Concise review: Clinical programs of stem cell therapies for liver and pancreas

Giacomo Lanzoni, Tsunekazu Oikawa, Yunfang Wang, Cai Bin Cui, Guido Carpino, Vincenzo Cardinale, David Gerber, Mara Gabriel, Juan Dominguez-Bendala, Mark E. Furth, Eugenio Gaudio, Domenico Alvaro, Luca Inverardi, Lola M. Reid

Research output: Contribution to journalReview article

60 Scopus citations

Abstract

Regenerative medicine is transitioning into clinical programs using stem/progenitor cell therapies for repair of damaged organs. We summarize those for liver and pancreas, organs that share endodermal stem cell populations, biliary tree stem cells (hBTSCs), located in peribiliary glands. They are precursors to hepatic stem/progenitors in canals of Hering and to committed progenitors in pancreatic duct glands. They give rise to maturational lineages along a radial axis within bile duct walls and a proximal-to-distal axis starting at the duodenum and ending with mature cells in the liver or pancreas. Clinical trials have been ongoing for years assessing effects of determined stem cells (fetal-liver-derived hepatic stem/progenitors) transplanted into the hepatic artery of patients with various liver diseases. Immunosuppression was not required. Control subjects, those given standard of care for a given condition, all died within a year or deteriorated in their liver functions. Subjects transplanted with 100-150 million hepatic stem/progenitor cells had improved liver functions and survival extending for several years. Full evaluations of safety and efficacy of transplants are still in progress. Determined stem cell therapies for diabetes using hBTSCs remain to be explored but are likely to occur following ongoing preclinical studies. In addition, mesenchymal stem cells (MSCs) and hematopoietic stem cells (HSCs) are being used for patients with chronic liver conditions or with diabetes. MSCs have demonstrated significant effects through paracrine signaling of trophic and immunomodu-latory factors, and there is limited evidence for inefficient lineage restriction into mature parenchymal or islet cells. HSCs' effects are primarily via modulation of immune mechanisms.

Original languageEnglish (US)
Pages (from-to)2047-2060
Number of pages14
JournalSTEM CELLS
Volume31
Issue number10
DOIs
StatePublished - Oct 2013

Keywords

  • Cell transplantation
  • DETERMINED (Adult) stem cells
  • Hematopoietic stem cells
  • Liver
  • Mesenchymal stem cells
  • Pancreas
  • Tissue regeneration
  • Tissue specific stem cells

ASJC Scopus subject areas

  • Cell Biology
  • Developmental Biology
  • Molecular Medicine

Fingerprint Dive into the research topics of 'Concise review: Clinical programs of stem cell therapies for liver and pancreas'. Together they form a unique fingerprint.

  • Cite this

    Lanzoni, G., Oikawa, T., Wang, Y., Cui, C. B., Carpino, G., Cardinale, V., Gerber, D., Gabriel, M., Dominguez-Bendala, J., Furth, M. E., Gaudio, E., Alvaro, D., Inverardi, L., & Reid, L. M. (2013). Concise review: Clinical programs of stem cell therapies for liver and pancreas. STEM CELLS, 31(10), 2047-2060. https://doi.org/10.1002/stem.1457