Cellular Therapy: Shafts of Light Emerging for COVID-19.

Q1 Biochemistry, Genetics and Molecular Biology Stem cell investigation Pub Date : 2020-06-30 eCollection Date: 2020-01-01 DOI:10.21037/sci-2020-022
Madhan Jeyaraman, Rajni Ranjan, Rakesh Kumar, Arunabh Arora, Dushyant Chaudhary, Satish Shringeri Ajay, Rashmi Jain
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Abstract

The COVID-19 pandemic has presented with debilitating respiratory consequences especially more pronounced in high risk individuals. Individuals with underlying systemic diseases are more prone and vulnerable to suffer severe consequences of SARS-CoV-2 infectivity. The pathophysiological changes identified cytokine storm mechanism for out setting the series of adverse clinical conditions. Thereby, associating it with high mortality rates. This warrants urgent consideration of divergent modalities such as the cellular therapy. Cellular therapy (CT) is a new medical paradigm wherein cellular material is administered to patients for therapeutic purposes. In this regard, mesenchymal stem cells (MSCs) have yielded the most promising results among stromal vascular fraction (SVF); placental cells; natural killer (NK) cell and platelet lysate respectively. Following the administration of the CT as per preferred route, these play pivotal role in modifying the microenvironment of the lung tissue with their distinct sets of mechanism. Evidences have shown how their immunomodulatory action repairs and prevents lung injury which in turn improvise the compliance of lungs. In this review article we have discussed these emerging novel approaches and their target step serving as a ray of hope to combat severe form of COVID-19. Currently these aren't approved for preventing or treating COVID-19 cases, however clinical trials are afoot to dispense the utmost understanding in terms of efficacy and safety concerns.

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细胞疗法:COVID-19的曙光初现。
在 COVID-19 大流行中,呼吸系统的衰弱后果尤其在高危人群中更为明显。患有基础系统疾病的人更容易受到 SARS-CoV-2 感染的严重影响。病理生理学变化确定了细胞因子风暴机制,从而引发了一系列不良的临床症状。因此,这与高死亡率有关。这就需要紧急考虑细胞疗法等不同模式。细胞疗法(CT)是一种新的医学模式,通过向患者注射细胞材料来达到治疗目的。在这方面,间充质干细胞(MSCs)在基质血管成分(SVF)、胎盘细胞、自然杀伤细胞(NK)和血小板裂解液中分别取得了最有希望的结果。按照首选途径服用 CT 后,这些细胞以其独特的机制在改变肺组织微环境方面发挥着关键作用。有证据表明,它们的免疫调节作用可修复和预防肺损伤,进而改善肺的顺应性。在这篇综述文章中,我们讨论了这些新兴的新方法,以及它们作为抗击严重形式 COVID-19 的一线希望的目标步骤。目前,这些药物还未被批准用于预防或治疗 COVID-19 病例,但临床试验正在进行中,以最大程度地了解其疗效和安全性。
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来源期刊
Stem cell investigation
Stem cell investigation Biochemistry, Genetics and Molecular Biology-Developmental Biology
CiteScore
5.80
自引率
0.00%
发文量
9
期刊介绍: The Stem Cell Investigation (SCI; Stem Cell Investig; Online ISSN: 2313-0792) is a free access, peer-reviewed online journal covering basic, translational, and clinical research on all aspects of stem cells. It publishes original research articles and reviews on embryonic stem cells, induced pluripotent stem cells, adult tissue-specific stem/progenitor cells, cancer stem like cells, stem cell niche, stem cell technology, stem cell based drug discovery, and regenerative medicine. Stem Cell Investigation is indexed in PubMed/PMC since April, 2016.
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