough to mitigate the symptoms of the requirements for long periods. In many cases, this effect can substantially increase the quality of life for patients as well as delay disease progression.

Stem Cell Therapy
Figure 1 - Artists depiction of mesenchymal stem cells

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What is a Stem Cell?

A stem cell is a unique type of cell with the ability to self-renew and differentiate into various specialized cell types. These cells are found in different tissues and play a crucial role in the body's repair and regeneration processes.

For instance, in the vascular cambium of plants, cells with a xylem identity direct adjacent vascular cambial cells to function as stem cells.

In the field of regenerative medicine, stem cells hold significant potential. For example, insulin-secreting β-cells differentiated from human pluripotent stem cells could potentially be used as a cell therapy for treating insulin-dependent diabetes. However, stem cells can also be susceptible to immune responses, which can lead to their damage or death.

stem cell studies published worldwide
Figure 2 - Stem Cell Studies Published Worldwide

What Does Stem Cell Therapy Do?

Stem cell therapy, a type of regenerative medicine, utilizes stem cells or their derivatives to stimulate the body's own healing processes and repair damaged, diseased or injured tissue.

This approach represents a promising new frontier in the field of transplantation, as it harnesses the power of cells rather than relying on limited supplies of donor organs.

How Does Stem Cell Therapy Work?

Stem cell therapy works by utilizing the self-renewal, immunomodulatory, anti-inflammatory, signaling, and differentiation properties of stem cells to influence positive change within the body.

Mesenchymal stem cells (MSCs) also have the capacity to self-renew by dividing and developing into multiple specialized cell types present in a specific tissue or organ.  Mesenchymal stem cells are adult stem cells, meaning they present no ethical concerns, MSCs are not sourced from embryonic material.

The characteristics of presenting no major ethical concerns, having low immunogenicity, and possessing immune modulation functions make MSCs promising candidates for stem cell therapies. - Jiang, et al. (10)

How are Stem Cells Administered?

Stem cells can be administered in a variety of fashions; IV Stem Cell Therapy (intravenous administration), Intrathecal (directly into the spinal canal), stem cell injections into problem areas (knee, hips, hands, etc.).

Stem cell research has found that the method of administration can have different effects on a patient and should be thoroughly considered prior to selecting a route.

Stem Cell IV Therapy

Stem Cell Intravenous infusions, involve administering substances directly into a patient's bloodstream. In the context of mesenchymal stem cells (MSCs), this process becomes a pivotal component of innovative therapy for conditions like Multiple Sclerosis (MS).

The infusion delivers MSCs, known for their regenerative and immunomodulatory properties, directly to the patient. This approach is tailored to leverage the unique capabilities of MSCs, such as repairing damaged neural tissues and modulating the immune system, aiming for therapeutic effects beyond what traditional medications provide.

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Stem Cell Injections

Stem cell injections, a form of regenerative medicine, utilize the unique properties of stem cells to repair damaged or diseased tissues in the body. These injections have been successfully applied in the treatment of various medical conditions, including autoimmune, inflammatory, and neurological disorders.

The potential of stem cells therapy lies in its ability to harness the regenerative capabilities of stem cells, reducing inflammation and modulating the immune system, which may ultimately enhance the patient's quality of life and slow disease progression. While research continues to explore the full potential of stem cell injections, early clinical results indicate a promising future for this innovative treatment option in the field of regenerative medicine.

List of Diseases Treated by Stem Cells

Stem cell research is a rapidly evolving field with the potential to revolutionize the treatment of many diseases. The potential applications of stem cells span a wide range of medical conditions. The following list of diseases treated with stem cells is based on peer-reviewed data from sources such as the National Library of Medicine (www.ncbi.nlm.nih.gov), which provide an overview of diseases and conditions that have been treated with stem cell therapies:

