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World J Stem Cells. Aug 26, 2010; 2(4): 81-92
Published online Aug 26, 2010. doi: 10.4252/wjsc.v2.i4.81
Mesenchymal stromal cells from human perinatal tissues: From biology to cell therapy
Karen Bieback, Irena Brinkmann
Karen Bieback, Irena Brinkmann, Institute of Transfusion Medicine and Immunology, Medical Faculty Mannheim, Heidelberg University, DRK-Blutspendedienst Baden-Württemberg - Hessen gGmbH, Ludolf-Krehl-Str. 13-17, D-68167 Mannheim, Germany
Author contributions: Bieback K and Brinkmann I wrote this paper.
Supported by Research Funds of the German Federal Ministry of Education and Research (01GN0531 and 01GN0939), a Project Commissioned by the European Community (“CASCADE” HEALTH-F5-2009-223236).
Correspondence to: Dr. Karen Bieback, PhD, Institute of Transfusion Medicine and Immunology, Medical Faculty Mannheim, Heidelberg University, DRK-Blutspendedienst Baden-Württemberg - Hessen gGmbH, Ludolf-Krehl-Str. 13-17, D-68167 Mannheim, Germany. karen.bieback@medma.uni-heidelberg.de
Telephone: +49-621-383-9720 Fax: +49-621-383-9721
Received: February 8, 2010
Revised: August 11, 2010
Accepted: August 16, 2010
Published online: August 26, 2010
Abstract

Cell-based regenerative medicine is of growing interest in biomedical research. The role of stem cells in this context is under intense scrutiny and may help to define principles of organ regeneration and develop innovative therapeutics for organ failure. Utilizing stem and progenitor cells for organ replacement has been conducted for many years when performing hematopoietic stem cell transplantation. Since the first successful transplantation of umbilical cord blood to treat hematological malignancies, non-hematopoietic stem and progenitor cell populations have recently been identified within umbilical cord blood and other perinatal and fetal tissues. A cell population entitled mesenchymal stromal cells (MSCs) emerged as one of the most intensely studied as it subsumes a variety of capacities: MSCs can differentiate into various subtypes of the mesodermal lineage, they secrete a large array of trophic factors suitable of recruiting endogenous repair processes and they are immunomodulatory.

Focusing on perinatal tissues to isolate MSCs, we will discuss some of the challenges associated with these cell types concentrating on concepts of isolation and expansion, the comparison with cells derived from other tissue sources, regarding phenotype and differentiation capacity and finally their therapeutic potential.

Keywords: Mesenchymal stromal cells; Umbilical cord; Cord blood; Regenerative medicine; Cell therapy; Stem cells; Amnion; Chorion; Perinatal; Discarded tissue; Fetal membranes