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Table 2 Representative studies using MSCs in experimental models of liver injury and their therapeutic mechanisms

From: Mesenchymal stromal/stem cells and their extracellular vesicles in liver diseases: insights on their immunomodulatory roles and clinical applications

Animal models

Source of MSCs

Doses of MSCs

Route of administration

Representative biological activities

Refs.

APAP-induced acute liver failure in mice

Human umbilical MSCs

1.0 × 106

Intravenous (tail vein)

Attenuate hepatocyte necrosis by secreting hepatocyte growth factor and MDSC infiltration

[11]

TAA-injured rat model

Human PD-MSCs

2.0 × 106

Intravenous (tail vein)

Trigger the regeneration of organ (e.g., liver and ovary) damaged by oxidative stress from TAA treatment via activating antioxidant factors

[16]

DGaIN-induced acute liver failure in rats

Rat bone marrow MSCs

5.5 × 105

Intravenous (tail vein)

Induce M2 macrophage polarization by activating STAT6; increase the expression of anti-inflammatory factors to alleviate ALF

[24]

LPS/D-Gal-induced acute liver failure in mice

Mouse bone marrow MSCs

2.0 × 106

Intravenous (tail vein)

Inhibit liver inflammatory response and hepatocyte death

[28]

CCl4-induced liver fibrosis in mice

Human umbilical MSCs

1.0 × 106

Intravenous (tail vein)

Alleviate liver fibrosis and modulate macrophage phenotype to regulate inflammatory microenvironment in liver and repair the injury

[30]

CCl4-induced acute liver injury in mice

Mouse bone marrow MSCs

5.0 × 105

Intravenous (tail vein)

Alleviate ALI and mitigate the recruitment of mononuclear phagocytes; attenuate the recruitment of neutrophils by reducing the expression of CXCL2 of MoMF

[31]

Ethanol-induced liver injury

Mouse bone marrow MSCs

5.0 × 106

Intraperitoneal (i.p.)

Inhibit hepatic neutrophil and macrophage infiltration and alleviate oxidative stress

[35]

Ethanol-induced liver injury

Human umbilical MSCs

1.0 × 106

repeated injection

Intravenous intraperitoneal

Improve survival and recovery of hepatic chemistries

[37]

Con A-induced liver injury in mice

Human umbilical MSCs

1.0 × 106

Intravenous (tail vein)

Suppress T cell activation and production of pro-inflammatory cytokines through CHI3L1

[49]

TAA-induced fibrosis in mice

Human ASCs

N/A

Intravenous (tail vein)

Reduce collagen content in the liver; inhibit proinflammatory cytokines; reduce elevated liver enzymes

[59]

DDC-induced liver injury

Human MenSCs

5.0 × 105

Intravenous (tail vein)

Repair the DDC-induced liver injury; inhibit COL1A1, α-SMA and TGF-β1 activation by upregulating liver β-catenin expression

[63]

CCl4-induced liver fibrosis in mice

Human umbilical MSCs

N/A

–

Induce ferroptosis of HSCs by regulating the xCT/GPX4 axis and alleviate liver fibrosis

[68]

CCl4-induced ACLF in mice

Human bone marrow MSCs

N/A

Intravenous (tail vein)

Restore the impaired autophagic flux and alleviate liver injury

[80]

MCD-induced NASH in mice

Human umbilical MSCs

N/A

Intravenous (tail vein)

Regulate the anti-inflammatory phenotype of macrophages and reverse PPAR-α protein expression in liver cells

[84]

T2DM-associated NAFLD in mice

Mouse bone marrow MSCs

1.0 × 107 cells/kg body weight

Intravenous (tail vein)

Recover increasing weight, HFD-induced steatosis, liver function, and disordered glucose and lipid metabolism via rescuing dysfunction mitochondria

[87]

S. japonicum-induced schistosomiasis in mice

Human umbilical MSCs

N/A

Intravenous (tail vein)

Downregulate HSCs activation and reduce liver injury

[96]

IRI in rats

Human umbilical MSCs

3.0 × 106; N/A

Intravenous (tail vein)

Alleviate hepatic ischemia–reperfusion injury by suppressing oxidative stress and neutrophil inflammatory response

[101]

  1. ALF acute liver failure, MDSC myeloid-derived suppressor cells, PD-MSCs placenta-derived mesenchymal stem cells, ALI acute liver injury, MoMF monocyte-derived macrophages, ASCs adipose-derived stromal cells, MenSCs menstrual blood-derived stem cells, HSCs hepatic stellate cells, ACLF acute-on-chronic liver failure, NASH nonalcoholic steatohepatitis, NAFLD non-alcoholic fatty liver disease, IRI ischemia–reperfusion injury