  1. Leukemia and Lymphoma
  2. Sickle Cell Anemia
  3. Parkinson's Disease
  4. Spinal Cord Injuries
  5. Type 1 Diabetes
  6. Heart Disease
  7. Stroke
  8. Burns
  9. Rheumatoid Arthritis
  10. Multiple Sclerosis
  11. ALS (Amyotrophic Lateral Sclerosis)
  12. Alzheimer's Disease
  13. Cystic Fibrosis
  14. End-Stage Liver Disease
  15. Chronic Inflammatory Systemic Diseases
  16. Ischemic Diseases
  17. Skin Diseases
  18. Degenerative Diseases
  19. Decompensated Cirrhosis and Fulminant Liver Failure
  20. Aplastic Anemia
  21. Paroxysmal Nocturnal Hemoglobinuria
  22. Fanconi Anemia
  23. Pure Red Cell Aplasia
  24. Hurler Syndrome
  25. Adrenoleukodystrophy
  26. Metachromatic Leukodystrophy
  27. Gaucher Disease
  28. Severe Combined Immunodeficiency
  29. Wiskott-Aldrich Syndrome
  30. Chronic Granulomatous Disease
  31. Systemic Lupus Erythematosus
  32. Sjögren's Syndrome
  33. Systemic Sclerosis
  34. Spinal Muscular Atrophy
  35. Traumatic Brain Injury
  36. Ischemic Heart Disease
  37. Dilated Cardiomyopathy
  38. Congestive Heart Failure
  39. Peripheral Arterial Disease
  40. Type 2 Diabetes Mellitus
  41. Liver Cirrhosis
  42. Acute Liver Failure
  43. Chronic Kidney Disease
  44. Acute Kidney Injury
  45. Chronic Obstructive Pulmonary Disease
  46. Idiopathic Pulmonary Fibrosis
  47. Osteoarthritis
  48. Cartilage Defects
  49. Osteogenesis Imperfecta
  50. Bone Fractures and Nonunions
  51. Crohn's Disease
  52. Ulcerative Colitis
  53. Graft-versus-Host Disease
  54. Severe Burns
  55. Epidermolysis Bullosa
  56. Age-Related Macular Degeneration
  57. Retinitis Pigmentosa
  58. Corneal Diseases

Stem cell therapy, a rapidly evolving field within regenerative medicine, has shown promising results in treating various diseases and medical conditions. Various types of stem cells, including hematopoietic stem cells, mesenchymal stem cells, and induced pluripotent stem cells, have been utilized in clinical trials and treatments.

What Can Stem Cells Be Used For?

Stem cells, characterized by their self-renewal capacity and ability to differentiate into various cell types, hold immense potential in the field of regenerative medicine and medical research. Applications of stem cells can be broadly categorized into the following areas:

  1. Tissue regeneration and repair: Stem cells can be used to replace damaged or lost cells due to injury, disease, or aging. By differentiating into specialized cells, they facilitate the restoration of function in affected tissues or organs. Examples include repairing damaged heart tissue after a heart attack, regenerating cartilage in osteoarthritis, and treating spinal cord injuries.
  2. Drug discovery and testing: Stem cells can be utilized to create in vitro models of human tissues, enabling researchers to test the safety and efficacy of new drugs and therapies. This approach reduces the need for animal testing and provides more accurate insights into potential drug interactions with human cells.
  3. Disease modeling: Stem cells can be used to generate disease-specific cell lines, enabling researchers to study disease progression and identify potential therapeutic targets. This approach aids in understanding the underlying mechanisms of various genetic, neurological, and degenerative disorders.
  4. Gene therapy and genetic editing: Stem cells can be genetically modified to correct mutations responsible for inherited diseases. Techniques such as CRISPR-Cas9 allow researchers to edit specific genes in stem cells, which can then be reintroduced into the patient's body to restore normal cellular function.
  5. Immunotherapy: Stem cells can play a role in modulating the immune system, making them valuable in treating autoimmune diseases and preventing transplant rejection. Mesenchymal stem cells, in particular, have demonstrated immune-modulatory and anti-inflammatory properties, which can be harnessed for therapeutic purposes in conditions such as multiple sclerosis, rheumatoid arthritis, and graft-versus-host disease.
  6. Personalized medicine: Stem cells can be used to develop patient-specific therapies, tailoring treatments to an individual's unique genetic makeup and disease progression.

It is essential to note that stem cell research and therapy are still evolving fields, with many potential applications in the early stages of development or undergoing clinical trials. Continuous research and advancements in stem cell technology will pave the way for new therapeutic approaches, improving the treatment outcomes and quality of life for patients with various medical conditions.

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The Use of Adult Stem Cells in Modern Medical Treatments

Mesenchymal stem cells (MSCs) are a type of adult stem cell in many body tissues, including bone marrow, fat tissue, and muscle. MSCs can differentiate into bone, cartilage, and fat cells.

