Tissue Eng Regen Med.  2017 Jun;14(3):201-210. 10.1007/s13770-017-0026-5.

Mesenchymal Stem Cell-Based Therapies against Podocyte Damage in Diabetic Nephropathy

• Khalilpourfarshbafi M
• Hajiaghaalipour F
• Krishnan Selvarajan K
• Adam A

• KMID: 2395077
• DOI: http://doi.org/10.1007/s13770-017-0026-5

Abstract

Injury to podocytes is an early event in diabetic nephropathy leading to proteinuria with possible progression to end-stage renal failure. The podocytes are unique and highly specialized cells that cover the outer layer of kidney ultrafiltration barrier and play an important role in glomerular function. In the past few decades, adult stem cells, such as mesenchymal stem cells (MSCs) with a regenerative and differentiative capacity have been extensively used in cell-based therapies. In addition to their capability for regeneration and differentiation, MSCs contributes to their milieu by paracrine action of a series of growth factors via antiapoptotic, mitogenic and other cytokine actions that actively participate in treatment of podocyte damage through prevention of podocyte effacement, detachment and apoptosis. It is hoped that novel stem cell-based therapies will be developed in the future to prevent podocyte injury, thereby reducing the burden of kidney disease.

Keyword

Mesenchymal stem cells; Podocyte damage; Diabetic nephropathy; Kidney ultrafiltration; Glomerular function

MeSH Terms

Adult Stem Cells
Apoptosis
Diabetic Nephropathies*
Hope
Intercellular Signaling Peptides and Proteins
Kidney
Kidney Diseases
Kidney Failure, Chronic
Mesenchymal Stromal Cells
Podocytes*
Proteinuria
Regeneration
Ultrafiltration
Intercellular Signaling Peptides and Proteins