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2020 ; 9
(10
): 1163-1173
Nephropedia Template TP
gab.com Text
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English Wikipedia
Current status of mesenchymal stem cell therapy for immune/inflammatory lung
disorders: Gleaning insights for possible use in COVID-19
#MMPMID32526079
Yen BL
; Yen ML
; Wang LT
; Liu KJ
; Sytwu HK
Stem Cells Transl Med
2020[Oct]; 9
(10
): 1163-1173
PMID32526079
show ga
The broad immunomodulatory properties of human mesenchymal stem cells (MSCs) have
allowed for wide application in regenerative medicine as well as
immune/inflammatory diseases, including unmatched allogeneic use. The novel
coronavirus disease COVID-19 has unleashed a pandemic in record time accompanied
by an alarming mortality rate mainly due to pulmonary injury and acute
respiratory distress syndrome. Because there are no effective preventive or
curative therapies currently, MSC therapy (MSCT) has emerged as a possible
candidate despite the lack of preclinical data of MSCs for COVID-19.
Interestingly, MSCT preclinical data specifically on immune/inflammatory
disorders of the lungs were among the earliest to be reported in 2003, with the
first clinical use of MSCT for graft-vs-host disease reported in 2004. Since
these first reports, preclinical data showing beneficial effects of MSC
immunomodulation have accumulated substantially, and as a consequence, over a
third of MSCT clinical trials now target immune/inflammatory diseases. There is
much preclinical evidence for MSCT in noninfectious-including chronic obstructive
pulmonary disease, asthma, and idiopathic pulmonary fibrosis-as well as
infectious bacterial immune/inflammatory lung disorders, with data generally
demonstrating therapeutic effects; however, for infectious viral pulmonary
conditions, the preclinical evidence is more scarce with some inconsistent
outcomes. In this article, we review the mechanistic evidence for clinical use of
MSCs in pulmonary immune/inflammatory disorders, and survey the ongoing clinical
trials-including for COVID-19-of MSCT for these diseases, with some perspectives
and comment on MSCT for COVID-19.