MSCs have shown promise as a regenerative therapy for various diseases and conditions. In preclinical and clinical studies, MSCs have been shown to have anti-inflammatory and immune-modulatory effects invoking a positive immune response. They have been used to treat human diseases, including autoimmune diseases, degenerative neurological conditions, spinal cord injuries, joint pain, and other diseases affecting the human condition.

One of the key benefits of using MSCs for stemcell therapy is that they can be easily obtained from various sources and expanded in the laboratory. MSCs also have a low risk of immune rejection, as they are less immunogenic than other stem cells.

Overall, using MSCs for stem cell therapy holds great promise for treating various diseases and conditions. While more research is needed to fully understand these cells' potential and develop safe and effective treatments using MSCs, early results are encouraging. MSCs have the potential to be a valuable tool in the field of regenerative medicine.

stem cell therapy
Figure 3 - The Power of Regenerative Medicine

The Power of Regenerative Medicine

Regenerative medicine is a multidisciplinary field involving replacing, repairing, or regenerating impaired body organs, tissues, and cells. It is a cell-based therapy that consists of the injection of stem or progenitor cells and the induction of generation by biologically active molecules.  

The goal of the transplanted cells is to mitigate the effects of human disease by reducing symptoms and stabilizing a medical condition.

Each adult body cell has regenerative properties which can be reprogrammed to repair or replace tissue or organ function lost due to age, disease, damage, or genetic effects.

Regenerative medicine has the potential to revolutionize how we treat disease, and treatments are being performed right now that utilize these principles. These treatments involve using the body's natural ability to heal itself in many ways, such as repairing cuts in the skin and mending broken bones.

Stem cells target inflammation

The therapeutic uses of stem cells as a potential therapy for a variety of diseases has been immensely explored, the number of clinical trials conducted with Mesenchymal Stem Cells has increased exponentially over the past few years. (4)

Stem cells have a unique, intrinsic property that attracts them to inflammation in the body. Studies have shown that stem cell treatments can regenerate damaged or diseased tissues, reduce inflammation and modulate the immune system promoting better health and quality of life. Mesenchymal stem cells do this by influencing tissue repair via paracrine effects (cell signaling in order to change the behaviour of existing cells) or direct cell-to-cell contact.

"MSCs are able to migrate and seed specifically into damaged tissue sites, where they can differentiate into functional cells to replace damaged or diseased cells" (4)

stem cell diagram
Diagram showing the mechanisms of mscs

Stem cell based research conducted by Mao F. et al. found that Mesenchymal stem cells derived from umbilical cord tissue (MSCs) facilitate tissue regeneration through mechanisms involving self-renewal and differentiation, supporting angiogenesis and tissue cell survival, and limiting inflammation." (3) 

Where do stem cells come from?

Stem cells can be obtained from a variety of sources including; umbilical cord tissue, umbilical cord blood, bone marrow, adipose (fat) tissue, placental tissue, dental pulp, and embryos. There are two main types of stem cells: embryonic stem cells, which come from embryos, and adult stem cells, which come from fully developed tissues such as the brain, skin, umbilical cord tissue and bone marrow.

A third type of human engineered stem cell (Induced pluripotent stem cells) are adult stem cells that have been changed in a lab to be more like embryonic stem cells. There are several different types of stem cells, including:

  1. Embryonic stem cells (ESCs)
  2. Adult stem cells (ASCs)
  3. Induced pluripotent stem cells (iPSCs)

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1. Embryonic Stem Cells (Pluripotent stem cells)

An embryonic stem cell (ESC) is a type of stem cell derived from the inner cell mass of a blastocyst, which is a very early stage of development in the embryo. Embryonic stem cells are located in the inner cell mass and are referred to as totipotent cells by scientists.  Human embryonic stem cells can differentiate into any cell type in the body and potentially be used for various medical purposes, including tissue repair and regenerative medicine.

Embryonic stem cells are often called human pluripotent stem cells, which can produce many different cell types. This is in contrast to "multipotent" stem cells, which can only differentiate into a limited number of cell types.  Pluripotent stem cells are unspecialized and do not possess the specific characteristics (such as shape or gene expression pattern) that enable them to perform specialized functions in specific tissues.

Embryonic stem cells are typically grown in the laboratory as "stem cell lines," which are cultures of human cells that can be maintained and expanded to increase the total amount of pluripotent stem cells. Several lines of human embryonic stem cells have been established and used for research purposes.

