Hamze Timari
1, Karim Shamsasenjan
1*, Aliakbar Movassaghpour
2, Parvin Akbarzadehlaleh
3, Davod Pashoutan Sarvar
1, Sara Aqmasheh
11 Stem Cell Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran.
2 Hematology Oncology Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran.
3 Department of Pharmaceutical Biotechnology, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract
Hematopoietic stem cells (HSCs) are multipotent
stem cells, with self-renewal ability as well as ability to generate all blood
cells. Mesenchymal stem cells (MSCs) are multipotent stem cells, with
self-renewal ability, and capable of differentiating into a
variety of cell types. MSCs have supporting effects on hematopoiesis; through
direct intercellular communications as well as secreting cytokines, chemokines,
and extracellular vesicles (EVs). Recent investigations demonstrated that some
biological functions and effects of MSCs are mediated by their EVs. MSC-EVs are
the cell membrane and endosomal membrane compartments, which are
important mediators in the intercellular communications. MSC-EVs contain some
of the molecules
such as proteins, mRNA, siRNA, and miRNA from their parental
cells.
MSC-EVs are able to inhibit tumor, repair damaged tissue, and modulate immune
system responses. MSC-EVs compared to their parental cells, may have the specific
safety advantages such as the lower potential to
trigger immune system responses and limited side effects. Recently some studies
demonstrated the effect of MSC-EVs on the expansion, differentiation, and
clinical applications of HSCs such as improvement of hematopoietic stem cell
transplantation (HSCT) and inhibition of graft versus host disease (GVHD). HSCT
may be the only therapeutic choice for patients who suffer from malignant and
non-malignant hematological disorders. However, there are several severe side effects such GVHD that restricts
the successfulness of HSCT. In this review, we will discuss the most important
effects of MSCs and MSC-EVs on the improvement of HSCT, inhibition and treatment of GVHD, as well as,
on the expansion of HSCs.