PMC:7264098 / 13686-16997 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7264098","sourcedb":"PMC","sourceid":"7264098","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7264098","text":"Are Stem Cells a Solution to COVID-19 Crisis?\nMSCs could be the most promising candidate for the treatment of SARS-CoV-2 infections (Table 1). Since the key for the treatment of SARS-CoV-2 infection lies in the management of the cytokine storm in the lungs, MSCs are well-suited considering their main mechanism of action is through their immunomodulatory and anti-inflammatory properties (Fatima et al., 2017). The safety profile and efficacy of MSCs are well-established based on the results from a number of completed clinical studies investigating the therapeutic potential of these therapies in lung diseases such as ARDS (Matthay et al., 2019; Chen J. et al., 2020) and bronchopulmonary dysplasia (Namba, 2019), cardiovascular diseases (Kim et al., 2015; Suvakov et al., 2020), diabetes (Thakkar et al., 2015; Cho et al., 2018), and spinal cord injury (Xu and Yang, 2019).\nTable 1 Selected clinical studies using stem cells for the treatment of SARS-CoV-2 infection.\nCell type Dosage Number of patients Outcome Stage of study Reference or NCT numbers#\nMSCs (tissue source unspecified) Single dose of 1 × 106 cells per kg, IV 7 patients with severe COVID-19 pneumonia Regulation of inflammatory response (Decreased plasma C-reaction protein, reduced cytokine-secreting immune cells, reduced TNF-α, increased IL-10 and VEGF) Complete Leng et al., 2020\nAdipose tissue-derived MSCs Two serial doses of 1.5 × 106 cells per kg, IV Estimated: 100 patients N/A Phase 2; Not yet recruiting NCT04348461\nDental pulp stem cells 3 × 107 cells IV on day 1, 4, and 7 Estimated: 20 patients N/A Phase 1 clinical trial; recruiting NCT04336254\nDental pulp stem cells 1 × 106 cells per kg IV on day 1, 3, and 7 Estimated: 24 patients N/A Early Phase 1; Not yet recruiting NCT04302519\nWharton's Jelly MSCs 3 doses of 1 × 106 cells per kg IV, 3 days apart from each other Estimated: 5 patients N/A Phase 1 clinical trial; recruiting NCT04313322\nMSCs (tissue source unspecified) 3 × 107 cells IV on day 0, 3, and 6 Estimated: 20 patients N/A Phase 1 clinical trial; recruiting NCT04252118\nUmbilical cord MSCs 9.9 × 107 cells IV on day 1, 3, 5, and 7 Estimated: 10 patients N/A Phase 2 clinical trial; recruiting NCT04269525\nUmbilical cord MSCs 0.5 × 106 cells per kg body weight IV on day 1, 3, 5, and 7 Estimated: 48 patients N/A Not yet recruiting NCT04273646\nBone Marrow MSCs Single dose of 1 × 106 cells per kg, IV Estimated: 20 patients N/A Phase 1 clinical trial; Not yet recruiting NCT04346368\nHuman embryonic stem cells derived matrix-regulatory cells 3 cohorts who receive doses of 3, 5, or 10 million cells per kg body weight IV Estimated: 9 patients N/A Phase 1 clinical trial; recruiting NCT04331613\n# NCT numbers refer to ClinicalTrials.gov Identifier numbers. Other types of stem cells investigated for potential treatment of SARS-CoV-2 infections include genetically engineered human induced pluripotent stem cells (iPSC). A recent study presented a deleterious effect on the cells in vitro when iPSCs were exposed to SARS-CoV-2, where the pluripotency of iPSCs was lost leading to fibroblast-like phenotype (Zebin et al., 2020). 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