Controversy surrounding embryonic stem cells

The use of embryonic stem cells is a controversial topic, as the destruction of an embryo is required to obtain them. This has raised ethical concerns, and laws and guidelines in many countries regulate the use of embryonic stem cells. Despite these controversies, research on embryonic stem cells has led to a better understanding of cell differentiation. Embryonic stem cells have the potential to be used to develop new treatments for a variety of diseases and conditions.

stem cell treatment
Figure 4 - Artists depiction of embryonic stem cells

Mouse embryonic stem cell study shows unique differentiated cell types

One study that used mouse embryonic stem cells (mESCs) was published in the journal Nature in 2002. In this study, the authors demonstrated that mESCs could be used to generate functional neurons in culture.

To generate the neurons, the researchers treated embryonic stem cells with a combination of growth factors and other signaling molecules that induced the cells to differentiate into neurons. The resulting neurons were able to form functional synapses, or connections, with other neurons and responded to stimuli in a manner similar to neurons in the developing brain.

This study demonstrated that embryonic stem cells have the potential to differentiate into functional neurons, which raises the possibility that embryonic stem cells could be used to study the development of the nervous system and to potentially develop therapies for neurological disorders.

It is important to note that this study was conducted in the laboratory and that more research is needed to fully understand the potential of embryonic stem cells and to develop safe and effective therapies using these cells.

Can you use embryonic stem cells in a clinical setting?

While embryonic stem cells have shown great promise in laboratory studies and animal models, they have not yet been used extensively in treatments for humans. This is because there are a number of ethical and technical challenges that need to be addressed before they can be used more widely.

One of the main ethical concerns surrounding the use of embryonic stem cells is that they are derived from human embryos, which raises questions about the moral status of the embryos. Additionally, the process of obtaining embryonic stem cells requires the destruction of the embryo, which is opposed by some people on moral or religious grounds.

There are also technical challenges that need to be overcome before embryonic stem cells can be used more widely in treatments. For example, scientists need to develop ways to control the differentiation of embryonic stem cells into specific cell types, and they need to find ways to prevent the cells from forming cancer cells when they are transplanted into the body.

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2. Adult Stem Cells

Adult stem cells are undifferentiated cells found in various tissues throughout the body and can differentiate into different cell types. These cells play a crucial role in maintaining the tissue in which they are found and have the potential to be used for tissue repair and regenerative medicine.

Stem cell research has found that adult stem cells are found in fully developed tissues and organs, unlike embryonic stem cells, which are derived from the inner cell mass of a blastocyst. Adult stem cells have a more limited ability to differentiate than embryonic stem cells, and they are typically referred to as "multipotent" rather than "pluripotent."

There are several different types of adult stem cells, including hematopoietic stem cells, which give rise to blood cells, and mesenchymal stem cells, which can differentiate into cells of the bone, cartilage, and fat.  Hematopoietic stem cells also known as perinatal stem cells can also be derived from umbilical cord blood cells - this type of stem cell must be HLA matched to the patient to avoid immune rejection.

Adult cells have been vastly studied

Adult stem cells, also known as somatic stem cells, have been the subject of much scientific research and have the potential to be used to treat a wide range of diseases and conditions, including Diabetes, Parkinson's Disease, spinal cord injury, and chronic inflammation, and even help slow the overall aging process.

It is important to note that using adult stem cells is still an active research area. More studies are needed to fully understand these cells' potential and develop safe and effective therapies using adult stem cells.

Stem cells may repair tissues through a process called differentiation

Adult stem cells are found in various tissues throughout the body, including fat cells, umbilical cord tissue, and bone marrow. Mature stem cells can differentiate into a variety of cell types, including; skin cells, muscle cells, brain cells, heart muscle cells, nerve cells, heart cells, and adult tissues.

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mesenchymal stem cells
Figure 5 - Mesenchymal Stem Cells

Mesenchymal Stem Cells?

MSCs are adult stem cells that have self-renewal, immunomodulatory, anti-inflammatory, signaling, cell division, and differentiation properties. MSCs self-renewal capacity is characterized by their ability to divide and develop into multiple specialized cell types in a specific tissue or organ.  

MSCs may become unique stem cell types and create more stem cells when placed in cell culture and undergo Vitro fertilization.  (Vitro fertilization can help grow stem cells in a laboratory setting.   MSCs can also replace cells that are damaged or diseased.  

