RT Journal Article T1 Mesenchymal Stem Cells in Homeostasis and Systemic Diseases: Hypothesis, Evidences, and Therapeutic Opportunities A1 Vizoso, Francisco J. A1 Eiro, Noemi A1 Costa, Luis A1 Esparza, Paloma A1 Landín Pérez, Mariana A1 Díaz Rodríguez, Patricia A1 Schneider, Jose A1 Pérez Fernández, Román K1 Regenerative medicine K1 Aging diseases K1 Diabetes K1 Lupus K1 Secretome K1 Conditioned medium K1 Extracellular vesicles K1 Exosomes AB Mesenchymal stem cells (MSCs) are present in all organs and tissues, playing a well-known function in tissue regeneration. However, there is also evidence indicating a broader role of MSCs in tissue homeostasis. In vivo studies have shown MSC paracrine mechanisms displaying proliferative, immunoregulatory, anti-oxidative, or angiogenic activity. In addition, recent studies also demonstrate that depletion and/or dysfunction of MSCs are associated with several systemic diseases, such as lupus, diabetes, psoriasis, and rheumatoid arthritis, as well as with aging and frailty syndrome. In this review, we hypothesize about the role of MSCs as keepers of tissue homeostasis as well as modulators in a variety of inflammatory and degenerative systemic diseases. This scenario opens the possibility for the use of secretome-derived products from MSCs as new therapeutic agents in order to restore tissue homeostasis, instead of the classical paradigm “one disease, one drug”. PB MDPI YR 2019 FD 2019 LK http://hdl.handle.net/10347/21197 UL http://hdl.handle.net/10347/21197 LA eng NO Vizoso, F.J.; Eiro, N.; Costa, L.; Esparza, P.; Landin, M.; Diaz-Rodriguez, P.; Schneider, J.; Perez-Fernandez, R. Mesenchymal Stem Cells in Homeostasis and Systemic Diseases: Hypothesis, Evidences, and Therapeutic Opportunities. Int. J. Mol. Sci. 2019, 20, 3738 NO This study was supported by Instituto de Salud Carlos III (PI17/02236) to F.J.V., and by Fundación para la Investigación en Células Madre Uterinas (FICEMU) to F.J.V and R.P.-F. DS Minerva RD 24 abr 2026