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      Mesenchymal Stem Cell Secretome as an Emerging Cell-Free Alternative for Improving Wound Repair

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          Abstract

          The use of mesenchymal stem cells (MSC) for the treatment of cutaneous wounds is currently of enormous interest. However, the broad translation of cell therapies into clinical use is hampered by their efficacy, safety, manufacturing and cost. MSCs release a broad repertoire of trophic factors and immunomodulatory cytokines, referred to as the MSC secretome, that has considerable potential for the treatment of cutaneous wounds as a cell-free therapy. In this review, we outline the current status of MSCs as a treatment for cutaneous wounds and introduce the potential of the MSC secretome as a cell-free alternative for wound repair. We discuss the challenges and provide insights and perspectives for the future development of the MSC secretome as well as identify its potential clinical translation into a therapeutic treatment.

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          Most cited references105

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          Multilineage potential of adult human mesenchymal stem cells.

          Human mesenchymal stem cells are thought to be multipotent cells, which are present in adult marrow, that can replicate as undifferentiated cells and that have the potential to differentiate to lineages of mesenchymal tissues, including bone, cartilage, fat, tendon, muscle, and marrow stroma. Cells that have the characteristics of human mesenchymal stem cells were isolated from marrow aspirates of volunteer donors. These cells displayed a stable phenotype and remained as a monolayer in vitro. These adult stem cells could be induced to differentiate exclusively into the adipocytic, chondrocytic, or osteocytic lineages. Individual stem cells were identified that, when expanded to colonies, retained their multilineage potential.
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            Mesenchymal Stromal Cells: Clinical Challenges and Therapeutic Opportunities

            Mesenchymal stromal cells (MSCs) have been the subject of clinical trials for more than a generation, and the outcomes of advanced clinical trials have fallen short of expectations raised by encouraging pre-clinical animal data in a wide array of disease models. In this Perspective, important biological and pharmacological disparities in pre-clinical research and human translational studies are highlighted, and analyses of clinical trial failures and recent successes provide a rational pathway to MSC regulatory approval and deployment for disorders with unmet medical needs.
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              Chronic Wound Healing: A Review of Current Management and Treatments

              Wound healing is a complex, highly regulated process that is critical in maintaining the barrier function of skin. With numerous disease processes, the cascade of events involved in wound healing can be affected, resulting in chronic, non-healing wounds that subject the patient to significant discomfort and distress while draining the medical system of an enormous amount of resources. The healing of a superficial wound requires many factors to work in concert, and wound dressings and treatments have evolved considerably to address possible barriers to wound healing, ranging from infection to hypoxia. Even optimally, wound tissue never reaches its pre-injured strength and multiple aberrant healing states can result in chronic non-healing wounds. This article will review wound healing physiology and discuss current approaches for treating a wound.
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                Author and article information

                Journal
                Int J Mol Sci
                Int J Mol Sci
                ijms
                International Journal of Molecular Sciences
                MDPI
                1422-0067
                24 September 2020
                October 2020
                : 21
                : 19
                : 7038
                Affiliations
                [1 ]Future Industries Institute, University of South Australia, Adelaide, SA 5000, Australia; parinaz.ahangar@ 123456mymail.unisa.edu.au (P.A.); stuart.mills@ 123456unisa.edu.au (S.J.M.)
                [2 ]Clinical and Health Sciences, University of South Australia, Adelaide, SA 5000, Australia
                Author notes
                [* ]Correspondence: Allison.cowin@ 123456unisa.edu.au ; Tel.: +61-8-8302-5018
                Author information
                https://orcid.org/0000-0002-0060-3501
                https://orcid.org/0000-0002-2462-7081
                https://orcid.org/0000-0003-2885-2080
                Article
                ijms-21-07038
                10.3390/ijms21197038
                7583030
                32987830
                3f4f667f-bc49-4f55-8ac4-3e014495a5fe
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 03 September 2020
                : 23 September 2020
                Categories
                Review

                Molecular biology
                mesenchymal stem cells,secretome,wound healing
                Molecular biology
                mesenchymal stem cells, secretome, wound healing

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