RT Journal Article T1 PDGF Restores the Defective Phenotype of Adipose-Derived Mesenchymal Stromal Cells from Diabetic Patients. A1 Capilla-González, Vivian A1 López-Beas, Javier A1 Escacena, Natalia A1 Aguilera, Yolanda A1 de la Cuesta, Antonio A1 Ruiz-Salmerón, Rafael A1 Martín, Franz A1 Hmadcha, Abdelkrim A1 Soria, Bernat K1 PDGF K1 adipose-derived mesenchymal stromal cells K1 critical limb ischemia K1 diabetes K1 homing K1 migration K1 proliferation K1 thrombotic state AB Diabetes is a chronic metabolic disorder that affects 415 million people worldwide. This pathology is often associated with long-term complications, such as critical limb ischemia (CLI), which increases the risk of limb loss and mortality. Mesenchymal stromal cells (MSCs) represent a promising option for the treatment of diabetes complications. Although MSCs are widely used in autologous cell-based therapy, their effects may be influenced by the constant crosstalk between the graft and the host, which could affect the MSC fate potential. In this context, we previously reported that MSCs derived from diabetic patients with CLI have a defective phenotype that manifests as reduced fibrinolytic activity, thereby enhancing the thrombotic risk and compromising patient safety. Here, we found that MSCs derived from diabetic patients with CLI not only exhibit a prothrombotic profile but also have altered multi-differentiation potential, reduced proliferation, and inhibited migration and homing to sites of inflammation. We further demonstrated that this aberrant cell phenotype is reversed by the platelet-derived growth factor (PDGF) BB, indicating that PDGF signaling is a key regulator of MSC functionality. These findings provide an attractive approach to improve the therapeutic efficacy of MSCs in autologous therapy for diabetic patients. YR 2018 FD 2018-08-16 LK http://hdl.handle.net/10668/12922 UL http://hdl.handle.net/10668/12922 LA en DS RISalud RD Apr 5, 2025