MSCs can be sourced from a variety of tissue, including adipose tissue (fat), bone marrow, umbilical cord tissue, blood, liver, dental pulp, and skin.  

Where do mesenchymal stem cells come from?

Mesenchymal Stem cells can be obtained from many different sources. Stem cell research indicates that these include adipose (fat tissue), umbilical cord tissue, placental tissue, umbilical cord blood, or bone marrow. You can learn more about specific sources of mesenchymal stem cells and stem cell treatments here.

Mesenchymal stem cells are adult stem cells that have self-renewal, immunomodulatory, anti-inflammatory, signaling, and differentiation properties.  Mesenchymal stem cells (MSCs) self-renewal capacity is characterized by their ability to divide and develop into multiple specialized cell types in a specific tissue or organ.

Mesenchymal stem cells (MSCs) can be sourced from a variety of tissue, including adipose tissue (fat), bone marrow, umbilical cord tissue, blood, liver, dental pulp, and skin.

MSCs can become neural stem cells

MSCs can differentiate into tissue-specific stem cells, including cells of the bone, cartilage, heart muscle cells, brain cells, and adipose tissue. While MSCs are not typically thought of as neural cells, some studies have shown that MSCs can differentiate into cells with neural characteristics under certain conditions.

One study found that MSCs treated with specific growth factors and exposed to a neural induction medium could differentiate into cells with characteristics of both neurons and glial cells, which are types of cells that support and protect neurons in the nervous system.

However, the degree to which MSCs can differentiate into fully functional neural cells remains uncertain. More research is needed to fully understand the potential of MSCs to differentiate into neural cells and the potential use of MSCs in treating neural disorders.

Clinical trials and MSCs

MSCs are widely used in treating various diseases due to their self-renewable, differentiation, anti-inflammatory, and immunomodulatory properties. In-vitro (performed in a laboratory setting) and in-vivo (taking place in a living organism) studies have supported an understanding of the mechanisms, safety, and efficacy of MSC therapy in clinical applications. (3)

According to a recent study conducted by Biehl et al., “The two defining characteristics of a stem cell are perpetual self-renewal and the ability to differentiate into a specialized adult cell type.” (1)

Differentiation (Becoming new cell types)

A stem cell can become many different cells and tissues in the human body. The process of stem cells maturing into new types of cells is called differentiation. This process is the most critical aspect of stem cell treatments, as the cells become the type of cells required for one’s body to heal. 

Stem cells are also self-replicating; this ability allows the cells to multiply into identical copies of themselves.  For example, if stem cells were used to treat a neurological injury, cells administered during treatment could become nerve cells, and then replicate to create exponentially more nerve cells on their own.

This ability to duplicate drastically increases the effectiveness of stem cell treatments over time.

mesenchymal stem cell dvc stem
Figure 6 - Artists depiction of the process of differentiation

Differentiation (becoming new types of cells)

Mesenchymal stem cells are multipotent stem cells that can self-renew and differentiate into different cell types. In other words, mesenchymal stem cells can become a variety of different cell types including; adipose tissue, cartilage, muscle, tendon/ligament, bone, neurons, and hepatocytes (8)

According to stem cell research conducted in 2016 by Almalki et al. -  "The differentiation of MSCs into specific mature cell types is controlled by various cytokines, growth factors, extracellular matrix molecules, and transcription factors (TFs). (8)

Mesenchymal stem cells contribute to tissue regeneration and differentiation, including the maintenance of homeostasis and function, adaptation to altered metabolic or environmental requirements, and the repair of damaged tissue. (9)

3. Induced pluripotent stem cells

Induced pluripotent stem cells (iPSCs) have been genetically reprogrammed to have characteristics of embryonic stem cells. They are generated by introducing specific genes into adult cells, such as skin cells, using viral vectors or other methods. The resulting cells, known as iPSCs, can self-renew and differentiate into any cell type in the body, similar to embryonic stem cells.

One of the key benefits of iPSCs is that they can be generated from a patient's own cells, which eliminates the risk of immune rejection associated with using embryonic stem cells or stem cells from a donor. This makes iPSCs a potentially helpful tool for personalized medicine and tissue repair.

iPSCs have been the subject of much scientific research. They have the potential to be used for a variety of medical purposes, including drug development and testing, disease modeling, and cell-based therapies. However, more research is needed to fully understand the potential of iPSCs and to develop safe and effective treatments using these cells.

