The invention provides engineered mesenchymal stromal cells (ePSCs) with a
phagocytosis function and an application of the engineered mesenchymal stromal cells (ePSCs) in treatment of Alzheimer's
disease (AD). The engineered mesenchymal stromal cells (ePSCs) are obtained by inducing fibroblasts to be reprogrammed by adopting a chemical
small molecule combination. The invention discloses a set of genetic modification-free
reprogramming scheme based on a chemical
small molecule composition, which is used for efficiently converting fibroblasts from somatic cells into ePSCs (enhanced pluripotent stem cells) by sequentially activating an endogenous
reprogramming pathway. The obtained ePSCs highly express phagocytic function related proteins (including TMEM119, SCARB1, APOE, CTSD and the like), and the ability of removing beta
amyloid protein (A beta) plaques is significantly enhanced. In-vitro and in-vivo AD model
verification proves that transplanted ePSCs can be directionally migrated to an intracerebral
lesion area, and through a synergistic effect mechanism: (i) directly phagocytizing and degrading A beta aggregates, and (ii) providing
neuroprotective factors (such as HTRA1, GLUL, SLIT1, TUBB3 and NPTX2) to inhibit neuroinflammatory response, promote nerve regeneration, effectively improve the
neuron survival state and
synaptic function integrity, and improve the neurological activity of the brain. And finally, cognitive
function recovery is promoted.