PMID- 22352750 OWN - NLM STAT- MEDLINE DCOM- 20120719 LR - 20190728 IS - 1873-4286 (Electronic) IS - 1381-6128 (Linking) VI - 18 IP - 13 DP - 2012 TI - Clinical applications and biosafety of human adult mesenchymal stem cells. PG - 1821-45 AB - Mesenchymal Stem Cells (MSCs) are a population of adherent cells that can differentiate into mesenchymal lineage populations (cartilage, bone and fat tissue). In addition, they seem to be able to differentiate also into a broader type of lineages other than the original mesodermal germ layer. Bone marrow MSCs are a standard in the field of adult stem cell biology and clinical applications; however adipose-derived MSCs are becoming an attractive alternative due to their minimally invasive accessibility and availability in the body. MSCs modulate several effector immune functions by interacting both with innate and adoptive immune responses. Several local signals from the tissue microenvironment, together with cytokine and soluble factors released by MSCs influence anti-inflammatory and tissue repair properties of infused MSCs. Therefore, cellular therapies utilizing ex vivo expanded MSCs may be an interesting approach for inflammatory and autoimmune diseases. Biosafety is still one of the most important aspects; therefore the production of clinical-grade MSCs requires the careful identification and control of all the phases of cell manipulation and release. Many clinical applications of adult MSCs are in progress and are using bone marrow or adipose tissue-derived MSCs for the treatment of Graft Versus Host Disease (GVHD), inflammatory joint diseases and osteocartilagineous defects, digestive tract, cardiovascular and neurological diseases. FAU - Mariani, E AU - Mariani E AD - Laboratorio di Immunoreumatologia e Rigenerazione Tissutale and Laboratorio RAMSES, Rizzoli Orthopedic Institute, Bologna, Dipartimento di Medicina Clinica, University of Bologna, Italy. erminia.mariani@unibo.it FAU - Facchini, A AU - Facchini A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United Arab Emirates TA - Curr Pharm Des JT - Current pharmaceutical design JID - 9602487 SB - IM MH - Adult MH - Graft vs Host Disease/immunology/*therapy MH - Humans MH - *Mesenchymal Stem Cell Transplantation MH - Mesenchymal Stem Cells/*cytology MH - *Safety EDAT- 2012/02/23 06:00 MHDA- 2012/07/20 06:00 CRDT- 2012/02/23 06:00 PHST- 2011/11/11 00:00 [received] PHST- 2011/12/08 00:00 [accepted] PHST- 2012/02/23 06:00 [entrez] PHST- 2012/02/23 06:00 [pubmed] PHST- 2012/07/20 06:00 [medline] AID - CPD-EPUB-20120119-003 [pii] AID - 10.2174/138161212799859666 [doi] PST - ppublish SO - Curr Pharm Des. 2012;18(13):1821-45. doi: 10.2174/138161212799859666.