It is important to note that the use of iPs cells are a relatively new area of research, and more studies are needed to fully understand these cells' potential and develop safe and effective therapies using iPSCs.

mesenchymal stem cell treatment
Figure 5 - Artists depiction of Myeloid stem cells

What are Myeloid stem cells and are they dangerous?

Myeloid stem cells are stem cells that reside in the bone marrow or circulation and are the precursors for all elements of the hematopoietic system. They can differentiate into granulocytes and monocytes, collectively called myeloid cells, which are controlled by distinct transcription factors.

What is the best stem cell treatment in the world?

It is difficult to definitively state what the best stem cell treatment is the world is as it depends on the medical condition being treated and the specific type of stem cell used. However, studies have shown that adult mesenchymal stem cells (MSCs) have shown promising results in a variety of medical conditions and are considered a safe and effective treatment option.

What is a stem cell transplantation?

A stem cell transplant is a procedure in which a patient receives healthy stem cells to replace damaged stem cells. The stem cells may come from the patient's own body (autologous) or from a donor (allogeneic). Before the transplant, the patient receives high doses of chemotherapy and sometimes radiation therapy to prepare the body for transplantation. This is followed by wiping out the bone marrow stem cells and replacing them. An autologous stem cell transplant offers some advantages over allogeneic, such as protection against underlying blood cancers.  

What conditions is a stem cell transplantation used for?

A stem cell transplant is used to treat people with life-threatening cancer or blood diseases caused by abnormal blood cells, such as several types of leukemia, lymphoma and testicular cancer.

It can also be used to treat conditions such as multiple myeloma and some types of leukemia, where the stem cell transplant may work against cancer directly due to an effect called graft-versus-tumor.

Blood forming stem cells has been used to cure thousands of people who have cancer, but there are serious risks associated with this treatment. The US National Marrow Donor Program has a full list of diseases treatable by blood stem cell transplant.

Stem cells target inflammation

The therapeutic uses of stem cells as a potential therapy for a variety of diseases has been immensely explored, the number of clinical trials conducted with Mesenchymal Stem Cells has increased exponentially over the past few years. (4)

Stem cells have a unique, intrinsic property that attracts them to inflammation in the body. Studies have shown that stem cell treatments can regenerate damaged or diseased tissues, reduce inflammation and modulate the immune system promoting better health and quality of life. Mesenchymal stem cells do this by influencing tissue repair via paracrine effects (cell signaling in order to change the behaviour of existing cells) or direct cell-to-cell contact.

"MSCs are able to migrate and seed specifically into damaged tissue sites, where they can differentiate into functional cells to replace damaged or diseased cells" (4)

stem cell diagram
Diagram showing the mechanisms of mscs

Stem cell based research conducted by Mao F. et al. found that Mesenchymal stem cells derived from umbilical cord tissue (MSCs) facilitate tissue regeneration through mechanisms involving self-renewal and differentiation, supporting angiogenesis and tissue cell survival, and limiting inflammation." (3) 

How can stem cells be used?

MSCs are widely used in various stem cell treatments due to their self-renewable, differentiation, anti-inflammatory, and immunomodulatory properties. In-vitro (performed in a laboratory setting) and in-vivo (taking place in a living organism) studies have supported the understanding mechanisms, safety, and efficacy of MSC therapy in clinical applications. (3)

According to Biehl et al., “The two defining characteristics of a stem cell are perpetual self-renewal and the ability to differentiate into a specialized adult cell type.” (1)

Stem cell therapeutics

Stem cell therapeutics refers to the use of stem cells for the treatment or prevention of diseases or disorders. Stem cells are a type of cell that have the ability to differentiate into many different types of cells, and they have the ability to self-renew, meaning they can divide and produce more stem cells.

This unique property of stem cells makes them a promising tool for a wide range of therapeutic applications. Stem cells are unspecialized cells that have the ability to self-renew and differentiate into specialized cells. Stem cell therapy is the use of stem cells to treat or prevent a disease or condition. The first clinical trial using stem cell therapy was reported in 2002 and it is still in development.

Stem cells age as we do

Stem cell numbers and effectiveness begin to decrease as we age exponentially. For example, stem cells from a person in their twenties are not nearly as high quality as the brand new cells sourced from umbilical cord tissue.

