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Table 3 The cells/stem cells used in respiratory development and disease treatment

From: Advancements in lung regeneration: from bench to bedside

Cell/stem cell

Opinion

Methods

Result

Ref/year

hPSC

Respiratory development

Evaluation of HPS1 (Hermansky-Pudlak syndrome type-1) in ECM and mesenchymal cell accumulation and its effect on lung disease

(in vitro)

hPSCs could be generated from LBOs

Development into airway structures after xenotransplantation

2017/[88]

hPSCs

Respiratory development

Investigation of the protocol that differentiates hPSCs into ventral-anterior foregut spheroids bud tip progenitor organoids and human lung organoids

These stem cells could be used to make organoids and as a model for human lung development.

2019/[87]

hIPSCs

Respiratory development

Evaluation of human induced pluripotent stem cells differentiation into airway basal cells

(in vivo & in vitro)

These cells could successfully differentiate into airway basal cells, and this can be used in treating diseases like asthma, cystic fibrosis, and primary ciliary dyskinesia.

2021/[81]

Basal epithelial cells

Respiratory development

Evaluate Translational methods for the regeneration and recellularization of transplantable lung constructs.

(Ex vivo)

Extensive recellularization is maintained with organized tissue structure, morphology, and kept phenotype of basal epithelial cells

2016/[89]

Mouse Sox9+multipotent embryonic lung progenitors

Respiratory development

Expansion and isolation of mouse Sox9+multipotent embryonic lung progenitors in 3D culture

(in vivo)

Sox9+ progenitors differentiated into all main airway and alveolar lineages

2017/[83]

Human Sox9+ basal cells

Respiratory development

Human Sox9+ basal cells were isolated via bronchoscopic brushing and expanded in feeder-free conditions.

The structure of the lung could be reconstituted via orthotopic transplantation of tissue-specific PCs

2019/[84]

hIPSCs

Chronic bronchial disease

A hiPSC line was generated from a highly characterized 40-year-old healthy male nonsmoking donor person. PBMCs were reprogrammed using integration-free Sendai Virus.

The results showed that the cell line had normal karyotype-expressed pluripotency hallmarks. They were differentiated into the three primary germ layers, as well.

2019/[82]

MSCs

Thoracic malignancies

The mice were exposed to thoracic radiation, and the protective effects of MSC-EVs on inflammation, endothelial cell damage, fibrosis, and vascular permeability were assessed.

According to the results, MSC-EVs hampered the secretory phenotype development and lowered the radiation-induced injury of endothelial cells.

2021/[90]

MSC

COVID-19

MSCs isolated from tissues. It was isolated exosomes from the supernatants. Histological examination, lung function assessment, viral load analysis, CRP level, differential leukocyte, and cytokine assay analysis were investigated.

This study investigated therapeutic approaches to learn more about this disease mechanism and how to hamper the inflammation, cytokine storm, and ARDS of this disease.

2020/[91]

AFMSC

PE

Injecting IT (Intratracheal) the pre-differentiated AFMSCs for emphysema in 2 weeks in a mice model (in vivo)

The results showed that transplantation of differentiated AFMSCs through IT injection had a better reverse elastase-induced and alveolar regeneration pulmonary emphysema in the tested mice.

2019/[93]

MSC

PF

Combining MSC with drugs like TGF-β and VEGF/ PDGF/FGF

According to the results, the combination of pharmaceutical therapy and MSC transplantation may be effective. To improve the therapeutic effect, MSC transplantation should be combined with drugs like PDGF/VEGF/FGF (nintedanib) and TGF-β (pirfenidone).

2018/[94]

MSC

ALI/ARDS

Ang-1, GLP-1R, FGF-10, and SPC are examined in both time- and dose-dependent manners. Effects of MSC and liraglutide on ALI. Chromatin immunoprecipitation assay differential cell counting in BALF. Western blot. In a mouse model (in vivo)

According to the results, the combination of liraglutide and hCMSCs is an efficient protocol for ALI treatment.

2020/[95]

hucMSC-sEVs

BPD

Rat model of BPD

Angiogenesis testing

Alveolarization analysis

According to the results, hucMSC-sEVs could restore lung function and alveolar structure and ameliorate pulmonary hypertension

2020/[15]