Efficacy and Safety of Mesenchymal Stem/Stromal Cell Therapy for Inflammatory Bowel Diseases: An Up-to-Date Systematic Review

Inflammatory bowel disease (IBD) is a chronic inflammatory disorder of the gut that can lead to severe gastrointestinal symptoms, malnutrition, and complications such as fistulas and cancer. Mesenchymal stem/stromal cells (MSCs) are being investigated as a novel therapy for IBD and have been demonst...

Full description

Bibliographic Details
Main Authors: Jeffrey Zheng-Hsien Ko, Sheeva Johnson, Maneesh Dave
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/11/1/82
_version_ 1797413256242921472
author Jeffrey Zheng-Hsien Ko
Sheeva Johnson
Maneesh Dave
author_facet Jeffrey Zheng-Hsien Ko
Sheeva Johnson
Maneesh Dave
author_sort Jeffrey Zheng-Hsien Ko
collection DOAJ
description Inflammatory bowel disease (IBD) is a chronic inflammatory disorder of the gut that can lead to severe gastrointestinal symptoms, malnutrition, and complications such as fistulas and cancer. Mesenchymal stem/stromal cells (MSCs) are being investigated as a novel therapy for IBD and have been demonstrated to be safe and effective for perianal fistulizing Crohn’s disease (PFCD). This systematic review aims to present the most recent studies on the safety and efficacy of MSC therapy in IBD. A detailed search strategy of clinical trials on MSCs and IBD was performed on PubMed, with 32 studies selected for inclusion in this review. The newest studies on local MSC injection for PFCD continue to support long-term efficacy while maintaining a favorable safety profile. The evidence for systemic MSC infusion in luminal IBD remains mixed due to marked methodological heterogeneity and unclear safety profiles. Although further studies are needed to better establish the role of this novel treatment modality, MSCs are proving to be a very exciting addition to the limited therapies available for IBD.
first_indexed 2024-03-09T05:15:11Z
format Article
id doaj.art-a82a4226e4214b769cf34701bb344c65
institution Directory Open Access Journal
issn 2218-273X
language English
last_indexed 2024-03-09T05:15:11Z
publishDate 2021-01-01
publisher MDPI AG
record_format Article
series Biomolecules
spelling doaj.art-a82a4226e4214b769cf34701bb344c652023-12-03T12:46:39ZengMDPI AGBiomolecules2218-273X2021-01-011118210.3390/biom11010082Efficacy and Safety of Mesenchymal Stem/Stromal Cell Therapy for Inflammatory Bowel Diseases: An Up-to-Date Systematic ReviewJeffrey Zheng-Hsien Ko0Sheeva Johnson1Maneesh Dave2Department of Internal Medicine, Division of Gastroenterology and Hepatology, UC Davis Medical Center, UC Davis School of Medicine, 4150 V Street, Suite 3500, Sacramento, CA 95817, USADepartment of Internal Medicine, Division of Gastroenterology and Hepatology, UC Davis Medical Center, UC Davis School of Medicine, 4150 V Street, Suite 3500, Sacramento, CA 95817, USADepartment of Internal Medicine, Division of Gastroenterology and Hepatology, UC Davis Medical Center, UC Davis School of Medicine, 4150 V Street, Suite 3500, Sacramento, CA 95817, USAInflammatory bowel disease (IBD) is a chronic inflammatory disorder of the gut that can lead to severe gastrointestinal symptoms, malnutrition, and complications such as fistulas and cancer. Mesenchymal stem/stromal cells (MSCs) are being investigated as a novel therapy for IBD and have been demonstrated to be safe and effective for perianal fistulizing Crohn’s disease (PFCD). This systematic review aims to present the most recent studies on the safety and efficacy of MSC therapy in IBD. A detailed search strategy of clinical trials on MSCs and IBD was performed on PubMed, with 32 studies selected for inclusion in this review. The newest studies on local MSC injection for PFCD continue to support long-term efficacy while maintaining a favorable safety profile. The evidence for systemic MSC infusion in luminal IBD remains mixed due to marked methodological heterogeneity and unclear safety profiles. Although further studies are needed to better establish the role of this novel treatment modality, MSCs are proving to be a very exciting addition to the limited therapies available for IBD.https://www.mdpi.com/2218-273X/11/1/82inflammatory bowel diseaseCrohn’s diseaseulcerative colitisperianal fistulamesenchymal stem/stromal cellsefficacy
spellingShingle Jeffrey Zheng-Hsien Ko
Sheeva Johnson
Maneesh Dave
Efficacy and Safety of Mesenchymal Stem/Stromal Cell Therapy for Inflammatory Bowel Diseases: An Up-to-Date Systematic Review
Biomolecules
inflammatory bowel disease
Crohn’s disease
ulcerative colitis
perianal fistula
mesenchymal stem/stromal cells
efficacy
title Efficacy and Safety of Mesenchymal Stem/Stromal Cell Therapy for Inflammatory Bowel Diseases: An Up-to-Date Systematic Review
title_full Efficacy and Safety of Mesenchymal Stem/Stromal Cell Therapy for Inflammatory Bowel Diseases: An Up-to-Date Systematic Review
title_fullStr Efficacy and Safety of Mesenchymal Stem/Stromal Cell Therapy for Inflammatory Bowel Diseases: An Up-to-Date Systematic Review
title_full_unstemmed Efficacy and Safety of Mesenchymal Stem/Stromal Cell Therapy for Inflammatory Bowel Diseases: An Up-to-Date Systematic Review
title_short Efficacy and Safety of Mesenchymal Stem/Stromal Cell Therapy for Inflammatory Bowel Diseases: An Up-to-Date Systematic Review
title_sort efficacy and safety of mesenchymal stem stromal cell therapy for inflammatory bowel diseases an up to date systematic review
topic inflammatory bowel disease
Crohn’s disease
ulcerative colitis
perianal fistula
mesenchymal stem/stromal cells
efficacy
url https://www.mdpi.com/2218-273X/11/1/82
work_keys_str_mv AT jeffreyzhenghsienko efficacyandsafetyofmesenchymalstemstromalcelltherapyforinflammatoryboweldiseasesanuptodatesystematicreview
AT sheevajohnson efficacyandsafetyofmesenchymalstemstromalcelltherapyforinflammatoryboweldiseasesanuptodatesystematicreview
AT maneeshdave efficacyandsafetyofmesenchymalstemstromalcelltherapyforinflammatoryboweldiseasesanuptodatesystematicreview