Review Article

Mesenchymal Stem Cells: An Overview of Their Potential in Cell-Based Therapy for Diabetic Nephropathy

Table 1

Representative research on DN treated with MSC-based therapy in preclinical studies.

StudyModelCell typeRouteEfficacy results

Li et al., 2020 [47]MiceUC-MSCsIVAlbuminuria, glomerulus injury, and fibrosis were alleviated in DN mouse models after repeated injection with mUC-MSCs
Lang and Dai, 2016 [62]RatsBM-MSCsIVBM-MSCs significantly suppressed renal fibrosis by reducing PAI-1 protein and decreasing ECM accumulation in rats with DN
Liu et al., 2020 [81]RatsBM-MSCsIVMSCs modified with ACE2 can inhibit renal RAS activation and reduce glomerular fibrosis
Zhang et al., 2020 [57]RatsBM-MSCsIVMSCs possessed the protective effect on the kidney of DN rats, which may be related to CD8(+) T cell immunosuppression mediated by CD103(+) DCs
Yuan et al., 2020 [55]MiceBM-MSCsIVMSCs suppressed inflammatory response and ameliorated renal injuries in DN mice via TFEB-dependent M1/M2 macrophage (Mφ) switch
Chen et al., 2020 [71]RatsUC-MSCsIVUC-MSCs inhibited 24-hour urinary total protein, urinary albumin to creatinine ratio, serum creatinine, and blood urea nitrogen, attenuated pathological abnormalities and reduced the apoptosis of renal cells in DN rats
Takemura et al., 2020 [73]RatsAD-MSCsUnder renal capsuleAD-MSC sheet engraftment directly into the kidney improved transplantation efficiency and inhibited renal injury progression
Lee et al., 2019 [58]MiceUC-MSCsIVMSCs prevented the progression of DN by reversing mitochondrial dysfunction in TECs via the induction of arginase-1 in macrophages
Konari et al., 2019 [59]RatsBM-MSCsIVBM-MSCs transferred their mitochondria to damaged proximal tubular epithelial cells and also have shown a potentially therapeutic effect on DN
Ebrahim et al., 2018 [53]RatsBM-MSCsIVMSC-derived exosomes could exhibit the potential nephroprotective effects of a DN model by upregulating autophagy associated with suppression of mTOR pathway
Lv et al., 2014 [90]RatsBM-MSCsIVMSC injection attenuated glomerular injury in streptozotocin-induced DN model via inhibiting oxidative stress
Rashed et al., 2018 [78]RatsBM-MSCsIVBM-MSCs pretreated with melatonin enhanced its proliferation and efficiency, and ameliorated kidney functions in a rat model with DN
Wu et al., 2014 [75]RatsBM-MSCsIVDestruction of ultrasound-targeted SDF-1-loaded microbubbles could promote MSCs homing to early DN kidneys
An et al., 2019 [69]Rhesus macaqueBM-MSCsIVMSCs could ameliorate a rhesus macaque model of DN by influencing SGLT2 expression, glycemic control, and anti-inflammation
Pan et al., 2014 [68]Tree shrewsBM-MSCsIVMSC transplantation could home to injured kidneys and pancreas, and reduced 24 h proteinuria and improved insulin resistance of a tree shrew model with DN
Rao et al., 2019 [61]RatsSHEDIVSHED attenuated DN by inhibiting advanced glycation end product-activated EMT
Ni et al., 2015 [72]RatsAD-MSCsIVAD-MSC engraftment might alleviate renal injury in DN by activating klotho and inhibiting Wnt/β-catenin pathway
Wang et al., 2013 [65]RatsBM-MSCsIntra-arterial injectionMSCs attenuated podocyte injury and albuminuria in a type 1 DN rat model by mediating in part the increase of BMP-7 secretion