Human mesenchymal stem cells and biomaterials as a strategy for cutaneous regenerative therapy: an integrative review
DOI:
https://doi.org/10.18593/evid.36579Keywords:
Biomaterial, Mesenchymal Stem Cell, Regenerative MedicineAbstract
Wound healing is a significant medical issue and a relevant public health concern. The pharmaceutical industry continues to seek effective therapeutic solutions that increase predictability and accelerate tissue repair processes. Mesenchymal stem cells (MSCs) are recognized for their healing properties and safety in cell therapies and are being applied to treat skin degradation conditions. To enhance this efficacy, tissue engineering uses biomaterials as a promising approach for cellular support, contributing to cell adhesion and proliferation. In this context, this integrative review investigates the effectiveness of combining MSCs with different biomaterials, consolidating evidence on the interaction between these components and their impact on skin treatment. Primary studies were selected across six scientific databases, employing descriptors that combined primary and secondary terms. The search systematization included evaluating titles, abstracts, and the complete reading of 24 publications, applying pre-defined inclusion criteria. The sample comprised seven studies. Data synthesis and qualitative analysis were conducted descriptively. The results of the studies, most indexed within the past 5 years, reveal a growing trend on the topic. Research from various countries, cellular origins, and biomaterials characteristics were recorded, indicating the diversity in approaches. Despite this, the outcomes were similar, demonstrating that the intended integration improves epithelial regeneration and fosters an environment favorable to cell migration. However, the authors highlight the need for further research to clarify the long-term effects and optimize the use of advanced therapies in this field, consolidating evidence on the interaction between MSCs and biomaterials and their ability to provide an effective and accessible solution for the management and treatment of hard-to-heal wounds.
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References
Barry, F. P., & Murphy, J. M. (2004). Mesenchymal Stem Cells: Clinical Applications and Biological Characterization. International Journal of Biochemistry & Cell Biology, 36(4), 568-584. https://doi.org/10.1016/j.biocel.2003.11.001 DOI: https://doi.org/10.1016/j.biocel.2003.11.001
Carvalho, H. S. (2014). Células-Tronco e Terapias Regenerativas. Revista Eletrônica Estácio Saúde, 3(2).
Cavalcanti, A. L., Lima, A. L., & Ferreira, L. M. (2017). Eficácia da Membrana de Celulose Bacteriana no Tratamento de Úlceras Venosas de Membros Inferiores: Estudo Randomizado e Controlado. Revista do Colégio Brasileiro de Cirurgiões, 44(1), 72-80. https://doi.org/10.1590/0100-69912017001011 DOI: https://doi.org/10.1590/0100-69912017001011
Chaudhari, A. A., Vig, K., Baganizi, D. R., Sahu, R., Dixit, S., Dennis, V., Singh, S. R., & Pillai, S. R. (2016). Future Prospects for Scaffolding Methods and Biomaterials in Skin Tissue Engineering: A Review. International Journal of Molecular Sciences, 17(12), 1-32. https://doi.org/10.3390/ijms17121974 DOI: https://doi.org/10.3390/ijms17121974
Cherng, J., Chou, S., Chen, C., Wang, Y., Chang, S., Fan, G., Leung, F., & Meng, E. (2021). Bacterial Cellulose as a Potential Bio-Scaffold for Effective Re-Epithelialization Therapy. Pharmaceutics, 13(1592). https://doi.org/10.3390/pharmaceutics13101592 DOI: https://doi.org/10.3390/pharmaceutics13101592