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How is stem cell therapy utilized?

Adult stem cell therapy may be able to treat orthopaedic, inflammatory, autoimmune and neurological conditions, with studies conducted on use for Crohn’s Disease, Multiple Sclerosis, Lupus, COPD, Parkinson’s, ALS, Stroke recovery and more.

Stem cells do not necessarily provide a cure for these conditions. The premise is allowing the body to heal itself well enough to mitigate the symptoms of the conditions for long periods. In many cases, this alone allows for a substantial increase in quality of life for patients.

Will the body reject stem cells?

Cord-tissue derived mesenchymal stem cells do not have any risk of rejection within the body. They are youthful, immune-privileged, undifferentiated cells that have no rejection in the body because they have yet to be “claimed.” 

There are no blood products associated with them either, removing the need for a donor match; they are universally accepted. These cells seek out inflammation in the body and begin to heal the damaged tissue. Mesenchymal cord tissue-derived stem cells have been administered thousands of times at clinics around the world without instances of rejection (graft vs. host disease).

Umbilical Cord Tissue-Derived Mesenchymal Stem Cells (UC-MSCs)

UC-MSCs can be sourced from a variety of areas including Wharton’s Jelly, cord lining, and peri-vascular region of the umbilical cord. As a commonly discarded tissue, the umbilical cord contains a rich source of mesenchymal stromal cells, which are therefore obtained non-invasively (5).

"UC-MSCs are the most primitive type of MSCs, shown by their higher expression of Oct4, Nanog, Sox2, and KLF4 markers." (6)

Umbilical cord tissue-derived mesenchymal stem cells have the ability to differentiate into different cell types and have the greatest proliferation rate of the three mentioned types of stem cells (adipose, bone marrow, cord tissue). (7)

Similar to adipose tissue and bone marrow-derived MSCs, UC-MSCs are known to secrete growth factors, cytokines, and chemokines, improving different cell repair mechanisms. (4). These functions all assist the anti-inflammatory and immunomodulatory properties of MSCs.

Non-invasive cell product

The harvesting procedure of UC-MSCs is non-invasive as it does not require extraction from the patient.  The MSCs are taken directly from an area of an ethically donated human umbilical cord.

UC-MSCs also have a high proliferative potential than BMSCs and ASCs meaning they expand in vitro more effectively allowing for greater efficiency when obtaining higher cell numbers. (15)

Studies have found that UC-MSCs genes related to cell proliferation (EGF), PI3K-NFkB signaling pathway (TEK), and neurogenesis (RTN1, NPPB, and NRP2) were upregulated (increase in the number of receptors) in UC-MSCs compared to in BM-MSCs. (15)

Umbilical cord tissue diagram showing where stem cells originate
Pictured: Umbilical cord tissue diagram showing where stem cells originate

Why use umbilical cord tissue?

Cord tissue is rich in mesenchymal stem cells, potentially used to help heal, regenerate & treat a variety of conditions. Mesenchymal Stem Cells (MSCs) derived from umbilical cord tissue have shown the ability to avoid a negative response from a person’s immune system, allowing the cells to be transplanted in a wide range of people without fear of rejection.

These transplants may have the ability to vastly increase the body’s natural healing abilities and have robust anti-inflammatory and immunosuppressive responses. For an in depth comparison about different cell types please review this article.

Stem Cell Clinics

Stem cell centers are medical facilities that offer stem cell based therapies using human stem cells, which are the body's raw materials from which all other specialized cells are generated. Within the United States, these clinics must comply with FDA regulations to provide effective treatments for patients with limited options.

Bone marrow transplants are a common form of stem cell therapy used to treat diseases such as lymphoma, leukemia, multiple myeloma and neuroblastoma, while research is being conducted into the potential of TET2 enzymes found in hematopoietic stem cells to prime the body for leukemia.

How successful is stem cell therapy?

Stem cell therapy is a relatively new and rapidly developing field. The success rates of stem cell therapy can vary depending on the type of treatment, the disease or condition being treated, and the stage of the disease. In general, stem cell therapy is considered a safe and effective treatment option for many conditions, and many clinical trials have shown promising results.

How long does stem cell therapy last?

The duration of stem cell therapy improvements can vary depending on the type of treatment, the disease or condition being treated, and the stage of the disease. Some studies have shown that the effects of stem cell therapy can last for several years or even indefinitely, while other studies have shown that the results may be more short-lived.

