Targeting the Immune System With Mesenchymal Stromal Cell-Derived Extracellular Vesicles: What Is the Cargo's Mechanism of Action?

The potent immunomodulatory activities displayed by mesenchymal stromal cells (MSCs) have motivated their application in hundreds of clinical trials to date. In some countries, they have subsequently been approved for the treatment of immune disorders such as Crohn's disease and graft-versus-ho...

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Main Authors: Jorge Diego Martin-Rufino, Natalia Espinosa-Lara, Lika Osugui, Fermin Sanchez-Guijo
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-11-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fbioe.2019.00308/full
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author Jorge Diego Martin-Rufino
Jorge Diego Martin-Rufino
Natalia Espinosa-Lara
Lika Osugui
Fermin Sanchez-Guijo
Fermin Sanchez-Guijo
Fermin Sanchez-Guijo
author_facet Jorge Diego Martin-Rufino
Jorge Diego Martin-Rufino
Natalia Espinosa-Lara
Lika Osugui
Fermin Sanchez-Guijo
Fermin Sanchez-Guijo
Fermin Sanchez-Guijo
author_sort Jorge Diego Martin-Rufino
collection DOAJ
description The potent immunomodulatory activities displayed by mesenchymal stromal cells (MSCs) have motivated their application in hundreds of clinical trials to date. In some countries, they have subsequently been approved for the treatment of immune disorders such as Crohn's disease and graft-versus-host disease. Increasing evidence suggests that their main mechanism of action in vivo relies on paracrine signaling and extracellular vesicles. Mesenchymal stromal cell-derived extracellular vesicles (MSC-EVs) play a prominent role in intercellular communication by allowing the horizontal transfer of microRNAs, mRNAs, proteins, lipids and other bioactive molecules between MSCs and their targets. However, despite the considerable momentum gained by MSC-EV research, the precise mechanism by which MSC-EVs interact with the immune system is still debated. Available evidence is highly context-dependent and fragmentary, with a limited number of reports trying to link their efficacy to specific active components shuttled within them. In this concise review, currently available evidence on the molecular mechanisms underlying the effects of MSC-EV cargo on the immune system is analyzed. Studies that pinpoint specific MSC-EV-borne mediators of immunomodulation are highlighted, with a focus on the signaling events triggered by MSC-EVs in target immune cells. Reports that study the effects of preconditioning or “licensing” in MSC-EV-mediated immunomodulation are also presented. The need for further studies that dissect the mechanisms of MSC-EV cargo in the adaptive immune system is emphasized. Finally, the major challenges that need to be addressed to harness the full potential of these signaling vehicles are discussed, with the ultimate goal of effectively translating MSC-EV treatments into the clinic.
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spelling doaj.art-d8b13498c789450a9e992bbb6a3957d12022-12-22T01:59:46ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852019-11-01710.3389/fbioe.2019.00308482639Targeting the Immune System With Mesenchymal Stromal Cell-Derived Extracellular Vesicles: What Is the Cargo's Mechanism of Action?Jorge Diego Martin-Rufino0Jorge Diego Martin-Rufino1Natalia Espinosa-Lara2Lika Osugui3Fermin Sanchez-Guijo4Fermin Sanchez-Guijo5Fermin Sanchez-Guijo6Unidad de Terapia Celular, Servicio de Hematología, IBSAL-Hospital Universitario de Salamanca, Salamanca, SpainFacultad de Medicina, Universidad de Salamanca, Salamanca, SpainUnidad de Terapia Celular, Servicio de Hematología, IBSAL-Hospital Universitario de Salamanca, Salamanca, SpainUnidad de Terapia Celular, Servicio de Hematología, IBSAL-Hospital Universitario de Salamanca, Salamanca, SpainUnidad de Terapia Celular, Servicio de Hematología, IBSAL-Hospital Universitario de Salamanca, Salamanca, SpainFacultad de Medicina, Universidad de Salamanca, Salamanca, SpainCentro en Red de Medicina Regenerativa y Terapia Celular de Castilla y León, Salamanca, SpainThe potent immunomodulatory activities displayed by mesenchymal stromal cells (MSCs) have motivated their application in hundreds of clinical trials to date. In some countries, they have subsequently been approved for the treatment of immune disorders such as Crohn's disease and graft-versus-host disease. Increasing evidence suggests that their main mechanism of action in vivo relies on paracrine signaling and extracellular vesicles. Mesenchymal stromal cell-derived extracellular vesicles (MSC-EVs) play a prominent role in intercellular communication by allowing the horizontal transfer of microRNAs, mRNAs, proteins, lipids and other bioactive molecules between MSCs and their targets. However, despite the considerable momentum gained by MSC-EV research, the precise mechanism by which MSC-EVs interact with the immune system is still debated. Available evidence is highly context-dependent and fragmentary, with a limited number of reports trying to link their efficacy to specific active components shuttled within them. In this concise review, currently available evidence on the molecular mechanisms underlying the effects of MSC-EV cargo on the immune system is analyzed. Studies that pinpoint specific MSC-EV-borne mediators of immunomodulation are highlighted, with a focus on the signaling events triggered by MSC-EVs in target immune cells. Reports that study the effects of preconditioning or “licensing” in MSC-EV-mediated immunomodulation are also presented. The need for further studies that dissect the mechanisms of MSC-EV cargo in the adaptive immune system is emphasized. Finally, the major challenges that need to be addressed to harness the full potential of these signaling vehicles are discussed, with the ultimate goal of effectively translating MSC-EV treatments into the clinic.https://www.frontiersin.org/article/10.3389/fbioe.2019.00308/fullmesenchymal stromal cellsextracellular vesiclesimmune systemcell therapyregenerative medicinestem cells
spellingShingle Jorge Diego Martin-Rufino
Jorge Diego Martin-Rufino
Natalia Espinosa-Lara
Lika Osugui
Fermin Sanchez-Guijo
Fermin Sanchez-Guijo
Fermin Sanchez-Guijo
Targeting the Immune System With Mesenchymal Stromal Cell-Derived Extracellular Vesicles: What Is the Cargo's Mechanism of Action?
Frontiers in Bioengineering and Biotechnology
mesenchymal stromal cells
extracellular vesicles
immune system
cell therapy
regenerative medicine
stem cells
title Targeting the Immune System With Mesenchymal Stromal Cell-Derived Extracellular Vesicles: What Is the Cargo's Mechanism of Action?
title_full Targeting the Immune System With Mesenchymal Stromal Cell-Derived Extracellular Vesicles: What Is the Cargo's Mechanism of Action?
title_fullStr Targeting the Immune System With Mesenchymal Stromal Cell-Derived Extracellular Vesicles: What Is the Cargo's Mechanism of Action?
title_full_unstemmed Targeting the Immune System With Mesenchymal Stromal Cell-Derived Extracellular Vesicles: What Is the Cargo's Mechanism of Action?
title_short Targeting the Immune System With Mesenchymal Stromal Cell-Derived Extracellular Vesicles: What Is the Cargo's Mechanism of Action?
title_sort targeting the immune system with mesenchymal stromal cell derived extracellular vesicles what is the cargo s mechanism of action
topic mesenchymal stromal cells
extracellular vesicles
immune system
cell therapy
regenerative medicine
stem cells
url https://www.frontiersin.org/article/10.3389/fbioe.2019.00308/full
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