J Tissue Eng Regen Med. 2019 Jan 15. doi: 10.1002/term.2806. [Epub ahead of print]

Conditioned media serived from mesenchymal stem cell cultures: The next generation for regenerative medicine.

Gunawardena TNA¹, Mohammad TR¹, Abdullah BJJ², Abu Kasim NH¹.

Abstract

Recent studies suggest that the main driving force behind the therapeutic activity observed in mesenchymal stem cells (MSCs) are the paracrine factors secreted by these cells. These biomolecules also trigger anti-apoptotic events to prevent further degeneration of the diseased organ through paracrine signalling mechanisms. In comparison to the normal physiological conditions, an increased paracrine gradient is observed within the peripheral system of diseased organs which enhances the migration of tissue specific MSCs towards the site of infection or injury to promote healing. Thus, upon administration of conditioned media derived from mesenchymal stem cell cultures (MSC-CM) could contribute in maintaining the increased paracrine factor gradient between the diseased organ and the stem cell niche in order to speed up the process of recovery. Based on the principle of the paracrine signalling mechanism, MSC-CM, also referred as the secretome of the MSCs, is a rich source of the paracrine factors and are being studied extensively for a wide range of regenerative therapies such as myocardial infarction, stroke, bone regeneration, hair growth and wound healing. This article highlights the current technological applications and advances of MSC-CM with the aim to appraise its future potential as a regenerative therapeutic agent.