Inflammatory bowel disease: Moving toward a stem cell-based therapy.
The incidence and prevalence of Crohn's disease (CD) and ulcerative colitis (UC), the two major forms of inflammatory bowel diseases (IBD), are rising in western countries. The modern hygienic lifestyle is probably at the root of a disease where, in genetically susceptible hosts, the intestinal commensal flora triggers dysregulated immune and inflammatory responses. Current therapies ranging from anti-inflammatory drugs to immunosuppressive regimens, remain inadequate. Advances in our understanding of the cell populations involved in the pathogenetic processes and recent findings on the regenerative, trophic and immunoregulatory potential of stem cells open new paths in IBD therapy. Hematopoietic and mesenchymal stem cells are catalyzing the attention of IBD investigators. This review highlights the pivotal findings for stem cell-based approaches to IBD therapy and collects the encouraging results coming in from clinical trials.
Lanzoni
Giacomo
G
Department of Histology, Embryology and Applied Biology, University of Bologna, Via Belmeloro 8, Bologna, Italy.
Roda
Giulia
G
Belluzzi
Andrea
A
Roda
Enrico
E
Bagnara
Gian Paolo
GP
D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000628:therapy*; D045164:Mesenchymal Stem Cell Transplantation; D033581:Stem Cell Transplantation / Q000379:methods / Q000639:trends*