Progress in research on mesenchymal stem cells and their extracellular vesicles for treating fibrosis in systemic sclerosis

Clin Exp Med. 2023 Nov;23(7):2997-3009. doi: 10.1007/s10238-023-01136-8. Epub 2023 Jul 17.

Abstract

Systemic sclerosis (SSc) refers to an autoimmune disease characterized by immune dysfunction, vascular endothelial damage, and multi-organ fibrosis. Thus far, this disease is incurable, and its high mortality rate is significantly correlated with fibrotic events. Fibrosis has been confirmed as a difficult clinical treatment area that should be urgently treated in clinical medicine. Mesenchymal stem cells (MSCs) exhibit immunomodulatory, pro-angiogenic, and anti-fibrotic functions. MSCs-derived extracellular vesicles (EVs) have aroused rising interest as a cellular component that retains the functions of MSCs while circumventing the possible adverse effects of MSCs. Moreover, EVs have great potential in treating SSc. In this study, the current research progress on MSCs and their EVs for treating fibrosis in SSc was reviewed, with an aim to provide some reference for future MSCs and their EVs in treating SSc.

Keywords: Fibrosis; Mesenchymal stem cells, extracellular vesicles; Scleroderma, systemic.

Publication types

  • Review

MeSH terms

  • Autoimmune Diseases*
  • Extracellular Vesicles*
  • Fibrosis
  • Humans
  • Mesenchymal Stem Cells*
  • Scleroderma, Systemic* / pathology
  • Scleroderma, Systemic* / therapy