Skip to main content

Mesenchymal Stromal Cell Therapy in Crohn’s Disease

  • Chapter
  • First Online:
Mesenchymal Stem Cell Therapy

Abstract

Mesenchymal stromal cells (MSCs) have been shown to possess the ­ability to home to injured tissues and actively participate in tissue repair. They have the ability to suppress immune responses both in vitro and in vivo and in animal models of experimental autoimmune diseases. In patients with acute and chronic immune diseases, this capacity of MSCs has also been observed. The tendency of MSCs to regenerate damaged tissue combined with their capability to regulate immune and inflammatory responses gives a strong rationale for using MSCs as a new treatment option in diseases characterized by inflammation with severe tissue damage, such as Crohn’s disease. This chapter highlights the present knowledge on MSCs in Crohn’s disease. The application of MSCs in experimental colitis models and clinical trials with MSCs in luminal and fistulizing Crohn’s disease are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Abraham C, Cho JH (2009) Inflammatory bowel disease. N Engl J Med 361:2066–2078

    Article  PubMed  CAS  Google Scholar 

  2. Van Assche G, Dignass A, Panes J, Beaugerie L, Karagiannis J, Allez M, Ochsenkühn T, Orchard T, Rogler G, Louis E, Kupcinskas L, Mantzaris G, Travis S, Stange E, European Crohn’s and Colitis Organisation (ECCO) (2010) The second European evidence-based consensus on the diagnosis and management of Crohn’s disease: definitions and diagnosis. J Crohns Colitis 4:7–27

    Article  PubMed  Google Scholar 

  3. Baumgart DC, Sandborn WJ (2007) Inflammatory bowel disease: clinical aspects and established and evolving therapies. Lancet 369:1641–1657

    Article  PubMed  CAS  Google Scholar 

  4. Casellas F, Lopez-Vivancos J, Badia X, Vilaseca J, Malagelada JR (2001) Influence of inflammatory bowel disease on different dimensions of quality of life. Eur J Gastroenterol Hepatol 13:567–572

    Article  PubMed  CAS  Google Scholar 

  5. Loftus EV Jr, Sandborn WJ (2002) Epidemiology of inflammatory bowel disease. Gastroenterol Clin North Am 31:1–20

    Article  PubMed  Google Scholar 

  6. Loftus EV Jr, Schoenfeld P, Sandborn WJ (2002) The epidemiology and natural history of Crohn’s disease in population-based patient cohorts from North America: a systematic review. Aliment Pharmacol Ther 16:51–60

    Article  PubMed  Google Scholar 

  7. Cosnes J, Gower-Rousseau C, Seksik P, Cortot A (2011) Epidemiology and natural history of inflammatory bowel diseases. Gastroenterology 140:1785–1794

    Article  PubMed  Google Scholar 

  8. Subasinghe D, Nawarathna NM, Samarasekera DN (2011) Disease characteristics of inflammatory bowel disease (IBD): findings from a tertiary care centre in South Asia. J Gastrointest Surg 15(9):1562–1567

    Article  PubMed  Google Scholar 

  9. Schwartz DA, Loftus EV Jr, Tremaine WJ, Panaccione R, Harmsen WS, Zinsmeister AR, Sandborn WJ (2002) The natural history of fistulizing Crohn’s disease in Olmsted County, Minnesota. Gastroenterology 122:875–880

    Article  PubMed  Google Scholar 

  10. Bressler B, Sands BE (2006) Review article: medical therapy for fistulizing Crohn’s disease. Aliment Pharmacol Ther 24:1283–1293

    Article  PubMed  CAS  Google Scholar 

  11. Kamm MA, Ng SC (2008) Perianal fistulizing Crohn’s disease: a call to action. Clin Gastroenterol Hepatol 6:7–10

    Article  PubMed  Google Scholar 

  12. Lewis RT, Maron DJ (2010) Efficacy and complications of surgery for Crohn’s disease. Gastroenterol Hepatol (N Y) 6:587–596

    Google Scholar 

  13. van Koperen PJ, Safiruddin F, Bemelman WA, Slors JF (2009) Outcome of surgical treatment for fistula in ano in Crohn’s disease. Br J Surg 96:675–679

    Article  PubMed  Google Scholar 

  14. Caplan AI, Dennis JE (2006) Mesenchymal stem cells as trophic mediators. J Cell Biochem 98:1076–1084

    Article  PubMed  CAS  Google Scholar 

  15. Prockop DJ, Gregory CA, Spees JL (2003) One strategy for cell and gene therapy: harnessing the power of adult stem cells to repair tissues. Proc Natl Acad Sci USA 100(Suppl 1):11917–11923

    Article  PubMed  CAS  Google Scholar 

  16. Spees JL, Olson SD, Ylostalo J, Lynch PJ, Smith J, Perry A, Peister A, Wang MY, Prockop DJ (2003) Differentiation, cell fusion, and nuclear fusion during ex vivo repair of epithelium by human adult stem cells from bone marrow stroma. Proc Natl Acad Sci USA 100:2397–2402

    Article  PubMed  CAS  Google Scholar 

  17. Terada N, Hamazaki T, Oka M, Hoki M, Mastalerz DM, Nakano Y, Meyer EM, Morel L, Petersen BE, Scott EW (2002) Bone marrow cells adopt the phenotype of other cells by spontaneous cell fusion. Nature 416:542–545

    Article  PubMed  CAS  Google Scholar 

  18. Stagg J (2007) Immune regulation by mesenchymal stem cells: two sides to the coin. Tissue Antigens 69:1–9

    Article  PubMed  CAS  Google Scholar 

  19. Gerdoni E, Gallo B, Casazza S, Musio S, Bonanni I, Pedemonte E, Mantegazza R, Frassoni F, Mancardi G, Pedotti R, Uccelli A (2007) Mesenchymal stem cells effectively modulate pathogenic immune response in experimental autoimmune encephalomyelitis. Ann Neurol 61:219–227

