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Mesenchymal stem cell-based therapy and exosomes in COVID-19: current trends and prospects
Journal article   Open access   Peer reviewed

Mesenchymal stem cell-based therapy and exosomes in COVID-19: current trends and prospects

Mai Abdelgawad, Nourhan Saied Bakry, Ahmed A Farghali, Ahmed Abdel-Latif and Ahmed Lotfy
Stem cell research & therapy, Vol.12(1), 469
08/21/2021
PMID: 34419143
Web of Science ID: WOS:000687176900003

Abstract

COVID-19 - drug therapy Exosomes Mesenchymal Stem Cells Mesenchymal stromal cell Immunomodulation Cytokine storm Health Care
Novel coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus-2. The virus causes an exaggerated immune response, resulting in a cytokine storm and acute respiratory distress syndrome, the leading cause of COVID-19-related mortality and morbidity. So far, no therapies have succeeded in circumventing the exacerbated immune response or cytokine storm associated with COVID-19. Mesenchymal stem cells (MSCs), through their immunomodulatory and regenerative activities, mostly mediated by their paracrine effect and extracellular vesicle production, have therapeutic potential in many autoimmune, inflammatory, and degenerative diseases. In this paper, we review clinical studies on the use of MSCs for COVID-19 treatment, including the salutary effects of MSCs on the pathophysiology of COVID-19 and the immunomodulation of the cytokine storm. Ongoing clinical trial designs, cell sources, dose and administration, and populations are summarized, and the paracrine mode of benefit is discussed. We also offer suggestions for optimizing MSC-based therapies, including genetic engineering, strategies for cell surface modification, nanotechnology applications, and combination therapies.
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Published (Version of record) link to article Open CC BY V4.0

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