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Table 2 The pre-clinical results and clinical outcomes for each autoimmune disease with respect to PMSC types

From: The therapeutic applications of mesenchymal stromal cells from human perinatal tissues in autoimmune diseases

Type of autoimunne diseases

Type of PMSCs

Pre-clinical results

References

 SLE

UCMSCs

Inhibiting B cell activity and autophagy activation in T cells; inducing CD4+ T cell apoptosis; upregulating the ratio of Th2/Th1; promoting generation of Treg cells, CD1c+DCs, and CD206+ M2 macrophages

[24, 34, 38, 39, 47, 48, 51]

 LN

UCMSCs

Downregulating the levels of proteinuria, serum creatinine, anti-dsDNA antibody, IgG, and C3 deposition; inducing macrophages to M2 phenotype

[56, 57]

PDMSCs

Reducing the severity of proteinuria, production of anti-dsDNA antibodies; inhibiting the expression of inflammatory cytokines NF-κB, TNF-α, etc.

[58]

 RA

UCMSCs

Decreasing the ratio of Th17/Treg cells; inhibiting the expression of CDH11; downregulating the levels of TNFα, IL-6, MCP-1, and IL-17, and upregulating the levels of IL-10 and TGF-β

[62,63,64]

UCBMSCs

Downregulating TNF-α, IL-1, and IFN-γ, but upregulating IL-10; reducing the infiltration of immune cells and hypertrophy of the synovial tissue

[66, 68]

 EAE

UCMSCs

Ameliorating demyelination, axonal damage, and promoting remyelination in the spinal cord; modulating the ratio of Th1/Th2 cells and Th17/Treg cells in the spleen; increasing IL-4 and IL-10 but decreasing IL-1 and IL-6 in the spinal cord

[71,72,73]

PDMSCs

Decreasing infiltrating inflammatory cells, preserving axons, and ameliorating demyelination; decreasing the levels of COX-2, NF-kB, TNF-α, IFN-γ, and IL-2, and increasing production of IL-4 and TGF-β

[77, 78, 80]

 Psoriasis

UCMSCs

Ameliorate the skin inflammation; attenuating plasmacytoid DCs to produce type I IFN

[84]

UCBMSCs

Downregulating IL-6, IL-17, TNF-α, CCL17, CCL20, and CCL27

[85]

AMSCs

Decreasing both IL-17A and IL-22 production by cutaneous γδ-low T cells

[86]

 Primary Sjögren’s syndrome

UCMSCs

Suppressing the T cell proliferation and restoring the Treg/Th17 ratio of PBMCs; downregulating the production of IFN-γ, IL-6, and TNFα but upregulating production of IL-10; suppressing the differentiation and proliferation of Tfh cells; inducing macrophages into an M2 phenotype

[88, 90, 91, 95]

 T1D

AFSCs

Preserving and promoting endogenous β cell functionality and proliferation

[97]

Type of autoimunne diseases

Type of PMSCs

Clinical outcomes

References

 SLE

UCMSCs

Exhibiting a good safety profile in SLE patients; upregulating the ratio of Treg/Th17; 32.5% patients achieved major clinical response and 27.5% patients achieved partial clinical response during 12 months of follow-up. 12.5% and 16.7% patients experienced disease relapse at 9 months and 12 months

[104, 105]

 LN

UCMSCs

Exhibiting a good safety profile in LN patients; ameliorating renal activity, renal function, glomerular filtration rate, and total disease activity

[25, 106, 107]

 RA

UCMSCs

Exhibiting a good safety profile in RA patients; decreasing health index and joint function index of 1 year and 3 years after treatment; decreasing the serum levels of TNF-α and IL-6; increasing the percentage of Treg cells in peripheral blood

[26, 109]

UCBMSCs

Exhibiting a good safety profile in RA patients; reducing levels of IL-1β, IL-6, IL-8, and TNF-α; increasing the percentage of Treg cells in peripheral blood; reducing the mean 28-joint disease activity score at week 4

[108]

 MS

PDMSCs

Exhibiting a good safety profile in MS patients; decreasing Expanded Disability Status Scale scores

[27]

 Psoriasis

UCMSCs

Reducing the severity and development of psoriasis at least 4 years

[110]

 T1D

UCMSCs

Increasing levels of C peptide and decreasing HbA1c, fasting glycemia, and daily insulin requirements

[28, 111]