Cohen, J. (1967). Biomaterials in Orthopedic Surgery. The American Journal of Surgery, 114, 31-41. https://doi.org/10.1016/0002-9610(67)90037-2 DOI: https://doi.org/10.1016/0002-9610(67)90037-2
Dai, C., Shih, S., & Khachemoune, A. (2019). Skin Substitutes for Acute and Chronic Wound Healing: An Updated Review. Journal of Dermatological Treatment, 30(6), 569-577. https://doi.org/10.1080/09546634.2018.1530443 DOI: https://doi.org/10.1080/09546634.2018.1530443
Dehkordi, A. N., Babaheydari, F. M., Chehelgerdi, M., & Dehkordi, S. R. (2019). Skin Tissue Engineering: Wound Healing Based on Stem-Cell-Based Therapeutic Strategies. Stem Cell Research & Therapy, 10(111), 1-22. https://doi.org/10.1186/s13287-019-1212-2 DOI: https://doi.org/10.1186/s13287-019-1212-2
Delmonte, O. M., & Fleisher, T. A. (2019). Flow Cytometry: Surface Markers and Beyond. Journal of Allergy and Clinical Immunology, 143(2), 528-537. https://doi.org/10.1016/j.jaci.2018.08.011 DOI: https://doi.org/10.1016/j.jaci.2018.08.011
Deus, G. C., Normanton, M., Hamerschlak, N., Kondo, A. T., Ribeiro, A. A. F., Goldberg, A. C., & Marti, L. C. (2012). Isolamento e Caracterização de Células-Tronco Mesenquimais de Filtros Reutilizáveis e Descartáveis de Medula Óssea. Einstein, 10(3), 296-301. DOI: https://doi.org/10.1590/S1679-45082012000300007
Dominici, M., Le Blanc, K., Müeller, I., Slaper-Cortenbach, I., Marini, F., Krause, D., Deans, R. J., Keating, A., Prockop, D. J., & Horwitz, E. M. (2006). Minimal Criteria for Defining Multipotent Mesenchymal Stromal Cells. Cytotherapy, 8(4), 315-317. https://doi.org/10.1080/14653240600855905 DOI: https://doi.org/10.1080/14653240600855905
Ferrara, N. (2009). VEGF-A: A Critical Regulator of Blood Vessel Growth. European Cytokine Network, 20(4), 158-163. https://doi.org/10.1684/ecn.2009.0170 DOI: https://doi.org/10.1684/ecn.2009.0170
Gois, T. S., de Jesus, C. V. F., dos Santos, J., de Oliveira, F. S., Feitosa, L., Santana, M. F., da Silva, M. C., da Silva, R. N., & Teles, W. de S. (2021). Fisiopatologia da Cicatrização em Pacientes Portadores de Diabetes Mellitus. Brazilian Journal of Health Review, 4(4), 1227-1240. https://doi.org/10.34119/bjhrv4n4-006 DOI: https://doi.org/10.34119/bjhrv4n4-006
Han, Y., Li, X., Zhang, Y., Han, Y., Chang, F., & Ding, J. (2019). Mesenchymal Stem Cells for Regenerative Medicine. Cells, 8(886). https://doi.org/10.3390/cells8080886 DOI: https://doi.org/10.3390/cells8080886
Hendijani, F. (2017). Explant Culture: An Advantageous Method for Isolation of Mesenchymal Stem Cells From Human Tissues. Cell Proliferation, 50, 1-14. https://doi.org/10.1111/cpr.12334 DOI: https://doi.org/10.1111/cpr.12334
Herskovitz, I., Hughes, O. B., Macquhae, F., Rakosi, A., & Kirsner, R. (2016). Epidermal Skin Grafting. International Wound Journal, 13(3), 52-56. https://doi.org/10.1111/iwj.12631 DOI: https://doi.org/10.1111/iwj.12631
Hoang, P., & Ma, Z. (2021). Biomaterial-Guided Stem Cell Organoid Engineering for Modeling Development and Diseases. Acta Biomaterialia, 132, 23-36. https://doi.org/10.1016/j.actbio.2021.05.016 DOI: https://doi.org/10.1016/j.actbio.2021.01.026
Järbrink, K., Ni, G., Sönnergren, H., Schmidtchen, A., Pang, C., Bajpai, R., & Car, J. (2016). Prevalence and Incidence of Chronic Wounds and Related Complications: A Protocol for a Systematic Review. Systematic Reviews, 5(1), Article 152. https://doi.org/10.1186/s13643-016-0329-y DOI: https://doi.org/10.1186/s13643-016-0329-y
