Department of Pediatrics, Shengjing Hospital of China Medical University, No. 36, Sanhao Street, Heping District, Shenyang, 110004 Liaoning, China.
Biomed Res Int. 2021 May 3;2021:9983664. doi: 10.1155/2021/9983664. eCollection 2021.
Bronchopulmonary dysplasia (BPD) is a common chronic lung disease in premature babies, especially affecting those with very low or extremely low birth weights. Survivors experience adverse lung and neurological defects including cognitive dysfunction. This impacts the prognosis of children with BPD and may result in developmental delays. The currently available options for the treatment of BPD are limited owing to low efficacy or several side effects; therefore, there is a lack of effective treatments for BPD. The treatment for BPD must help in the repair of damaged lung tissue and promote further growth of the lung tissue. In recent years, the emergence of stem cell therapy, especially mesenchymal stem cell (MSC) therapy, has improved the treatment of BPD to a great extent. This article briefly reviews the advantages, research progress, and challenges faced with the use of MSCs in the treatment of BPD. Stem cell therapy is beneficial as it repairs damaged tissues by reducing inflammation, fibrosis, and by acting against oxidative stress damage. Experimental trials have also proven that MSCs provide a promising avenue for BPD treatment. However, there are challenges such as the possibility of MSCs contributing to tumorous growths, the presence of heterogeneous cell populations resulting in variable efficacy, and the ethical considerations regarding the use of this treatment in humans. Therefore, more research must be conducted to determine whether MSC therapy can be approved as a treatment option for BPD.
支气管肺发育不良(BPD)是早产儿常见的慢性肺部疾病,尤其是极低出生体重儿或超极低出生体重儿。幸存者会出现肺部和神经发育缺陷,包括认知功能障碍。这影响了 BPD 患儿的预后,并可能导致发育迟缓。由于疗效低或存在多种副作用,目前治疗 BPD 的方法有限;因此,BPD 缺乏有效的治疗方法。BPD 的治疗必须有助于修复受损的肺组织,并促进肺组织的进一步生长。近年来,干细胞治疗的出现,特别是间充质干细胞(MSC)治疗,在很大程度上改善了 BPD 的治疗。本文简要综述了 MSCs 治疗 BPD 的优势、研究进展和面临的挑战。干细胞治疗通过减少炎症、纤维化和对抗氧化应激损伤来修复受损组织,具有有益作用。实验性试验也证明了 MSCs 为 BPD 治疗提供了有希望的途径。然而,也存在一些挑战,如 MSCs 可能导致肿瘤生长、异质性细胞群体导致疗效不同,以及在人类中使用这种治疗的伦理考虑。因此,必须进行更多的研究,以确定 MSC 治疗是否可以被批准为 BPD 的治疗选择。