Premer Courtney, Hare Joshua M, Yuan Sarah Y, Wilson Jason W
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.
Stem Cell Res Ther. 2025 May 15;16(1):245. doi: 10.1186/s13287-025-04371-w.
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.
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。
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