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针对重症肺炎患者的间充质干细胞治疗。

Targeting mesenchymal stem cell therapy for severe pneumonia patients.

作者信息

Lam Guy, Zhou Yuan, Wang Jia-Xian, Tsui Yat-Ping

机构信息

School of Biomedical Sciences, University of Hong Kong, Hong Kong 999077, China.

Research and Development, Help Therapeutics Co. Ltd., Nanjing 211100, Jiangsu Province, China.

出版信息

World J Stem Cells. 2021 Feb 26;13(2):139-154. doi: 10.4252/wjsc.v13.i2.139.

DOI:10.4252/wjsc.v13.i2.139
PMID:33708343
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7933990/
Abstract

Pneumonia is the inflammation of the lungs and it is the world's leading cause of death for children under 5 years of age. The latest coronavirus disease 2019 (COVID-19) virus is a prominent culprit to severe pneumonia. With the pandemic running rampant for the past year, more than 1590000 deaths has occurred worldwide up to December 2020 and are substantially attributable to severe pneumonia and induced cytokine storm. Effective therapeutic approaches in addition to the vaccines and drugs under development are hence greatly sought after. Therapies harnessing stem cells and their derivatives have been established by basic research for their versatile capacity to specifically inhibit inflammation due to pneumonia and prevent alveolar/pulmonary fibrosis while enhancing antibacterial/antiviral immunity, thus significantly alleviating the severe clinical conditions of pneumonia. In recent clinical trials, mesenchymal stem cells have shown effectiveness in reducing COVID-19-associated pneumonia morbidity and mortality; positioning these cells as worthy candidates for combating one of the greatest challenges of our time and shedding light on their prospects as a next-generation therapy to counter future challenges.

摘要

肺炎是肺部的炎症,是全球5岁以下儿童的主要死因。最新的2019冠状病毒病(COVID-19)病毒是导致严重肺炎的一个重要元凶。在过去一年里,随着疫情肆虐,截至2020年12月,全球已发生超过159万例死亡,其中很大一部分归因于严重肺炎和由此引发的细胞因子风暴。因此,除了正在研发的疫苗和药物外,人们迫切需要有效的治疗方法。利用干细胞及其衍生物的疗法已通过基础研究得以确立,因为它们具有多种能力,能够特异性抑制肺炎引起的炎症,预防肺泡/肺纤维化,同时增强抗菌/抗病毒免疫力,从而显著缓解肺炎的严重临床症状。在最近的临床试验中,间充质干细胞已显示出在降低COVID-19相关肺炎发病率和死亡率方面的有效性;这使这些细胞成为应对我们这个时代最大挑战之一的有价值候选者,并为其作为应对未来挑战的下一代疗法的前景带来希望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d638/7933990/992bb01285b9/WJSC-12-139-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d638/7933990/992bb01285b9/WJSC-12-139-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d638/7933990/992bb01285b9/WJSC-12-139-g001.jpg

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本文引用的文献

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COVID-19 interstitial pneumonia: monitoring the clinical course in survivors.新型冠状病毒肺炎间质性肺炎:对幸存者临床病程的监测
Lancet Respir Med. 2020 Sep;8(9):839-842. doi: 10.1016/S2213-2600(20)30349-0. Epub 2020 Aug 3.
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Clinical remission of a critically ill COVID-19 patient treated by human umbilical cord mesenchymal stem cells: A case report.人脐带间充质干细胞治疗危重症新型冠状病毒肺炎患者临床缓解一例报告
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Challenges and strategies to research ethics in conducting COVID-19 research.
基于干细胞的人类疾病治疗方法。
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Microfluidic Tools for Enhanced Characterization of Therapeutic Stem Cells and Prediction of Their Potential Antimicrobial Secretome.用于增强治疗性干细胞表征及其潜在抗菌分泌组预测的微流控工具
Antibiotics (Basel). 2021 Jun 22;10(7):750. doi: 10.3390/antibiotics10070750.
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Diverse Immunological Factors Influencing Pathogenesis in Patients with COVID-19: A Review on Viral Dissemination, Immunotherapeutic Options to Counter Cytokine Storm and Inflammatory Responses.影响COVID-19患者发病机制的多种免疫因素:关于病毒传播、对抗细胞因子风暴和炎症反应的免疫治疗选择的综述
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Role of Inflammatory Cytokines in COVID-19 Patients: A Review on Molecular Mechanisms, Immune Functions, Immunopathology and Immunomodulatory Drugs to Counter Cytokine Storm.炎症细胞因子在COVID-19患者中的作用:关于分子机制、免疫功能、免疫病理学及对抗细胞因子风暴的免疫调节药物的综述
Vaccines (Basel). 2021 Apr 29;9(5):436. doi: 10.3390/vaccines9050436.
开展 COVID-19 研究的伦理挑战与策略。
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Cytokine storm syndrome in severe COVID-19.重症新型冠状病毒肺炎中的细胞因子风暴综合征
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