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Table 1 The summary of stem cell-based drug delivery strategy for skin regeneration and wound healing

From: Stem cell-based drug delivery strategy for skin regeneration and wound healing: potential clinical applications

Strategy

Advantages

Disadvantages

Stem cell membrane-coated nanoparticles

Targeting ischemic lesions

Insufficient product quality

Reducing the uptake by immune cells with the ability to immune escape

 

Enhancing the translocation across endothelial barriers

 

Reducing the risk of teratoma formation

 

Easy to the mass production

 

Lower cost when compared with preparing extracellular vesicles

 

Stem cell-derived extracellular vesicles

Overcoming poor cell engraftment and reducing immune rejection in cell-based therapy

Hard to achieve the mass production

Extracellular vesicles could be stored safely and easily

Higher cost

Extracellular vesicles could obtain the functions of their parent cells and deliver therapeutic agents

 

No risk of teratoma formation

 

Stem cells as drug carriers

iPSCs could effectively target injured tissues

iPSCs might distribute in other normal tissues, which induces side effects

 

The risk of teratoma formation

Scaffold-free stem cell sheets

The simple preparation process, good fusion with native skin tissue, the possibility of fabricating from the patient’s cells

A prolonged culture period, limited volume for implantation, inherent physical weakness, and poor vascularization

Stem cell-laden scaffolds

Improving stem cell survival and promoting transplantation efficiency

The risk of teratoma formation

Mimicking the skin structure of the epidermis and dermis

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