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静脉输注脐带间充质干细胞治疗新型冠状病毒肺炎感染所致急性呼吸窘迫综合征

Intravenous Administration of Umbilical Cord-Derived Mesenchymal Stem Cells (UC-MSC) for Acute Respiratory Distress Syndrome Due to COVID-19 Infection.

作者信息

Perez Jesus A, Parcero Valdes Juan J, Corral Moreno Ruben, Gomez Cuevas Leonardo I, Lopez Jose J, Ichim Thomas, McGreevy Kristen, Lin Feng, Kesari Santosh, Datta Souvik

机构信息

Medicine, Instituto de Medicina Regenerativa SA de CV, Tijuana, MEX.

Interventional Cardiology, Cruz Roja Tijuana, Tijuana, MEX.

出版信息

Cureus. 2023 Aug 25;15(8):e44110. doi: 10.7759/cureus.44110. eCollection 2023 Aug.

DOI:10.7759/cureus.44110
PMID:37638263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10452932/
Abstract

The COVID-19 pandemic has posed significant therapeutic challenges in addressing acute respiratory distress syndrome (ARDS). This serious illness has caused numerous fatalities worldwide and has had profound health and economic impacts. Previous studies have shown that mesenchymal stem cells (MSCs) can suppress ARDS. In this case series, we report on the treatment of nine patients with a single intravenous dose of 100 million hypoxic cultured umbilical cord-derived MSCs (UC-MSCs). Following the intravenous administration of UC-MSCs, obtained from the lining of the umbilical cord, longitudinal laboratory analysis revealed a sustained decrease in inflammatory markers and stabilized pulmonary function in eight out of nine patients. UC-MSCs possess immunomodulatory and anti-inflammatory properties, enabling them to attenuate the cytokine storm and potentially aid in lung repair. Importantly, no adverse events associated with the treatment were observed. These findings collectively suggest that a cell-based approach significantly enhances the survival rate of ARDS induced by SARS-CoV-2 and offers a promising treatment option in both preclinical and clinical settings.

摘要

新型冠状病毒肺炎大流行在治疗急性呼吸窘迫综合征(ARDS)方面带来了重大挑战。这种严重疾病已在全球造成众多死亡,并对健康和经济产生了深远影响。先前的研究表明,间充质干细胞(MSCs)可以抑制ARDS。在本病例系列中,我们报告了对9例患者单次静脉注射1亿个缺氧培养的脐带间充质干细胞(UC-MSCs)的治疗情况。从脐带内膜获取的UC-MSCs静脉注射后,纵向实验室分析显示,9例患者中有8例炎症标志物持续下降,肺功能稳定。UC-MSCs具有免疫调节和抗炎特性,使其能够减轻细胞因子风暴,并可能有助于肺修复。重要的是,未观察到与治疗相关的不良事件。这些发现共同表明,基于细胞的方法显著提高了由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的ARDS的存活率,并在临床前和临床环境中提供了一种有前景的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5abd/10452932/faed68c6e454/cureus-0015-00000044110-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5abd/10452932/75167ce1bd6d/cureus-0015-00000044110-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5abd/10452932/faed68c6e454/cureus-0015-00000044110-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5abd/10452932/75167ce1bd6d/cureus-0015-00000044110-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5abd/10452932/faed68c6e454/cureus-0015-00000044110-i02.jpg

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Cell Res. 2021 Dec;31(12):1244-1262. doi: 10.1038/s41422-021-00573-y. Epub 2021 Oct 26.
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Extracellular vesicles derived from mesenchymal stromal cells mediate endogenous cell growth and migration via the CXCL5 and CXCL6/CXCR2 axes and repair menisci.间充质基质细胞衍生的细胞外囊泡通过 CXCL5 和 CXCL6/CXCR2 轴介导内源性细胞生长和迁移,并修复半月板。
Stem Cell Res Ther. 2021 Jul 22;12(1):414. doi: 10.1186/s13287-021-02481-9.
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