人脐带间充质干细胞作为克服COVID-19患者细胞因子风暴的有希望的治疗方法的分析

Sanjaya Winarta, Megan Janice Nawing, Rivaldo Go
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摘要

背景:COVID-19是一种由严重急性呼吸综合征冠状病毒-2 (SARS-CoV-2)引起的传染病,最近被定性为大流行。该疾病的并发症之一是由细胞因子风暴引起的急性呼吸窘迫综合征(ARDS)。目前对COVID-19合并急性呼吸窘迫综合征的治疗仅是症状性的,存在许多弱点。因此,仍然需要新的COVID-19治疗剂。本文献综述旨在确定人脐带间充质干细胞(hUC-MSCs)作为新型治疗剂在COVID-19患者中的潜力。方法:基于NCBI Pubmed、Elsevier、Google Scholar等多个医学数据库的文章进行文献综述,关键词为“ARDS”、“COVID-19”、“Cytokine Storm”、“hUC-MSCs”、“Stem cell”。讨论:系统分析了与本文献目的相关的5项主要研究。细胞因子风暴是由促炎细胞因子增加引起的过度免疫反应,可引起器官损伤,尤其是肺。另一方面,来自人脐带的间充质干细胞hUC-MSCs可以通过降低促炎细胞因子,改善肺部炎症巩固,提高氧合指数,延长恢复时间来克服COVID-19患者的细胞因子风暴。结论hUC-MSCs有望成为新型冠状病毒感染的治疗药物。
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THE ANALYSIS OF HUMAN UMBILICAL CORD MESENCHYMAL STEM CELLS AS A PROMISING THERAPY IN OVERCOMING CYTOKINE STORM IN COVID-19 PATIENTS
Background: COVID-19 is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) that was recently characterized as a pandemic. One of the complications of this disease is Acute Respiratory Distress Syndrome (ARDS) which is caused by cytokine storm. Current treatments for COVID-19 with ARDS are only symptomatic and have many weaknesses. Therefore, new therapeutic agent for COVID-19 is still needed. This literature review is made to determine the potential of human umbilical cord mesenchymal stem cells (hUC-MSCs) as a novel therapeutic agent in COVID-19 patients. Methods: This literature review is based on articles from several medical databases such as NCBI Pubmed, Elsevier, and Google Scholar, with the keywords used are “ARDS”, “COVID-19”, “Cytokine Storm”, “hUC-MSCs”, and “Stem cell”. Discussion: There are 5 major studies that correlate with the aim of this literature which were analyzed systematically. Cytokine storm is an excessive immune response caused by the increase of proinflammatory cytokines that can cause organ injury, especially in the lung. On the other hand, hUC-MSCs, a mesenchymal stem cell derived from human umbilical cord, can overcome the cytokine storm in COVID-19 patients by reducing the proinflammatory cytokine, improving lung inflammatory consolidation, increase oxygenation index and increasing the recovery time. Conclusion hUC-MSCs have the potential to become a promising therapeutic agent to overcome the COVID-19 infection.
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