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©The Author(s) 2025.
World J Stem Cells. Dec 26, 2025; 17(12): 114076
Published online Dec 26, 2025. doi: 10.4252/wjsc.v17.i12.114076
Table 3 Limitations of mesenchymal stem cell therapy and main optimization strategies
Limitations
Strategies
Functions
Low delivery efficiencyBiomaterialsSustained release of MSCs, reduced degradation, preventing cell leakage, and prolonging retention at the injury site
Limited direct differentiation potentialPreconditioning/gene modificationEnhancing MSC differentiation towards bone, cartilage, tendon, and other tissues
Limited cell functionalityPreconditioning/gene modificationBoosting MSC proliferation, migration, angiogenesis, and immune modulation capabilities
ImmunogenicityExosomesAcellular therapies that eliminate cellular immunogenicity


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