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October 24, 2019Journal of Tissue Engineering and Regenerative Medicine

Understanding the multifaceted mechanisms of diabetic wound healing and therapeutic application of stem cells conditioned medium in the healing process

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Authors

LFLai Woon FuiMLMichael Phang Weng LokVGVijayendran Govindasamy

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Overview

Literature review highlights the therapeutic potential of stem cell conditioned medium in diabetic wound healing, suggesting cell-free secretomes can bypass cell survival limitations.

Key Points

  • To review the biological mechanisms of impaired diabetic wound healing and assess the therapeutic efficacy and clinical limitations of mesenchymal stem cell conditioned medium.
  • Conducted a comprehensive literature search across preclinical and clinical studies examining mesenchymal stem cells from umbilical, adipose, and dental tissues.
  • Synthesized molecular mechanisms governing tissue repair, focusing on the stem cell secretome versus direct cell transplantation.
  • Limited assimilation and survival of transplanted mesenchymal stem cells indicate that tissue regeneration is driven predominantly by their secreted paracrine factors.
  • Preclinical findings demonstrate that cell-free conditioned medium containing growth factors, chemokines, and cytokines matches the therapeutic efficacy of intact stem cell therapies.
  • Identified translational barriers to clinical adoption, including challenges in conditioned medium standardization, quality control, and regulatory approval.

Cite This Study

Fui et al. (2019) studied this question.

synapsesocial.com/papers/69df232dd5404a0bea592127https://doi.org/10.1002/term.2966
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Conditioned medium from mesenchymal stem cells: Towards skin tissue engineering and wound healing.2026
  2. 2The progress and challenges of mesenchymal stromal cell-based therapy for diabetes and its complications2026 · 5 citations
  3. 3Healing of diabetic cutaneous wound mediated by small extracellular vesicles derived from mesenchymal stem cells2026
  4. 4Therapeutic Potential of MSC-conditioned Medium: A Multifactorial Approach to Enhance Wound Healing2024
  5. 5Mesenchymal stem cell therapy in diabetic foot ulcer: An updated comprehensive review2024 · 28 citations