The therapeutic potential of mesenchymal stem cells in lung cancer: benefits, risks and challenges
Abstract
Background
Lung cancer is one of the most challenging diseases to treat. In the past decades standard therapy including surgery, chemo- and radiation therapy, alone or in combination has not changed the high mortality rate and poor prognosis. In recent years, mesenchymal stem cells (MSCs) have emerged as putative therapeutic tools due to their intrinsic tumor tropism, anti-tumor and immunoregulatory properties. MSCs release biomolecules that are thought to exert the same beneficial effects as their cellular counterparts and, as such, they may offer practical possibilities of using MSC-secreted products. Owing to their innate affinity to home to tumor sites, MSCs have also gained interest as selective vehicles for the delivery of anti-cancer agents. However, MSCs are also known to confer pro-oncogenic effects, rendering them into double-sword weapons against neoplastic diseases.
Conclusions
Here, we present published data on the cell- and secretome-based therapeutic competences of MSCs, as well as on their potential as engineered delivery vectors for the treatment of lung cancer. Despite the controversial role of MSCs in the context of lung cancer therapy, current findings support hopeful perspectives to harness the potential of MSC-based regimens that may augment current treatment modalities in lung cancer.
Keywords
Lung cancer Lung cancer therapy Mesenchymal stem cells Mesenchymal stem cell secretome Anti−/pro-tumorigenic effectAbbreviations
- hBMMSCs
human bone marrow mesenchymal stem cells
- BMMSC-CM
bone marrow mesenchymal stem cell-conditioned medium
- hMSCs
human mesenchymal stem cells
- hUCMSCs
human umbilical cord mesenchymal stem cells
- hLMSC-CM
human lung mesenchymal stem cell-conditioned medium
- hLcMSCs
human lung cancer-derived mesenchymal stem cells
- hAMSCs
human adipose tissue-derived mesenchymal stem cells
- AMSCs
adipose-derived mesenchymal stem cells
- OSM
oncostatin M
- elF4G1
eukaryotic translation initiation factor 4 gamma 1
- elF4E
eukaryotic translation initiation factor 4E
- AKT
protein kinase B
- PI3K
phosphoinositide 3-kinase
- STAT3
signal transducer and activator of transcription 3
- TOR
target of rapamycin
- NSCLC
non-small cell lung cancer cell
- LLC
Lewis lung cancer (mouse)
- AC
adenocarcinoma TSA-Lu + luciferase-positive mouse adenocarcinoma cells.
- AREG
amphiregulin
- IL-6
interleukin 2
- JAK2
Janus kinase 2
- STAT3
signal transducer and activator of transcription protein 3
- NK
natural killer cell
- ROS
reactive oxygen species
- EMT
epithelial-mesenchymal transition
- IFN- γ
interferon gamma
- AREG
amphiregulin
- DOX
doxorubicin
- IL-12
interleukin 12
- IL-24
interleukin 24
- IFN-β
interferon beta
- IFN- γ
interferon gamma
- PEDF
pigment epithelium-derived factor
- PTX
paclitaxel
- TRAIL
TNF-related apoptosis- inducing ligand
- CDA/UPRT
cytosine deaminase-uracil phosphoribosyltransferase protein
- Ad.TRAIL
adenoviral vector-expressing TRAIL
Notes
Acknowledgements
We thank Prof. Dr. Stefan Kirschner for his continuous moral support.
Author’s contribution
LCD and DG contributed equally in the conception, organization of data and writing of the manuscript. All authors read and approved the final manuscript.
Compliance with ethical standards
Conflict of interest
The authors declare no conflict of interest.
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