
Frontiers in Immunology, Journal Year: 2025, Volume and Issue: 16
Published: May 13, 2025
The global prevalence of inflammatory bowel disease (IBD) has significantly increased in recent decades. IBD is a long-term, recurring, gastrointestinal condition that mainly comprises two primary clinical types: ulcerative colitis and Crohn's disease. current treatment paradigm for primarily focuses on symptom management. However, this approach does not support mucosal epithelial repair, maintenance barrier homeostasis, or regulation biological functions the gut. Conventional therapies rely frequent use high-dose medications, including antibiotics, nonsteroidal anti-inflammatory drugs, agents, immunomodulators. Recently, mesenchymal stem/stromal cells (MSCs) have gained interest tissue regeneration owing to their unique ability differentiate secrete regulatory factors, extracellular vesicles (EVs), which play crucial roles abnormal organization. Various routes administration been explored preclinical studies deliver MSCs from diverse sources. include intraperitoneal, intravenous, local (intracolonic rectal) delivery. employed were obtained various tissues, bone marrow, umbilical cord, adipose tissue. This article reviews research framework application EVs secretion IBD, emphasizing key immunological effects, such as immune microenvironment regulation, intestinal stabilization, therapeutic approaches targeting disorders. discussion advantages over other biologics, impairment gut tissue-resident stem development, targets (at cellular molecular levels) within reparative effects IBD. We aimed present an overview trends MSC therapy, well identify challenges future directions must be addressed advance MSC-mediated strategies
Language: Английский