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. 2021 Jan 15;34(2):233–244. doi: 10.1111/tri.13789

Table 1.

Overview of the main safety and efficacy outcomes of the major cell types studied in clinical trials in transplant patients.

Cell type Safety aspects Efficacy outcomes
Mesenchymal stromal cells

No adverse effects in majority of patients

Engraftment syndrome reported in 2 patients after MSC infusion 7 days post‐transplantation

Possible formation of antibodies against allogeneic MSC

Indication for regulatory T‐cell expansion

Indication that MSC treatment allows weaning of immunosuppressive drugs

No increase or reduced incidence of opportunistic infections

Regulatory T cells Evidence for safety, with report of lymphopenia and mild liver graft dysfunction in one patient Hints for reduced requirement for induction immunosuppression in renal transplantation and reduced maintenance immunosuppression in liver transplantation
Regulatory myeloid cells No evidence of adverse effects in studies published so far

Hints for regulatory T‐cell expansion after regulatory macrophage administration

Potentially allowing weaning of immunosuppressive drugs

Extracellular vesicles No safety data yet No clinical trials yet, but indication for reparative effects on isolated organs