Siddesh Sushmitha Eachagattada, Gowda Dheemant Muniswamy, Jain Rashmi, Gulati Arun, Patil Goutham Shankargoud, Anudeep Talagavadi Channaiah, Jeyaraman Naveen, Muthu Sathish, Jeyaraman Madhan
Department of Dermatology, Rajarajeswari Medical College and Hospital, Bengaluru, Karnataka, India.
School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India.
Stem Cell Investig. 2021 Feb 3;8:3. doi: 10.21037/sci-2020-034. eCollection 2021.
With a robust rise in the number of COVID-19 cases, the World Health Organization (WHO) has declared COVID-19 as a pandemic on 11 March 2020. COVID-19 pandemic has invited global researchers from various biomedical and biotechnological researchers to plan various treatment modalities for combating this pandemic crisis. At present, there is the unavailability of specific treatment modality; however, researchers have thrown light into the exploration of mesenchymal stem cells (MSCs) to therapeutically perquisite in ameliorating immune-mediated progressive worsening in COVID-19 infected patients. Cellular therapy (CT) has revolutionized the treatment of untreatable diseases with a better clinical and functional outcome. Placenta, being considered as medical waste, contains a variety of stem cells, and hence placenta-derived MSCs (P-MSCs) owe potentiality for extrapolation to combat COVID-19 pandemic. The usage of P-MSCs in combating the COVID-19 pandemic has plausible challenges in terms of isolation, harvesting, expansion, characterization, and involvement of ethical concerns. This article provides an insight into dealing COVID-19 pandemic with P-MSCs as cell-based therapy embracing immunomodulatory and immune-privileged potentials and future prospects. Advocating prospective randomized controlled clinical trials ethically will concretely supplement for its efficacy and safety concerns.
随着新冠病毒肺炎病例数的强劲上升,世界卫生组织(WHO)于2020年3月11日宣布新冠病毒肺炎为大流行病。新冠病毒肺炎大流行促使来自各种生物医学和生物技术领域的全球研究人员规划各种治疗方式以应对这一疫情危机。目前,尚无特定的治疗方式;然而,研究人员已着手探索间充质干细胞(MSCs)在治疗新冠病毒感染患者免疫介导的病情逐渐恶化方面的必要性。细胞疗法(CT)已经彻底改变了对无法治疗疾病的治疗方式,带来了更好的临床和功能结果。胎盘曾被视为医疗废物,却含有多种干细胞,因此胎盘来源的间充质干细胞(P-MSCs)具有用于对抗新冠病毒肺炎大流行的潜力。在对抗新冠病毒肺炎大流行中使用P-MSCs在分离、采集、扩增、鉴定以及涉及伦理问题方面存在诸多挑战。本文深入探讨了将P-MSCs作为具有免疫调节和免疫特权潜力的细胞疗法应对新冠病毒肺炎大流行的情况以及未来前景。从伦理角度倡导前瞻性随机对照临床试验将切实补充其疗效和安全性方面的考量。