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间充质干细胞与新型冠状病毒肺炎:它们的作用及潜在能力

Mesenchymal stem cells and COVID-19: What they do and what they can do.

作者信息

Abu-El-Rub Ejlal, Khasawneh Ramada R, Almahasneh Fatimah, Altaany Zaid, Bataineh Nesreen, Zegallai Hana, Sekaran Saravanan

机构信息

Department of Physiology and Pathophysiology, University of Manitoba, Winnipeg R2H2A6, Canada.

Department of Anatomy and Histology, Basic Medical Sciences, Yarmouk University, IRBID 21163, Jordan.

出版信息

World J Stem Cells. 2021 Sep 26;13(9):1318-1337. doi: 10.4252/wjsc.v13.i9.1318.

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or coronavirus disease 2019 (COVID-19) pandemic has exhausted the health systems in many countries with thousands cases diagnosed daily. The currently used treatment guideline is to manage the common symptoms like fever and cough, but doesn't target the virus itself or halts serious complications arising from this viral infection. Currently, SARS-CoV-2 exhibits many genetic modulations which have been associated with the appearance of highly contagious strains. The number of critical cases of COVID-19 increases markedly, and many of the infected people die as a result of respiratory failure and multiple organ dysfunction. The regenerative potential of mesenchymal stem cells (MSCs) has been extensively studied and confirmed. The impressive immunomodulation and anti-inflammatory activity of MSCs have been recognized as a golden opportunity for the treatment of COVID-19 and its associated complications. Moreover, MSCs regenerative and repairing abilities have been corroborated by many studies with positive outcomes and high recovery rates. Based on that, MSCs infusion could be an effective mechanism in managing and stemming the serious complications and multiple organ failure associated with COVID-19. In the present review, we discuss the commonly reported complications of COVID-19 viral infection and the established and anticipated role of MSCs in managing these complications.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)或2019冠状病毒病(COVID-19)大流行使许多国家的卫生系统不堪重负,每天都有数千例确诊病例。目前使用的治疗指南是处理发热和咳嗽等常见症状,但并不针对病毒本身,也无法阻止这种病毒感染引发的严重并发症。目前,SARS-CoV-2表现出许多基因调控,这些调控与高传染性毒株的出现有关。COVID-19的重症病例数量显著增加,许多感染者因呼吸衰竭和多器官功能障碍而死亡。间充质干细胞(MSC)的再生潜力已得到广泛研究和证实。MSC令人印象深刻的免疫调节和抗炎活性已被视为治疗COVID-19及其相关并发症的绝佳机会。此外,许多研究证实了MSC的再生和修复能力,结果积极且恢复率高。基于此,输注MSC可能是控制和阻止与COVID-19相关的严重并发症和多器官衰竭的有效机制。在本综述中,我们讨论了COVID-19病毒感染常见的并发症以及MSC在处理这些并发症方面已确立的和预期的作用。

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