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Monash Health<br />

Hudson Institute Research Group Head, Dr Rebecca Lim.<br />

Photo courtesy of Hudson Institute of Medical Research<br />

The future of stem cell<br />

therapies<br />

What if the regenerative properties<br />

of stem cells – their ability to repair<br />

tissue – could be explained by<br />

nanoparticles containing potent<br />

biological ‘cargo’ released by<br />

these cells?<br />

Dr Rebecca Lim, head of the Amnion<br />

Cell Biology Group, is at the forefront<br />

of the next generation of cell-free<br />

regenerative medicine.<br />

Exosome therapeutics are a new<br />

alternative to traditional stem cell<br />

therapies and Dr Lim is taking a<br />

pioneering approach using amnion<br />

epithelial stem cells.<br />

Dr Lim is a lead investigator on<br />

multiple clinical trials using these cells<br />

to repair scarred and damaged cells in<br />

chronic, premature lung disease and<br />

end-stage liver fibrosis – diseases at<br />

opposite ends of the human lifespan.<br />

While current stem cell therapy<br />

approaches are promising, there<br />

are challenges that limit their use,<br />

including high production costs and<br />

the need for specialised equipment<br />

to store, transport and prepare<br />

these treatments.<br />

Based on her team’s research, Dr Lim<br />

is developing a low-cost, cell-free<br />

regenerative treatment using exosomes<br />

extracted from amnion epithelial<br />

stem cells.<br />

In December, Dr Lim was awarded<br />

a prestigious project grant from<br />

the National Health and Medical<br />

Research Council (NHMRC) to<br />

investigate amniotic exosomes as a<br />

potential off-the-shelf treatment for<br />

bronchopulmonary dysplasia (BPD).<br />

“BPD is a chronic lung disease that<br />

occurs in babies born too early. It’s<br />

expensive to treat and complications<br />

from treatment can lead to lifelong<br />

health problems,” Dr Lim says.<br />

“Our vision is to develop a treatment<br />

that could be administered easily and<br />

cost-effectively to preterm babies with<br />

BPD – even by parents after babies are<br />

discharged from hospital.”<br />

What are exosomes?<br />

Exosomes, or cell-derived<br />

vesicles, are naturally occurring<br />

particles approximately 1/1000 th<br />

the size of a fine grain of sand.<br />

They are present in many bodily<br />

fluids. Many cells, including<br />

amnion epithelial cells (stem cells<br />

found in the innermost layer of<br />

the placenta), release exosomes,<br />

which contain important proteins<br />

and other genetic material that<br />

can be transferred to other cells<br />

where they can affect function<br />

and physiology.<br />

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