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Table 1 Strategies to enhance efficiency of MSC-based treatment

From: The challenges and promises of allogeneic mesenchymal stem cells for use as a cell-based therapy

Study

Method

Experimental model

In vitro or in vivo

Cell types

Conclusion

Maccario et al. [64]

Combination cyclosporine and MSCs

–

In vitro

Human BM-MSCs

Enhancement of the immunosuppressive effect of MSCs

Buron et al. [65]

Combination mycophenolate acid and MSCs

–

In vitro

Human BM-MSCs

Enhancement of the immunosuppressive effect of MSCs

Ge et al. [48]

Combination rapamycin and MSCs

Allogeneic cardiac transplantation (mouse)

In vivo

Mouse BM-MSCs

Attenuation of alloimmune responses and promotion of cardiac allograft tolerance

Peng et al. [49]

Combination tacrolimus and MSCs

Allogeneic renal transplantation (human)

In vivo

Human BM-MSCs

Induction of donor-specific graft tolerance and maintaining long-term graft survival and function

de la Garza-Rodea et al. [53]

MSCs transfected with US11 gene from HCMV

NOD/SCID (mouse)

In vivo

Human BM-MSCs

Down-regulation of MHC class I surface expression and preventing rejection of xenogeneic MSCs

Soland et al. [66]

MSCs transfected with US6 gene and US11 gene from HCMV

In utero transplantation of fetuses (sheep)

In vivo

Human fetal liver-derived MSCs

Decreasing recognition of MSCs by the immune system and enhancing engraftment of MSC-US11 and MSC-US6 in fetal sheep liver

Levy et al. [67]

MSCs transfected with IL-10 gene

Inflammation of ears (mouse)

In vivo

Mouse BM-MSCs

Improvement of immunosuppressive properties and anti-inflammatory effect

Sullivan et al. [54]

MSCs transfected with Ctla4ig gene

Inflammatory arthritis (mouse)

In vivo

Mouse BM-MSCs

Improvement of the homing and delaying the onset of inflammatory arthritis

Chen et al. [55]

MSCs transduced with Cxcr-4 gene

Allogeneic bone marrow transplantation (mouse)

In vivo

Mouse BM-MSCs

Promoting recovery of HSCs and hematopoietic organs

Eliopoulos et al. [56]

Epo gene enhanced MSCs

Acute renal injury (mouse)

In vivo

Mouse BM-MSCs

Augmenting the protective properties of MSCs and increasing the survival rate of mouse

Yuan et al. [59]

Combination MSCs and hydrogels

Normal rabbit

In vivo

Rabbit BM-MSCs

Augmenting the isolation from the host immune system and attenuating severe immune rejection

Dhingra et al. [58]

Combination MSCs and biodegradable hydrogels that slowly released PGE2

Myocardial infarction (rat)

In vivo

Rat BM-MSCs

Preventing rejection of implanted MSCs and restoring cardiac function

Sarkar et al. [57]

MSCs engineered with PLGA particles containing dexamethasone

–

In vitro

Human BM-MSCs

Controlling the differentiation of particle-carrying cells

Ko et al. [68]

MSCs coated with PPG followed by antibodies to ICAM-1

–

In vitro

Mouse BM-MSCs

Promoting the attachment of MSCs to endothelial cells

Sarkar et al. [69]

MSCs engineered with lipid vesicles to present biomolecular ligands

–

In vitro

Human BM-MSCs

Immobilizing adhesion ligands and promoting the homing of MSCs

  1. BM-MSC bone marrow-derived mesenchymal stem cell, HCMV human cytomegalovirus, HSC hematopoietic stem cell, ICAM-1 intercellular cell adhesion molecule-1, MHC major histocompatibility complex, MSC mesenchymal stem cell, PGE2 prostaglandin E2, PLGA polylactide-co-glycolic acid, PPG palmitated protein G