Table 1.
Summary of preclinical studies on stem cell therapy for cystitis models mimicking IC/BPS
First author | Stem cell source | Stem cell type | Transplantation route | Tracking of stem cells | Differentiation | Results |
---|---|---|---|---|---|---|
Song et al. [39] | Human | UCB-MSCs | Bladder injection | PKH26 | Yes | Ameliorated epithelial denudation and abnormal inflammation, neural networks, and angiogenesis by activating Wnt signaling pathway. |
Xie et al. [40] | Human | UCB-MSCs | Intravenous injection | No | Unknown | Alleviated IC/BPS in a chemically induced animal and cell models by alleviating inflammation, promoting proliferation, and inhibiting apoptosis via EGF-dependent AKT/mTOR signaling pathway. |
Hirose et al. [41] | Human | DP-MSCs | Bladder injection | In situ hybridization for human Y chromosome | No | Promoted healing of chemically induced cystitis through the following trophic factors: fibroblast growth factor 2, vascular endothelial growth factor, monocyte chemoattractant protein-1, growth-related oncogene and fractalkine. |
Furuta et al. [42] | Rat | Adipose-derived MSCs | Bladder injection | GFP | Unknown | Decreased the number of mast cells, expression of TNF-α, TGF-β, and collagen fibers, and nociceptive behavior in a chemically induced IC/BPS rat model. |
Li et al. [43] | Human | Urine-derived MSCs | Intravenous injection | No | Unknown | Restored bladder function and histological damage via decreasing oxidative stress, inflammatory, and apoptotic biomarkers in a protamine/lipopolysaccharide-induced IC/BPS rat model. |
Kim et al. [44] | Human | ESC-derived multipotent stem cells | Bladder injection | GFP | Yes | Compared with bone marrow-derived MSCs, a single injection of ESCs-MSCs had superior efficacy in improving bladder voiding function and histological damage including urothelium denudation, mast cell infiltration, tissue fibrosis, apoptosis, and visceral hypersensitivity. |
Ryu et al. [45] | Human | ESC-derived multipotent stem cells | Bladder injection | GFP | Yes | A combination of longitudinal intravital confocal fluorescence imaging and microcystoscopy in a chronic IC/BPS animal model demonstrated that transplanted human ESCs-MSCs improved voiding function and histological damage by differentiation into multiple cell types and gradually integrated into a perivascular-like structure. |
IC/BPS, interstitial cystitis/bladder pain syndrome; UCB, umbilical cord blood; MSCs, mesenchymal stem cells; EGF, epidermal growth factor; Akt/mTOR, protein kinase B/mammalian target of rapamycin; DP, dental pulp; GFP, green fluorescent protein; ESCs, embryonic stem cells; TNF, tumor necrosis factor; TGF, transforming growth factor.