    Article  PubMed  CAS  Google Scholar 

  20. Le Blanc K, Rasmusson I, Sundberg B, Gotherstrom C, Hassan M, Uzunel M, Ringden O (2004) Treatment of severe acute graft-versus-host disease with third party haploidentical mesenchymal stem cells. Lancet 363:1439–1441

    Article  PubMed  Google Scholar 

  21. Ringden O, Uzunel M, Rasmusson I, Remberger M, Sundberg B, Lonnies H, Marschall HU, Dlugosz A, Szakos A, Hassan Z, Omazic B, Aschan J, Barkholt L, Le Blanc K (2006) Mesenchymal stem cells for treatment of therapy-resistant graft-versus-host disease. Transplantation 81:1390–1397

    Article  PubMed  Google Scholar 

  22. Duijvestein M, Hommes DW (2010) Mesenchymal stromal cells in Crohn’s disease. IBD monitor 11(2):57–64.

    Google Scholar 

  23. Stolzing A, Jones E, McGonagle D, Scutt A (2008) Age-related changes in human bone marrow-derived mesenchymal stem cells: consequences for cell therapies. Mech Ageing Dev 129(3):163–173

    Article  PubMed  CAS  Google Scholar 

  24. Caplan AI (2007) Adult mesenchymal stem cells for tissue engineering versus regenerative medicine. J Cell Physiol 213(2):341–347

    Article  PubMed  CAS  Google Scholar 

  25. Wirtz S, Neufert C, Weigmann B, Neurath MF (2007) Chemically induced mouse models of intestinal inflammation. Nat Protoc 2:541–546

    Article  PubMed  CAS  Google Scholar 

  26. Khalil PN, Weiler V, Nelson PJ, Khalil MN, Moosmann S, Mutschler WE, Siebeck M, Huss R (2007) Nonmyeloablative stem cell therapy enhances microcirculation and tissue regeneration in murine inflammatory bowel disease. Gastroenterology 132:944–954

    Article  PubMed  Google Scholar 

  27. Gonzalez MA, Gonzalez-Rey E, Rico L, Buscher D, Delgado M (2009) Adipose-derived mesenchymal stem cells alleviate experimental colitis by inhibiting inflammatory and autoimmune responses. Gastroenterology 136:978–989

    Article  PubMed  Google Scholar 

  28. Gonzalez-Rey E, Anderson P, Gonzalez MA, Rico L, Buscher D, Delgado M (2009) Human adult stem cells derived from adipose tissue protect against experimental colitis and sepsis. Gut 58:929–939

    Article  PubMed  CAS  Google Scholar 

  29. Zhang Q, Shi S, Liu Y, Uyanne J, Shi Y, Shi S et al (2009) Mesenchymal stem cells derived from human gingiva are capable of immunomodulatory functions and ameliorate inflammation-related tissue destruction in experimental colitis. J Immunol 183(12):7787–7798

    Article  PubMed  CAS  Google Scholar 

  30. Newman RE, Yoo D, LeRoux MA, Nilkovitch-Miagkova A (2009) Treatment of inflammatory diseases with mesenchymal stem cells. Inflamm Allergy Drug Targets 8(2):110–123

    Article  PubMed  CAS  Google Scholar 

  31. Duijvestein M, Vos ACW, Wildenberg ME, Roelofs H, Wendrich BB, Verspaget HW et al (2010) Autologous bone marrow derived mesenchymal stromal cell treatment for refractory luminal Crohn’s disease: results of a phase I study. Gut 59(12):1662–1669

    Article  PubMed  Google Scholar 

  32. Bernardo ME, Avanzini MA, Ciccocioppo R, Perotti C, Cometa AM, Moretta A et al (2009) Phenotypical/functional characterization of in vitro-expanded mesenchymal stromal cells from patients with Crohn’s disease. Cytotherapy 11(7):825–836

    Article  PubMed  CAS  Google Scholar 

  33. Garcia-Olmo D, Garcia-Arranz M, Herreros D, Pascual I, Peiro C, Rodriguez-Montes JA (2005) A phase I clinical trial of the treatment of Crohn’s fistula by adipose mesenchymal stem cell transplantation. Dis Colon Rectum 48:1416–1423

    Article  PubMed  Google Scholar 

  34. Garcia-Olmo D, Herreros D, Pascual I, Pascual JA, Del-Valle E, Zorrilla J, De-La-Quintana P, Garcia-Arranz M, Pascual M (2009) Expanded adipose-derived stem cells for the treatment of complex perianal fistula: a phase II clinical trial. Dis Colon Rectum 52:79–86

    Article  PubMed  Google Scholar 

  35. Ciccocioppo R, Bernardo ME, Sgarella A, Maccario R, Avanzini MA, Ubezio C, Minelli A, Alvisi C, Vanoli A, Calliada F, Dionigi P, Perotti C, Locatelli F, Corazza GR (2011) Autologous bone marrow-derived mesenchymal stromal cells in the treatment of fistulising Crohn’s disease. Gut 60:788–798

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ilse Molendijk .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Molendijk, I., Hommes, D.W., Duijvestein, M. (2013). Mesenchymal Stromal Cell Therapy in Crohn’s Disease. In: Chase, L., Vemuri, M. (eds) Mesenchymal Stem Cell Therapy. Stem Cell Biology and Regenerative Medicine. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-200-1_11

Download citation

Publish with us

Policies and ethics