Kern, S., Eichler, H., Stoeve, J., Klüter, H., & Bieback, K. (2006). Comparative Analysis of Mesenchymal Stem Cells from Bone Marrow, Umbilical Cord Blood, or Adipose Tissue. Stem Cells, 24, 1294-1301. https://doi.org/10.1634/stemcells.2005-0342 DOI: https://doi.org/10.1634/stemcells.2005-0342
Kolios, G., & Moodley, Y. (2013). Introduction to Stem Cells and Regenerative Medicine. Respiration, 85(1), 3-10. https://doi.org/10.1159/000345615 DOI: https://doi.org/10.1159/000345615
Lee, D. E., Ayoub, N., & Agrawal, D. K. (2016). Mesenchymal Stem Cells and Cutaneous Wound Healing: Novel Methods to Increase Cell Delivery and Therapeutic Efficacy. Stem Cell Research & Therapy, 7(37). https://doi.org/10.1186/s13287-016-0303-6 DOI: https://doi.org/10.1186/s13287-016-0303-6
Liu, S., Hou, K. D., Yuan, M., Peng, J., Zhang, L., Sui, X., Zhao, B., Xu, W., Wang, A., Lu, S., & Guo, Q. (2014). Characteristics of Mesenchymal Stem Cells Derived from Wharton’s Jelly of Human Umbilical Cord and for Fabrication of Non-Scaffold Tissue-Engineered Cartilage. Journal of Bioscience and Bioengineering, 117(2), 229-235. https://doi.org/10.1016/j.jbiosc.2013.07.001 DOI: https://doi.org/10.1016/j.jbiosc.2013.07.001
Marin, E., Boschetto, F., & Pezzotti, G. (2020). Biomaterials and Biocompatibility: An Historical Overview. Journal of Biomedical Materials Research, 108, 1617-1633. https://doi.org/10.1002/jbm.a.36930 DOI: https://doi.org/10.1002/jbm.a.36930
Murphy, M. B., Moncivais, K., & Caplan, A. I. (2013). Mesenchymal Stem Cells: Environmentally Responsive Therapeutics for Regenerative Medicine. Experimental & Molecular Medicine, 45(11), e54. https://doi.org/10.1038/emm.2013.94 DOI: https://doi.org/10.1038/emm.2013.94
Odorico, J. S., Kaufman, D. S., & Thomson, J. A. (2011). Multilineage Differentiation from Human Embryonic Stem Cell Lines. Stem Cells, 19(3), 193-204. http://dx.doi.org/10.1634/stemcells.19-3-193 DOI: https://doi.org/10.1634/stemcells.19-3-193
Oliveira, A. C., Rocha, D. M., Bezerra, S. M., Andrade, E. M., Santos, A. M., & Nogueira, L. T. (2019). Qualidade de Vida de Pessoas com Feridas Crônicas. Acta Paulista de Enfermagem, 32(2), 194-201. https://doi.org/10.1590/1982-0194201900027 DOI: https://doi.org/10.1590/1982-0194201900027
Palaniappan, U., Kannaiyan, J., Paulraj, B., Karuppiah, P., Basavarajappa, S., Syed, A., Elgorban, A. M., Zaghloul, N. S., & Veeramanikandan, V. (2023). Combining Mesenchymal Stem Cells Derived From Wharton’s Jelly And Amniotic Biomaterial Scaffolds For Cell Delivery. ACS Omega, 8, 24.351-24.361. https://doi.org/10.1021/acsomega.3c01689 DOI: https://doi.org/10.1021/acsomega.3c01689
Patel, N. R., & Gohil, P. P. (2012). A Review On Biomaterials: Scope, Applications & Human Anatomy Significance. International Journal of Emerging Technology and Advanced Engineering, 2, 91-101.
Qiu, Y., Qiu, L., Cui, J., & Wei, Q. (2016). Bacterial Cellulose and Bacterial Cellulose-Vaccarin Membranes for Wound Healing. Materials Science and Engineering C, 59, 303-309. https://doi.org/10.1016/j.msec.2015.10.016 DOI: https://doi.org/10.1016/j.msec.2015.10.016
Ranjbaran, H., Abediankenari, S., Mohammadi, M., Jafari, N., Khalilian, A., Rahmani, Z., Amiri, M. M., & Ebrahimi, P. (2018). Wharton's Jelly Derived-Mesenchymal Stem Cells: Isolation and Characterization. Acta Médica Iranica, 56(1), 28-33.
