Stem Cell Applications in Treating Oral Cancers: A Comprehensive Review

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Stem Cell Applications in Treating Oral Cancers: A Comprehensive Review

   

Marielaina Perrone*

DDS, Family, Cosmetic, and Implant Dentist, Las Vegas, Nevada, United States

*Corresponding author: Marielaina Perrone, DDS, Family, Cosmetic, and Implant Dentist, Las Vegas, Nevada, United State

Citation: Perrone M. Stem Cell Applications in Treating Oral Cancers: A Comprehensive Review. J Stem Cell Res. 5(2):1-5.

Received: October 2o, 2024 | Published: November 10, 2024

Copyright© 2024 genesis pub by Perrone M. CC BY-NC-ND 4.0 DEED. This is an open-access article distributedunder the terms of the Creative Commons Attribution-NonCommercial-No Derivatives 4.0 International License.,This allows others distribute, remix, tweak, and build upon the work, even commercially, as long as they credit the authors for the original creation.

DOI: https://doi.org/10.52793/JSCR.2024.5(2)-65

Abstract

Stem cells hold immense promise in treating oral cancers, offering reconstructive and therapeutic benefits. This review explores how mesenchymal stem cells (MSCs) repair damaged oral tissues post-cancer treatment and their potential to enhance immunotherapy and tumor suppression. We also assess the challenges and future outlook for stem cell-based therapies in oral cancer care, highlighting ongoing clinical trials.

Keywords

 Stem Cells; Oral Cancer; Mesenchymal Stem Cells; Immunotherapy; Tumor Suppression; Regenerative Dentistry.

Introduction

Traditional oral cancer treatments, such as surgery and radiation, often result in significant tissue loss and functional impairment. Current therapies primarily focus on tumor removal but offer limited regenerative benefits [1]. Stem cell therapy, particularly mesenchymal stem cells (MSCs), introduces a novel approach to treating and reconstructing oral cancer care. This review investigates the potential applications of stem cells in treating oral cancers, focusing on tissue regeneration, immune modulation, and tumor suppression.

Stem Cell-Based Reconstruction

Post-surgical reconstructions in oral cancer patients pose a challenge due to the complexity of oral tissues. MSCs, sourced from bone marrow, dental pulp, or adipose tissue, can differentiate into various cell types, including bone, cartilage, and soft tissues [2]. These regenerative properties make MSCs a promising candidate for reconstructing tissues lost during cancer excisions. Studies suggest that MSCs can be integrated with bio-scaffolds, which are supportive structures that mimic the natural environment of the tissue, to promote tissue regeneration, improving functional and aesthetic outcomes for patients who undergo extensive tumor removal [3].

Immunomodulatory Effects of Stem Cells in Cancer Therapy

Beyond reconstruction, stem cells have shown promising immunomodulatory effects that could revolutionize cancer therapies. MSCs have demonstrated the ability to modulate immune responses, reducing inflammation and enhancing immune surveillance against tumor cells. This property is significant because it provides dual benefits: promoting tissue repair while potentially reducing the risk of tumor recurrence. For instance, MSCs can suppress the activity of immune cells that promote tumor growth and enhance the activity of immune cells that attack tumor cells. Several ongoing clinical trials are investigating the role of stem cells in improving the outcomes of conventional immunotherapies, offering hope for more effective and less invasive cancer treatments.

Stem Cells in Tumor Suppression

Stem cells, particularly MSCs, are being explored for their ability to suppress the growth of cancer cells [6]. Recent studies have demonstrated that engineered stem cells can target cancerous tissues directly, delivering anti-tumor agents to tumor sites with greater precision [7]. This approach reduces collateral damage to healthy cells, making treatment less invasive and more efficient. Moreover, stem cells' innate ability to home in on inflammatory sites makes them ideal for targeting highly metastatic tumors and challenging to treat [8].

Advantages of Stem Cell Therapies in Oral Cancer Treatment

Enhanced Tissue Regeneration: MSCs promote natural tissue regeneration, leading to better recovery outcomes in patients who have undergone surgical interventions [9].

Reduced Complications: By modulating the immune system, stem cells help reduce post-operative complications, such as excessive inflammation or infections, facilitating faster recovery [10].

Potential for Targeted Cancer Therapy: Stem cells can be engineered to deliver targeted treatments to tumor cells, minimizing the impact on surrounding healthy tissues and reducing the side effects commonly associated with chemotherapy and radiation [11].

Challenges and Future Directions

While stem cell applications in oral cancer treatment are promising, several challenges remain. Ethical concerns regarding stem cell sourcing, the risk of immune rejection, and the need for long-term clinical trials are significant hurdles [12]. Furthermore, ensuring that stem cells do not promote unintended cell proliferation, which could exacerbate tumor growth, requires rigorous safety evaluations [13]. However, advancements in stem cell engineering and bio-compatible materials suggest that these challenges will be addressed in future research.

Ongoing clinical trials will provide valuable insights into the feasibility and long-term benefits of using stem cells in oral cancer care [14]. Future studies will likely focus on combining stem cell therapies with treatments like chemotherapy to develop more comprehensive and effective treatment protocols.

Conclusion

Stem cell therapies represent an exciting frontier in treating oral cancers, offering reconstructive and therapeutic benefits. MSCs hold the potential to regenerate oral tissues, enhance the effectiveness of immunotherapies, and target cancer cells with greater precision. As research progresses, stem cell-based treatments may become integral to oral cancer care, improving patient outcomes and quality of life. Further clinical trials and research are needed to fully harness stem cells' regenerative and therapeutic capabilities in this field.

1. Photo by National Cancer Institute on Unsplash

2. Photo by Geo Days on Unsplash

3. Photo by National Cancer Institute on Unsplash

References

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  2. Lee S, Liu Y, Kim Y, et al. (2021) Immunomodulatory Effects of MSCs in Cancer Therapy. J Dent Res. 100(4):442-50.
  3. Jain A, Gupta N. (2019) Stem Cell-Based Reconstruction After Oral Cancer Surgery. Int J Oral Maxillofac Surg. 48(5):602-10.
  4. Chen S, Zhang Q, Liu J, et al. (2020) Stem Cell Therapies for Oral Cancer: An Overview of Current Research. J Oral Maxillofac Surg. 2020; 78(12):2341-48.
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  7. Singh A, et al. (2019) The Role of Stem Cells in Targeting Metastatic Oral Cancer. J Cancer Res Clin Oncol. 145(4):543-51.
  8. Huang GTJ, Yamaza T, Shea LD. Mesenchymal Stem Cells in Dental Pulp Regeneration. Stem Cells International, Article ID 607890.
  9. Nakashima M, Akamine A. (2020) Tissue Engineering in Endodontics.  Journal of Endodontics, 46(6):134048.
  10. Mao JJ, Prockop DJ. (2022) Advances in Stem Cell Applications in Regenerative Dentistry." Stem Cells Translational Medicine, 11(3):458-69.
  11. Giannobile WV, Somerman MJ. (2018) The potential role of stem cells in periodontal regeneration. Periodontol 2000. 54(2):234-47.
  12. Smith R, et al. (2020) Ethical concerns in stem cell therapies for cancer. Stem Cells Clin Oncol, 33(1):178-84.
  13. Bartold PM, Narayanan AS. (2016) Stem cells and periodontal regeneration. Periodontology 2000. 40(1):164-72.
  14.  Giordano A, et al. (2021) Clinical trial designs for stem cell therapies in oncology. J Transl Med. 19(1):131-137.
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