From: Emerging roles of mesenchymal stem cell therapy in patients with critical limb ischemia
MSC source | Tissue | Stem cells derived | Specific marker | Type | Trilineage potential | Secretome | Immunomodulation | Advantages | Disadvantages |
---|---|---|---|---|---|---|---|---|---|
Adult | Bone marrow | BM-MSCs | CD73, CD90, CD105, CD146/MCAM, CD271, MSCA-1, CD29, CD44, STRO-1, OCT4, NANOG, SSEA4 | Autologous/allogeneic | Osteogenic and chondrogenic | IL-7, IL-12, MMP-1, MMP-3 miR-486, miR-10a, miR-10b, miR-191, miR-222 | Inhibition of T cells, IDO | Cost-effective procedure, ability to use autologously, lack (autologous) and low risk (allogenic) of immune rejection | Invasive and painful harvest, risk of infection, limited by the donor’s age, sex and physical condition, slow proliferation rates, low quantities, earlier appearance of senescence |
Adult | Adipose tissues: fat, liposuction | Ad-MSCs | DPP4/CD26, PDGFRa, CD29, CD34, CD36, SCA1, CD55, THY1/C90, CD24, BMP7, PI16, WNT2, ANXA3, coagulation factor III or tissue factor (TF/CD142) (268), | Autologous/allogeneic | Higher adipogenic potential | PDGF-BB, MCP1, SDF-1, TGF-β1, VEGF ANG, HIF-α, MMP9, Bcl2, VCAM miR-143, miR-10b, miR-486, miR-22, miR-211 | IDO, PDL-1, IL-10, inhibition of T cells | Cost-effective procedure, less invasive techniques and painful, lack (autologous) and low risk (allogenic) of immune rejection, easily accessible, more resistant to senescence, high yield, easy to cryopreserve | Limited by the donor’s age, sex and physical condition |
Newborn | Extraembryonic tissues: umbilical cord Wharton’s jelly Amniotic membrane amniotic fluid Placenta | WJ-MSCs, Am-MSCs, YS-MSCs, UC-MSCs, UCB-MSCs, AF-MSCs | CD146, CD10, CD49d (integrin a4), CD54 (ICAM1), CD 491 (240), CD200, and PDL2, SSEA4, OCT4, | Allogeneic | Conflictive result: P-MSC: higher osteogenic (247, 259) and chondrogenic potential UCB-MSC: higher osteogenic and adipogenic potential | VEGF, HGF, IL-1 RA, IFN-α, IL-6, IL-8, TGF-β2, PDGF-AA, G-CSF3 MiR-21, miR-23a, miR-125b, miR-145 | PDL-1, PDL-2, CD10, CD146, CD49d, IDO, IL-1β, LIF, TNF-2, inhibition of T cells | Cost-effective, medical waste, procedure, not limited by the donor’s age and physical condition, high abilities to induce angiogenic phenotypes, lowest expression of HLA antigens, high proliferation rates, no immune reactions | Smaller yields |
Adult | MSC sources | iPSC-MSC | CD73, CD90, and CD105, CD29, CD44, CD146 | Autologous/allogeneic | Less effectively along the adipogenic, osteogenic, or chondrogenic | IL-1-, TSG6, VCAM1, TGFB1, | Nanog, Oct4, and Msx1, HIF-1α VEGFA), VEGFB, placental growth factor (PGF), bFGF, TGFB1, | No ethical concerns, unlimited cell number, fast proliferation, Longer life span, Lower variation | Potential for teratoma and teratocarcinoma, no clinical data, Lower differentiation potential, impaired immunosuppression, immature differentiation potential |