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Safety and Efficacy of Mesenchymal Stem Cells for the Treatment of Evolving and Established Bronchopulmonary Dysplasia: A Systematic Literature Review
Giva, Sheiniz Abdelrahim, Ahmed Ojinna, Blessing T. Putrevu, Venkata Pravallika Bornemann, Elisa A. Farhat, Hadi Amaravadi, Kavya Abdallah, Mahmoud Ben Gutlapalli, Sai Dheeraj Penumetcha, Sai Sri
Giva, Sheiniz
Abdelrahim, Ahmed
Ojinna, Blessing T.
Putrevu, Venkata Pravallika
Bornemann, Elisa A.
Farhat, Hadi
Amaravadi, Kavya
Abdallah, Mahmoud Ben
Gutlapalli, Sai Dheeraj
Penumetcha, Sai Sri
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2022-12-16
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http://dx.doi.org/10.7759/cureus.32598
Abstract
Bronchopulmonary dysplasia (BPD) is a frequent sequela of modern medicine when infants are born prematurely. Currently, there is no single treatment or combination of treatments to prevent or fully treat BPD. Mesenchymal stem cells (MSCs) have promising properties that could aid in the reversal of lung injury, as seen in patients with BPD. This study reviews the available evidence regarding the safety and efficacy of the use of MSCs for the treatment of evolving and established BPD. This systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We found eight studies that fulfilled the inclusion and exclusion criteria. While all studies proved the safety and efficacy of MSCs administered intravenously and intratracheally, the only available randomized controlled trial (RCT) failed to demonstrate the benefit of MSC administration in the early treatment of BPD. The remaining studies varied between phase I clinical trials and case reports, but all seemed to show some evidence that MSCs may be of benefit in the late treatment of established BPD. Considering some of the studies have less evidence, early treatment to prevent lung fibrosis may be more successful, particularly in the younger gestational ages where lung development is more immature, and research should focus on this.
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Giva S, Abdelrahim A, Ojinna B T, et al. (December 16, 2022) Safety and Efficacy of Mesenchymal Stem Cells for the Treatment of Evolving and Established Bronchopulmonary Dysplasia: A Systematic Literature Review. Cureus 14(12): e32598. doi:10.7759/cureus.32598
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Cureus: Journal of Medical Science, Vol. 14
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