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间充质干/基质细胞作为脓毒症的一种治疗方法:我们目前的进展综述

Mesenchymal stem/stromal cells as a therapeutic for sepsis: a review on where do we stand?

作者信息

Premer Courtney, Hare Joshua M, Yuan Sarah Y, Wilson Jason W

机构信息

Department of Emergency Medicine, McGaw Medical Center of Northwestern University, 211 E Ontario Street, Suite 200, Chicago, IL, 60611, USA.

Department of Medicine, Division of Cardiovascular Medicine, Interdisciplinary Stem Cell Institute (ISCI), University of Miami, Miami, FL, USA.

出版信息

Stem Cell Res Ther. 2025 May 15;16(1):245. doi: 10.1186/s13287-025-04371-w.


DOI:10.1186/s13287-025-04371-w
PMID:40375314
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12082945/
Abstract

Sepsis is one of the leading causes of morbidity and mortality in the United States and Worldwide despite advances in quick recognition and early antibiotics, fluids, and vasopressors. Mesenchymal stem/stromal cells (MSCs) have gained attention as a biologic therapy given their unique anti-inflammatory, immunomodulatory, and anti-bacterial characteristics. MSCs have had success in treating a range of diseases, however limited clinical trials exist specifically for MSC use in sepsis. This article reviews the properties of MSCs that make them favorable for treating sepsis, as well as the current state of clinical trials. All clinical trials presented here demonstrated MSC safety, with a mixture of efficacy results and a heterogeneity of trial methods. Ultimately, MSCs are a promising novel therapeutic for sepsis, however a consensus in cell source, dosage, preparation, and delivery needs to be further investigated for MSCs to transition from bench to bedside and become a true therapeutic for sepsis.

摘要

尽管在快速识别以及早期使用抗生素、液体和血管加压药方面取得了进展,但脓毒症仍是美国和全球发病和死亡的主要原因之一。间充质干/基质细胞(MSCs)因其独特的抗炎、免疫调节和抗菌特性,作为一种生物疗法受到了关注。MSCs在治疗一系列疾病方面取得了成功,然而专门针对MSCs用于脓毒症治疗的临床试验却很有限。本文综述了使MSCs有利于治疗脓毒症的特性,以及临床试验的现状。本文介绍的所有临床试验都证明了MSCs的安全性,疗效结果不一,试验方法也存在异质性。最终,MSCs是一种有前景的新型脓毒症治疗方法,然而,为了使MSCs从实验室走向临床并成为真正的脓毒症治疗方法,需要进一步研究在细胞来源、剂量、制备和给药方面达成共识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5de7/12082945/a10c3dbf6e59/13287_2025_4371_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5de7/12082945/a10c3dbf6e59/13287_2025_4371_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5de7/12082945/a10c3dbf6e59/13287_2025_4371_Fig1_HTML.jpg

相似文献

[1]
Mesenchymal stem/stromal cells as a therapeutic for sepsis: a review on where do we stand?

Stem Cell Res Ther. 2025-5-15

[2]
Mesenchymal stromal cells for acute respiratory distress syndrome (ARDS), sepsis, and COVID-19 infection: optimizing the therapeutic potential.

Expert Rev Respir Med. 2021-3

[3]
Immunophenotypic characterization and therapeutics effects of human bone marrow- and umbilical cord-derived mesenchymal stromal cells in an experimental model of sepsis.

Exp Cell Res. 2021-2-15

[4]
Mesenchymal stem cells preconditioned by staphylococcal enterotoxin B enhance survival and bacterial clearance in murine sepsis model.

Cytotherapy. 2018-11-23

[5]
Efficacy and Safety of Umbilical Cord-Derived Mesenchymal Stromal Cell Therapy in Preclinical Models of Sepsis: A Systematic Review and Meta-analysis.

Stem Cells Transl Med. 2024-4-15

[6]
Bone marrow vs Wharton's jelly mesenchymal stem cells in experimental sepsis: a comparative study.

Stem Cell Res Ther. 2019-6-27

[7]
In vivo monitoring of dynamic interaction between neutrophil and human umbilical cord blood-derived mesenchymal stem cell in mouse liver during sepsis.

Stem Cell Res Ther. 2020-2-3

[8]
Comparison of Single and Repeated Dosing of Anti-Inflammatory Human Umbilical Cord Mesenchymal Stromal Cells in a Mouse Model of Polymicrobial Sepsis.

Stem Cell Rev Rep. 2022-4

[9]
Machine learning reveals the rules governing the efficacy of mesenchymal stromal cells in septic preclinical models.

Stem Cell Res Ther. 2024-9-11

[10]
The role of mesenchymal stem/stromal cells in the acute clinical setting.

Am J Emerg Med. 2021-8

本文引用的文献

[1]
Mesenchymal Stem Cells and Their Extracellular Vesicles Are a Promising Alternative to Antibiotics for Treating Sepsis.

Bioengineering (Basel). 2024-11-18

[2]
Antibacterial effects of human mesenchymal stem cells and their derivatives: a systematic review.

Front Microbiol. 2024-9-25

[3]
Mid- to long-term efficacy and safety of stem cell therapy for acute myocardial infarction: a systematic review and meta-analysis.

Stem Cell Res Ther. 2024-9-11

[4]
Differential effects of TLR3 and TLR4 activation on MSC-mediated immune regulation.

Biochem Biophys Rep. 2024-8-10

[5]
Evolving Paradigms in Sepsis Management: A Narrative Review.

Cells. 2024-7-9

[6]
Role of TGF-β and p38 MAPK in TSG-6 Expression in Adipose Tissue-Derived Stem Cells In Vitro and In Vivo.

Int J Mol Sci. 2023-12-29

[7]
Immune dysregulation in sepsis: experiences, lessons and perspectives.

Cell Death Discov. 2023-12-19

[8]
The safety and efficacy of stem cells for the treatment of severe community-acquired bacterial pneumonia: A randomized clinical trial.

J Crit Care. 2024-2

[9]
The safety and efficacy of mesenchymal stromal cells in ARDS: a meta-analysis of randomized controlled trials.

Crit Care. 2023-1-20

[10]
Antifibrotic TSG-6 Expression Is Synergistically Increased in Both Cells during Coculture of Mesenchymal Stem Cells and Macrophages via the JAK/STAT Signaling Pathway.

Int J Mol Sci. 2022-10-28

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