Cell type |
Source |
Rationale |
Mechanism of action |
Preclinical/clinical results |
References |
MSC |
Human umbilical cord tissue/blood; rodent/human bone marrow |
Safe and feasible in phase 1 RCT for bronchopulmonary dysplasia
Low immunogenicity (low MHC II), easily obtainable, rapid expansion
Autologous/allogeneic administration
Paracrine release of trophic factors
|
Paracrine release of IGF‐1, EGF, VEGF, BDNF
Immunomodulatory: regulate T‐cell, B‐cell function, and production of inflammatory cytokines
Mitochondrial transfer
|
Nerve fibre remyelination and axonal regeneration
Improve behavioural/motor tests
Enhance neural cell proliferation, survival, function
Decrease infarct size
|
Ahn 2016; Boshuizen 2018; Chopp 2002; Hsu 2016; Islam 2012; Liu 2010; Murphy 2013; Park 2016
|
MNC |
Human umbilical cord blood |
Readily collected and large supply in cord blood with high plasticity
Safe and feasible in phase 1 RCT for hypoxic‐ischaemic encephalopathy
Low immunogenicity (minimal HLA matching)
Paracrine release of trophic factors
Autologous/allogeneic administration
|
Increase expression of BDNF, NGF, VEGF, GDNF
Activation of pro‐survival Akt pathway
Decrease TNF‐α and increase IL‐10 gene expression
Reduce CD4+ T cell infiltration
Regulate hedgehog signalling
|
Decrease neuronal apoptosis, astrogliosis, inflammation
Improve oligodendrocyte survival
Induce axonal growth
Improve neurobehavioral outcome
|
Aridas 2016; Cotton 2014; Fan 2005; McDonald 2018; Pimentel‐Coelho 2012; Rowe 2010; Wang 2013
|
OPC |
Rodent/human embryonic stem cell; human NSC derivation |
|
|
Promote myelin sheath formation, NSC proliferation, and inhibit apoptosis
Motor recovery following CNS injury
|
Chen 2015; Gopagondanahalli 2016; Kim 2018; Manley 2017; Niimi 2018; Xu 2015
|
NSC |
Human fetal striatum; human ESC; human iPSC |
Differentiate into cells necessary for brain repair, including: neurons, astrocytes, and oligodendrocytes
Paracrine release of trophic factors
Low immunogenicity and tumorigenicity
|
Immunomodulation
Paracrine secretion of BDNF, VEGF, and EGF
Attenuate NF‐κB signalling
Upregulate glutamate transport
|
Stimulate survival and migration of endogenous NSCs and neurons
Reduce inflammation and reactive oxygen species production
Improve axonal growth, motor function, decreased infarct size
|
Daadi 2016; Huang 2018; Ji 2015; Mine 2013
|
HSC |
Umbilical cord blood |
Paracrine release of neurotrophic factors
Multipotent capacity and ability to transdifferentiate into neuronal cells
Autologous/allogeneic administration
|
|
|
Schwarting 2008; Tsuji 2014; Verina 2013
|
EPC |
Human umbilical vein; human umbilical cord blood; human adipose stem cell; human iPSC |
Umbilical‐cord‐derived EPCs have higher regenerative potential than adult bone marrow‐derived EPCs
Endothelial cell protection, repair, angiogenesis
Low immunogenicity
Paracrine release of regenerative factors
Autologous administration
|
Anti‐inflammatory effects: reduce CD4+ infiltration to the brain
Activation of PI3/Akt pathway
Axonal growth: BDNF secretion
Angiogenesis: VEGF, IGF‐1 secretion
|
Improve cognitive and motor function
Inhibit neuronal apoptosis
Stimulate blood vessel formation and reduce infarct size
|
Grandvuillemin 2017; Kidani 2016; McDonald 2018; Nabetani 2018; Wang 2016; Wu 2013
|
iPSC |
Skin fibroblasts, umbilical cord tissue, amniotic tissue |
|
Differentiate into functional neural cells (electrophysiological properties)
Decrease infiltration of MPO+ neutrophils and CD11b+ microglia
VEGF expression and organelle transfer
|
Improve survival and sensorimotor function
Establish axonal connections
Inhibit inflammation, neural apoptosis, and glial scar formation
|
Cai 2010; Hsu 2016; Oki 2012; Pluchino 2013; Qin 2015; Tornero 2013
|