학술논문

The influence of macrophages on mesenchymal stromal cell therapy: passive or aggressive agents?
Document Type
Article
Source
Clinical & Experimental Immunology. Apr2017, Vol. 188 Issue 1, p1-11. 12p.
Subject
*MESENCHYMAL stem cells
*CELLULAR therapy
*IMMUNOREGULATION
*MACROPHAGES
*T cells
Language
ISSN
0009-9104
Abstract
Mesenchymal stromal cells (MSC) have emerged as promising cell therapies for multiple conditions based on demonstrations of their potent immunomodulatory and regenerative capacities in models of inflammatory disease. Understanding the effects of MSC on T cells has dominated the majority of work carried out in this field to date; recently, however, a number of studies have shown that the therapeutic effect of MSC requires the presence of macrophages. It is timely to review the mechanisms and manner by which MSC modulate macrophage populations in order to design more effective MSC therapies and clinical studies. A complex cross-talk exists through which MSC and macrophages communicate, a communication that is not controlled exclusively by MSC. Here, we examine the evidence that suggests that MSC not only respond to inflammatory macrophages and adjust their secretome accordingly, but also that macrophages respond to encounters with MSC, creating a feedback loop which contributes to the immune regulation observed following MSC therapy. Future studies examining the effects of MSC on macrophages should consider the antagonistic role that macrophages play in this exchange. [ABSTRACT FROM AUTHOR]