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间充质干细胞治疗 COVID-19。

Mesenchymal stem cell treatment for COVID-19.

机构信息

Senior Department of Infectious Diseases, The Fifth Medical Center of PLA General Hospital, National Clinical Research Center for Infectious Diseases, Beijing, China.

The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.

出版信息

EBioMedicine. 2022 Mar;77:103920. doi: 10.1016/j.ebiom.2022.103920. Epub 2022 Mar 10.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has caused a global pandemic since late 2019 that resulted in more than 360 million population infection. Among them, less than 7% of infected individuals develop severe or critical illness. Mass vaccination has been carried out, but reinfection and vaccine breakthrough cases still occur. Besides supportive and antiviral medications, much attention has been paid in immunotherapies that aim at reducing pathological changes in the lungs. Mesenchymal stem cells (MSCs) is used as an option because of their immunomodulatory, anti-inflammatory, and regenerative properties. As of January 16, 2022, when ClinicalTrials.gov was searched for "Mesenchymal stem cells and COVID-19," over 80 clinical trials were registered. MSC therapy was found to be safe and some effective in preclinical and clinical studies. Here, we summarize the major pathological characteristics of COVID-19 and provide scientific and rational evidence for the safety and possible effectiveness of MSCs in COVID-19 treatment.

摘要

严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)感染自 2019 年底以来引发了一场全球大流行,导致超过 3.6 亿人口感染。其中,不到 7%的感染者发展为严重或危重症。已经开展了大规模疫苗接种,但仍有再感染和疫苗突破病例发生。除了支持和抗病毒药物外,免疫疗法也受到了广泛关注,旨在减轻肺部的病理变化。间充质干细胞(MSCs)因其具有免疫调节、抗炎和再生特性而被用作一种选择。截至 2022 年 1 月 16 日,在 ClinicalTrials.gov 上搜索“间充质干细胞和 COVID-19”时,已有 80 多项临床试验注册。临床前和临床研究发现 MSC 治疗是安全的,并且在某些方面有效。在这里,我们总结了 COVID-19 的主要病理特征,并为 MSCs 在 COVID-19 治疗中的安全性和可能有效性提供了科学合理的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e00d/8914120/a348245c5b3c/gr1.jpg

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