Reinke, J. M., & Sorg, H. (2012). Wound Repair and Regeneration. European Surgical Research, 49, 35-43. https://doi.org/10.1159/000339613 DOI: https://doi.org/10.1159/000339613
Sabapathy, V., Sundaram, B., Sreelakshmi, V. M., Mankuzhy, P., & Kumar, S. (2014). Human Wharton’s Jelly Mesenchymal Stem Cells Plasticity Augments Scar-Free Skin Wound Healing with Hair Growth. PLoS ONE, 9(4). https://doi.org/10.1371/journal.pone.0093726 DOI: https://doi.org/10.1371/journal.pone.0093726
Saleh, M., Kiaei, S. Z. F., & Kavianpour, M. (2022). Application of Wharton Jelly-Derived Mesenchymal Stem Cells in Patients with Pulmonary Fibrosis. Stem Cell Research & Therapy, 13(71). https://doi.org/10.1186/s13287-022-02746-x DOI: https://doi.org/10.1186/s13287-022-02746-x
Sharma, P., Kumar, P., Sharma, R., Bhatt, V. D., & Dhot, O. S. (2019). Tissue Engineering: Current Status & Futuristic Scope. Journal of Medicine and Life, 12(3), 225-229. https://doi.org/10.25122/jml-2019-0032 DOI: https://doi.org/10.25122/jml-2019-0032
Silva, M. A., Leite, Y. K. C., Carvalho, C. E. S., Feitosa, M. L. T., Alves, M. M. M., Carvalho, F. A. A., Neto, B. C. V., Miglino, M. A., Jozala, A. F., & Carvalho, M. M. A. (2018). Behavior and Biocompatibility of Rabbit Bone Marrow Mesenchymal Stem Cells with Bacterial Cellulose Membrane. PeerJ, 6(e4656). https://doi.org/10.7717/peerj.4656 DOI: https://doi.org/10.7717/peerj.4656
Souza, C. M. C. O. (2014). Regeneration of Skin Tissue Promoted by Mesenchymal Stem Cells Seeded in Nanostructured Membrane. Transplantation Proceedings, 46. https://doi.org/10.1016/j.transproceed.2014.05.066 DOI: https://doi.org/10.1016/j.transproceed.2014.05.066
Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Revisão Integrativa: O que é e como fazer?. Einstein (São Paulo), 8(1 Pt 1), 102-106. DOI: https://doi.org/10.1590/s1679-45082010rw1134
Souza, V. F. (2003). Células-Tronco: Uma Breve Revisão. Revista de Ciências Médicas e Biológicas, 2(2), 251-256. https://doi.org/10.9771/cmbio.v2i2.4292 DOI: https://doi.org/10.9771/cmbio.v2i2.4292
Sumarta, N. P. M., Kamadjaja, D. B., Hendrijantini, N., Danudiningrat, C. P., & Rantam, F. A. (2021). Human Umbilical Cord Mesenchymal Stem Cells Over Platelet Rich Fibrin Scaffold for Mandibular Cartilage Defects Regenerative Medicine. Pesquisa Brasileira em Odontopediatria e Clínica Integrada. https://doi.org/10.1590/pboci.2021.020. DOI: https://doi.org/10.1590/pboci.2021.020
Taghizadeh, R. R., Cetrulo, K. J., & Cetrulo, C. L. (2011). Wharton’s Jelly Stem Cells: Future Clinical Applications. Placenta, 32, 311-315. https://doi.org/10.1016/j.placenta.2011.06.010 DOI: https://doi.org/10.1016/j.placenta.2011.06.010
Vieira, C. P. de B., & Araújo, T. M. E. de. (2018). Prevalência e Fatores Associados a Feridas Crônicas em Idosos na Atenção Básica. Revista da Escola de Enfermagem da USP, 52, e03415. https://doi.org/10.1590/S1980-220X2017051303415 DOI: https://doi.org/10.1590/s1980-220x2017051303415
Wang, X. (2023). Bacterial Cellulose Membrane Combined with BMSCs Promotes Wound Healing by Activating The Notch Signaling Pathway. Frontiers in Surgery, 16(9). https://doi.org/10.3389/fsurg.2022.1027067 DOI: https://doi.org/10.3389/fsurg.2022.1027067
Weiss, M. L., & Troyer, D. L. (2006). Stem Cells in The Umbilical Cord. Stem Cell Reviews and Reports, 2(2), 155-162. https://doi.org/10.1007/s12015-006-0022-y DOI: https://doi.org/10.1385/SCR:2:2:155
Yarak, S., & Okamoto, O. K. (2010). Células-Tronco Derivadas de Tecido Adiposo Humano: Desafios Atuais e Perspectivas Clínicas. Anais Brasileiros de Dermatologia, 85(5), 647-656. https://doi.org/10.1590/S0365-05962010000500008 DOI: https://doi.org/10.1590/S0365-05962010000500008
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