Some types of stem cell therapy may require multiple treatments for optimal results. It's important to note that stem cell therapy is a complex field, and the duration of effects can vary considerably from patient to patient.

Regenerative Cell Therapy

Regenerative Cell Therapy is a pioneering field in healthcare that utilizes the body's natural healing mechanisms to restore tissue and organ function lost due to age, disease, damage, or congenital defects. A crucial player in this domain is the Mesenchymal Stem Cells (MSCs), a type of multipotent adult stem cell found in various tissues, including bone marrow, umbilical cord tissue, and adipose tissue.

MSCs are renowned for their ability to differentiate into a variety of cell types such as bone, cartilage, and muscle cells. They also have a strong capacity for self-renewal while maintaining their multipotency. Moreover, MSCs exhibit remarkable anti-inflammatory and immunomodulatory properties, making them particularly beneficial in treating autoimmune and inflammatory diseases.

By capitalizing on the unique properties of MSCs, Regenerative Cell Therapy is revolutionizing the approach to healthcare and holds tremendous potential for a host of medical conditions.

Future Prospects and Challenges

While stem cell therapy offers immense potential for treating various diseases, there are many challenges to overcome, including the risk of tumor formation, immune rejection, and the need for large numbers of cells. Advances in research and clinical translation will be crucial in addressing these issues and realizing the full potential of stem cell therapy.

Conclusion

Previously untreatable neurodegenerative diseases may now possibly become treatable with advanced stem cell therapies.  Regenerative medicine and its benefits may be the key to prolonging human life.

To learn more about the use of mesenchymal stem cells in a clinical setting visit our protocol page.  DVC Stem provides an expanded stem cell treatment that utilizes umbilical cord tissue-derived mesenchymal stem cells (UC-MSCs) sourced from an FDA-compliant lab in the United States.  DVC Stem offers treatment for a variety of conditions including Multiple Sclerosis, Crohn's Disease, Parkinson's, and other autoimmune conditions.


References:

(1) Biehl, Jesse K, and Brenda Russell. “Introduction to Stem Cell Therapy.” The Journal of Cardiovascular Nursing, U.S. National Library of Medicine, Mar. 2009, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4104807/.

(2) Zakrzewski, Wojciech, et al. “Stem Cells: Past, Present, and Future.” Stem Cell Research & Therapy, BioMed Central, 26 Feb. 2019, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390367/.

(3) Watt, Fiona M, and Ryan R Driskell. “The Therapeutic Potential of Stem Cells.” Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences, The Royal Society, 12 Jan. 2010, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2842697/.

(4) Mao, Fei, et al. “Mesenchymal Stem Cells and Their Therapeutic Applications in Inflammatory Bowel Disease.” Oncotarget, Impact Journals LLC, 6 June 2017, https://www.ncbi.nlm.nih.gov/pubmed/28402942.

(5) Walker, J. T., Keating, A., & Davies, J. E. (2020, May 28). Stem Cells: Umbilical Cord/Wharton’s Jelly Derived. Cell Engineering and Regeneration. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7992171/.

(6) Torres Crigna, A., Daniele, C., Gamez, C., Medina Balbuena, S., Pastene, D. O., Nardozi, D., … Bieback, K. (2018, June 15). Stem/Stromal Cells for Treatment of Kidney Injuries With Focus on Preclinical Models. Frontiers in medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6013716/.

(7) Mazini, L., Rochette, L., Amine, M., & Malka, G. (2019, May 22). Regenerative Capacity of Adipose-Derived Stem Cells (ADSCs), Comparison with Mesenchymal Stem Cells (MSCs). International journal of molecular sciences. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6566837/.

(8) Almalki, S. G., & Agrawal, D. K. (2016). Key transcription factors in the differentiation of mesenchymal stem cells. Differentiation; research in biological diversity. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010472/.

(9) Grafe, I., Alexander, S., Peterson, J. R., Snider, T. N., Levi, B., Lee, B., & Mishina, Y. (2018, May 1). TGF-β Family Signaling in Mesenchymal Differentiation. Cold Spring Harbor perspectives in biology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932590/.

(10) Jiang, W., & Xu, J. (2020, January). Immune modulation by mesenchymal stem cells. Cell proliferation. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6985662/.

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