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Published on: January 12, 2024
Mesenchymal stem cells in SARS-CoV-2 infection: A hype or hope
Deeksha Pal1, Jyoti Goyal2, Ujjawal Sharma3
1Department of Translational and Regenerative Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India.
Abstract:
COVID-19 is a serious viral infection that struck the world in December 2019 starting from Wuhan in China, spreading subsequently to all over the world. The disease has baffled scientists and doctors worldwide in terms of its presentation, behaviour, and treatment options till now. A low mortality rate is the only relief we get so far from COVID-19 in terms of numbers. Treatment options have gradually streamlined to steroids and very few FDA approved antiviral as well as plasma therapy and supportive treatment. Monoclonal antibodies are used to tide over any impending cytokine storm but are not equally effective in all patients. Ventilation support is invariably required for moderate to severe disease varying from a simple High Flow non-rebreathing mask to BiPAP (Bilevel Positive Airway Pressure) and HFNO (High-Flow Nasal Oxygen) extending to full-fledge ventilation via a Mechanical Ventilator. Because of the non-availability of satisfactory treatment so far, many researchers from different biomedical fields are looking for alternative therapeutic strategies to manage the pandemic. One such therapeutic approach showing a ray of hope to combat COVID-19 infection is Mesenchymal stem cell therapy. Mesenchymal cells have immunomodulatory, anti-inflammatory as well as regenerative properties and various preliminary studies have shown that MSCs can reverse the lung damage and overcome the cytokine storm incited by COVID-19 infection. Also, it has improved the recovery rate of critically ill patients on mechanical ventilation. In this review, we will discuss the possibility and relevance of MSCs in COVID-19 treatment and preview of various MSCs clinical trials.
Insights
Mesenchymal stem cell therapy shows promise for treating COVID-19 by reducing lung damage and cytokine storms. Clinical trials are underway to evaluate its effectiveness in improving recovery for critically ill patients.
Area of Science:
- Virology
- Immunology
- Regenerative Medicine
Background:
- COVID-19, a global pandemic since December 2019, presents complex challenges in treatment due to its varied presentation and behavior.
- Current treatments include steroids, antivirals, plasma therapy, and supportive care, with limited efficacy for severe cases.
Purpose of the Study:
- To explore Mesenchymal Stem Cell (MSC) therapy as a potential treatment strategy for COVID-19.
- To review the immunomodulatory, anti-inflammatory, and regenerative properties of MSCs relevant to COVID-19.
- To preview ongoing clinical trials investigating MSCs for COVID-19 treatment.
Main Methods:
- Review of existing literature on COVID-19 treatments and Mesenchymal Stem Cell properties.
- Analysis of preliminary studies on MSCs in reversing lung damage and managing cytokine storms.
- Examination of clinical trial data for MSCs in critically ill COVID-19 patients.
Main Results:
- MSCs possess immunomodulatory, anti-inflammatory, and regenerative capabilities beneficial for COVID-19.
- Preliminary studies indicate MSCs can mitigate lung damage and cytokine storms associated with COVID-19.
- Evidence suggests MSCs may improve recovery rates in mechanically ventilated COVID-19 patients.
Conclusions:
- Mesenchymal Stem Cell therapy presents a promising alternative therapeutic strategy for managing COVID-19.
- Further clinical trials are crucial to establish the efficacy and safety of MSCs in treating COVID-19 patients.
- MSC therapy holds potential for addressing critical aspects of COVID-19, including lung injury and hyperinflammation.
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