RT Journal Article T1 Cost-Effective, Safe, and Personalized Cell Therapy for Critical Limb Ischemia in Type 2 Diabetes Mellitus. A1 Soria-Juan, Bárbara A1 Escacena, Natalia A1 Capilla-González, Vivian A1 Aguilera, Yolanda A1 Llanos, Lucía A1 Tejedo, Juan R A1 Bedoya, Francisco J A1 Juan, Verónica A1 De la Cuesta, Antonio A1 Ruiz-Salmerón, Rafael A1 Andreu, Enrique A1 Grochowicz, Lukas A1 Prósper, Felipe A1 Sánchez-Guijo, Fermín A1 Lozano, Francisco S A1 Miralles, Manuel A1 Del Río-Solá, Lourdes A1 Castellanos, Gregorio A1 Moraleda, José M A1 Sackstein, Robert A1 García-Arranz, Mariano A1 García-Olmo, Damián A1 Martín, Franz A1 Hmadcha, Abdelkrim A1 Soria, Bernat A1 Collaborative Working Group “Noma Project Team”, K1 cell-based therapy K1 cellular medicaments K1 clinical trials K1 cost-effective K1 critical limb ischemia K1 diabetes AB Cell therapy is a progressively growing field that is rapidly moving from preclinical model development to clinical application. Outcomes obtained from clinical trials reveal the therapeutic potential of stem cell-based therapy to deal with unmet medical treatment needs for several disorders with no therapeutic options. Among adult stem cells, mesenchymal stem cells (MSCs) are the leading cell type used in advanced therapies for the treatment of autoimmune, inflammatory and vascular diseases. To date, the safety and feasibility of autologous MSC-based therapy has been established; however, their indiscriminate use has resulted in mixed outcomes in preclinical and clinical studies. While MSCs derived from diverse tissues share common properties depending on the type of clinical application, they markedly differ within clinical trials in terms of efficacy, resulting in many unanswered questions regarding the application of MSCs. Additionally, our experience in clinical trials related to critical limb ischemia pathology (CLI) shows that the therapeutic efficacy of these cells in different animal models has only been partially reproduced in humans through clinical trials. Therefore, it is crucial to develop new research to identify pitfalls, to optimize procedures and to clarify the repair mechanisms used by these cells, as well as to be able to offer a next generation of stem cell that can be routinely used in a cost-effective and safe manner in stem cell-based therapies targeting CLI. YR 2019 FD 2019-06-04 LK http://hdl.handle.net/10668/14162 UL http://hdl.handle.net/10668/14162 LA en DS RISalud RD Apr 8, 2025