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Published on: May 4, 2020
Stem-Cell Therapy for Bronchopulmonary Dysplasia (BPD) in Newborns
Said A Omar1,2, Amal Abdul-Hafez1, Sherif Ibrahim1
1Division of Neonatology, Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, East Lansing, MI 48824, USA.
Insights
Mesenchymal stem cells (MSCs) and their derived extracellular vesicles (EVs) show promise for treating premature infants with bronchopulmonary dysplasia (BPD). These stem-cell therapies may reduce lung inflammation and improve lung structure, offering new hope for infants with this condition.
Area of Science:
- Neonatal Medicine
- Regenerative Medicine
- Pulmonology
Background:
- Premature infants face high risks of respiratory distress syndrome (RDS) and bronchopulmonary dysplasia (BPD), leading to severe long-term complications.
- Current BPD treatments are supportive, including high-oxygen and pharmacotherapy, highlighting the need for novel therapeutic strategies.
- Reduced resident stem cells in BPD lungs suggest a critical role for stem cells in disease pathogenesis.
Purpose of the Study:
- To explore the potential of stem-cell-based therapies for treating bronchopulmonary dysplasia (BPD) in premature infants.
- To investigate the efficacy of mesenchymal stem cells (MSCs) and their derived extracellular vesicles (EVs) as therapeutic modalities for BPD.
- To identify potential benefits of MSCs and EVs in improving lung health and reducing BPD-related complications.
Main Methods:
- Review of current literature on stem-cell-based therapies for acute lung injury and BPD.
- Analysis of the role of mesenchymal stem cells (MSCs) and extracellular vesicles (EVs) in preclinical and clinical studies.
- Evaluation of the impact of MSCs and EVs on key BPD pathological features.
Main Results:
- Mesenchymal stem cells (MSCs) and MSC-derived extracellular vesicles (EVs), including exosomes, demonstrate significant therapeutic potential for BPD.
- Treatment with MSCs and EVs has been shown to reduce lung inflammation and improve pulmonary architecture.
- These stem-cell-based approaches may attenuate pulmonary fibrosis and enhance survival rates in BPD models.
Conclusions:
- Mesenchymal stem cells (MSCs) and extracellular vesicles (EVs) represent promising therapeutic options for bronchopulmonary dysplasia (BPD).
- These regenerative medicine approaches offer a potential to improve lung development and reduce long-term adverse outcomes in premature infants.
- Further research into MSCs and EVs is warranted to optimize their clinical application for BPD treatment.
Abstract:
Premature newborns are at a higher risk for the development of respiratory distress syndrome (RDS), acute lung injury (ALI) associated with lung inflammation, disruption of alveolar structure, impaired alveolar growth, lung fibrosis, impaired lung angiogenesis, and development of bronchopulmonary dysplasia (BPD) with severe long-term developmental adverse effects. The current therapy for BPD is limited to supportive care including high-oxygen therapy and pharmacotherapy. Recognizing more feasible treatment options to improve lung health and reduce complications associated with BPD is essential for improving the overall quality of life of premature infants. There is a reduction in the resident stem cells in lungs of premature infants with BPD, which strongly suggests a critical role of stem cells in BPD pathogenesis; this warrants the exploration of the potential therapeutic use of stem-cell therapy. Stem-cell-based therapies have shown promise for the treatment of many pathological conditions including acute lung injury and BPD. Mesenchymal stem cells (MSCs) and MSC-derived extracellular vesicles (EVs) including exosomes are promising and effective therapeutic modalities for the treatment of BPD. Treatment with MSCs and EVs may help to reduce lung inflammation, improve pulmonary architecture, attenuate pulmonary fibrosis, and increase the survival rate.
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