Somatic cells |
Autologous fibroblasts/keratinocytes |
Little risk of rejection; reliable applications |
Longer time required to expand; not accessible or not in sufficient numbers sometimes |
|
Allogeneic fibroblasts/keratinocytes |
Readily accessible; can be preserved for applications |
Potential problems of rejection and disease transfer |
Stem cells |
Adipose‐derived stem/stromal cells (ASCs) |
Abundant and readily accessible; contribute to the production of hypodermis |
Vary in metabolic activity; proliferation and differentiation depending on the location of the tissue depot and the age and gender of the patient |
|
Hair follicle stem cells |
Higher proliferative capacity; contribute to the production of epidermis and skin appendages |
Not accessible or not in sufficient numbers sometimes |
|
Epidermal stem cells/Dermal stem cells |
Contribute to the production of skin and skin appendages |
Not in sufficient numbers; absence of controlled, efficient and reproducible differentiated manner |
|
Mesenchymal stem cells (MSC) |
Relatively easy to obtain and readily expanded; capable of differentiating into various tissues and cells |
Absence of controlled, efficient and reproducible differentiated manner |
|
Embryonic stem cells (ESC) |
Totipotent; capable of differentiating into various tissues and cells |
Ethical and moral objections |
|
Differentiated epidermal cells |
Potential reversion to undifferentiated stem cells |
Relevant mechanism remains unclear |
|
Induced pluripotent stem (iPS) cells |
Avoiding immunological rejection and current ethical dilemmas surrounding human ESC |
Viral vectors required; lower efficiency |