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Published on: November 5, 2016
Upcycling umbilical cords: bridging regenerative medicine with neonatology
Alvaro Moreira1, Yasmeen Alayli1, Saloni Balgi1
1a Division of Neonatology, Department of Pediatrics , University of Texas Health Science Center , San Antonio , TX , USA.
Insights
Human umbilical cord stem cells offer promising regenerative medicine strategies for preterm infants facing long-term health issues. Research is exploring these cells for novel neonatal therapies, moving beyond palliative care.
Area of Science:
- Regenerative Medicine
- Neonatal Health
- Stem Cell Therapy
Background:
- Preterm birth impacts 10% of global deliveries, often leading to significant infant morbidities and lifelong conditions.
- Current treatments for preterm infant morbidities are largely palliative, highlighting the need for innovative therapeutic approaches.
- Regenerative medicine, particularly stem cell therapies, presents potential curative options.
Purpose of the Study:
- To review the therapeutic potential and clinical applications of human umbilical cord mesenchymal stem cells (MSCs) and cord blood (UCB) cells for neonates.
- To summarize current research on the use of umbilical cord-derived cells in treating preterm infants.
- To bridge the gap between promising preclinical findings and clinical investigation in neonatal care.
Main Methods:
- Review of preclinical studies and existing literature on umbilical cord MSCs and UCB cells.
- Analysis of the properties of umbilical cord-derived stem cells, including ease of acquisition and low immunogenicity.
- Focus on the transition of research from adult applications to neonatal therapeutic strategies.
Main Results:
- Human umbilical cord MSCs and UCB cells show promise for treating adult diseases.
- Umbilical cord-derived cells are easily obtained, have low immunogenicity, and allow for autologous therapy.
- Preclinical data supports the potential of cell-based therapies for preterm infants, driving current research efforts.
Conclusions:
- Umbilical cord stem cells represent a significant advancement in regenerative medicine for neonatal care.
- There is a critical need to further investigate the efficacy and safety of these cells in treating preterm infants.
- Cell-based therapies hold promise for developing curative strategies for conditions affecting preterm infants, moving beyond palliative care.
Abstract:
Preterm birth is a major health concern that affects 10% of all worldwide deliveries. Many preterm infants are discharged from the hospital with morbidities that lead to an increased risk for neurodevelopmental impairment, recurrent hospitalizations, and life-long conditions. Unfortunately, the treatment of these conditions is palliative rather than curative, which calls for novel and innovative strategies. Progress in regenerative medicine has offered therapeutic options for many of these conditions. Specifically, human umbilical cord mesenchymal stem cells (MSCs) and cord blood (UCB) cells have shown promise in treating adult-onset diseases. Unlike bone-marrow and embryonic derived stem cells, umbilical cord-derived cells are easily and humanely obtained, have low immunogenicity, and offer the potential of autologous therapy. While there are several studies to uphold the efficacy of umbilical cord MSCs in adult therapies, there remains an unmet need for the investigation of its use in treating neonates. The purpose of this review is to provide a summary of current information on the potential therapeutic benefits and clinical applicability of umbilical cord MSCs and UCB cells. Promising preclinical studies have now led to a research movement that is focusing on cell-based therapies for preterm infants.
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