Review Article

Mesenchymal Stem Cell Benefits Observed in Bone Marrow Failure and Acquired Aplastic Anemia

Table 1

MSC transplantation in BMF and AA animal models.

ReferenceMice modelGenderAge (weeks)BMF induction methodCell sourceMSC profileNumber of transplanted MSCA.R.Evidence of MSC efficacy

[22]Balb/cF6-7Irradiation (5.5 Gy)BM-MSCCD34, CD45, CD105+, CD29+, CD44+, and Sca-1+2.5 × 107EV↑ WBC and PLT in PB, CFU-F, and CFU-GM
↑ BMC
↓ apoptotic cells in BM
[23]Balb/cM6Irradiation (5.8 Gy)UC-MSC + ECSODCD14, CD73+, CD90+, CD105+, CD44+, CD29+, CD34, CD45, CD19, and HLA-DR1 × 106EV↑ WBC, PLT, RBC, HB
Attenuate upregulation of apoptotic genes (p16, p21, p53, and NOX4)
↑ BM cells and megakaryocyte
↓ apoptotic cells
[24]Balb/cF6Irradiation (7 Gy)hUC-MSCCD105+ and CD34NINI↑ WBC in PB and BMC
↑ levels of hematopoietic cytokines (Flt3L and TGF-β1)
[100]Balb/cF8Irradiation (4 Gy) + lymph node cell infusionMultiplacentas pooled cellsNI1 × 107IPHigher survival
↑ HB
[114]Balb/cNINIIrradiation (8 Gy)CB-MSCCD45, CD34+, CD29+, CD44+, CD117, and Sca-1+NINI↑ survival and gain body weight
↑CFU-GM
↑ Treg cells
↓ suppressed Th1 immunity and regulation of T cell chemokine receptor expressions (CCR7 upregulation and CXCR3/CCR5 downregulation)
[115]B6D2F1NI10–12Irradiation (5–7 Gy)HSC coinfusion of AD-MSCCD29+, CD44+, CD73+, CD90.2+, CD105+, CD106+, CD144+, CD166+, CD34, CD45.1, CD80, and Sca-11 × 106NIBM reconstitution
Facilitating and homing of HSC to recipient BM
[116]Balb/cM6–8Irradiation (4 Gy)AD-MSCCD29+, CD31, CD34, CD45, and CD90+1 × 106EV↑ CFU-F, CFU-MK, and megakaryocytes in BM (cd41+ cells)
Recovery of BM cells
↓ apoptotic cells

A.R.: administration route; NI: noninformed; F: female; M: male; BMF: bone marrow failure; MSC: mesenchymal stem cell; BMSC: bone marrow stromal cell; hUC-MSC: human umbilical cord-derived mesenchymal stem cell; UC-MSC: umbilical cord-derived mesenchymal stem cell; CB-MSC: compact bone-derived mesenchymal stem cell; ECSOD: extracellular superoxide dismutase; HSC: hematopoietic stem cell; AD-MSC: adipose-derived mesenchymal stem cell; CD: cluster differentiation; Sca-1: stem cell antigen-1; HLA-DR: human leucocyte antigen-D related; EV: endovenous infusion; IP: intraperitoneal infusion; WBC: white blood cell; PLT: platelet; PB: peripheral blood; CFU-F: colony-forming unit fibroblast; CFU-GM: colony-forming unit granulocyte-macrophage; BMC: bone marrow cell; BM: bone marrow; Flt3L: FMS-like tyrosine kinase 3 ligand; TGF-β: transforming growth factor beta; CCR7: C-C chemokine receptor type 7; CXCR3: C-X-C motif receptor 3; CCR5: C-C chemokine receptor type 5; RBC: red blood cell; HB: hemoglobin; NOX 4: nicotinamide adenine dinucleotide phosphate oxidase 4; CFU-MK: colony-forming unit megakaryocytes.