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Regenerative Medicine

How effective is MSC?

Mesenchymal stem cells originate from pericytes, cells surrounding blood vessels throughout the body. Here is what that origin story means for regenerative therapy.

JournalRegenerative MedicineSeptember 18, 20245 min de lecture

How effective is MSC?

Pericyte origin

Mesenchymal stem cells (MSCs) originate from pericytes, cells that wrap around small blood vessels throughout the body. As a result they can be found everywhere a capillary runs, which is to say everywhere. This is the first thing to understand about MSCs: they are not a niche tissue. They are an architecture.

Adult stem cells

MSCs play a supporting role in keeping committed progenitor cells and adult stem cells functional in different organs. The most accessible sources for therapeutic harvest are bone marrow and adipose tissue. In newborns they can be harvested from umbilical cord tissue, which is one of the reasons our stem-cell banking programme exists at all.

A key mechanism of MSC action is the ability to communicate with other cells in the body, particularly within the immune system, a process known as immunomodulation. This makes MSCs suitable for conditions where the immune system is the problem rather than the solution: chronic inflammation, autoimmune flares, post-operative healing that has stalled, organ injuries with an inflammatory component.

Immunomodulators, not transplants

The current data suggests MSCs have a limited ability to differentiate into specific tissues in the body, that kind of differentiation happens mostly in laboratory conditions, not after intravenous infusion in a clinic. Patients who arrive expecting MSCs to become heart muscle or knee cartilage have read older literature. The mechanism is more interesting and more honest: MSCs facilitate cell-to-cell communication, especially between stem cells residing in organs.

This is part of why the relevant biomarkers to track after an MSC infusion are inflammatory markers and functional outcomes, not stem-cell counts. The panel we recheck quarterly is laid out in what we actually measure when we measure aging.

Homing access

Additionally, MSCs possess a property called homing, which allows them to migrate to areas of the body that require repair in response to distress signals released by injured or inflamed tissue. Therefore, MSCs can be administered intravenously to reach target tissues, eliminating the need for direct injection into the vicinity of the affected organ, except in cases where local delivery offers a separate advantage.

MSCs also exhibit antimicrobial properties, pain-relieving effects, and a modest dermal benefit at the right dose and timing, the latter is the basis of how our aesthetics service integrates regenerative protocols rather than relying only on filler chemistry.

The honest ceiling

MSC therapy is real medicine with measurable effects on real conditions. It is not a cure for everything and it is not a substitute for the disciplines that actually move biological age, sleep, training, food, social rhythm. Treat it as one tool among several, used at the right moment, on the right terrain. That is the version that lasts.

Écrit par

Dr. Supachai Ekwattanakit

B.SC., Ph.D., M.D., Thai Board of Adult Hematology

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