Immunotherapy of multisystem inflammatory syndrome in children (MIS-C) following COVID-19 through mesenchymal stem cells

Int Immunopharmacol. 2021 Dec;101(Pt B):108217. doi: 10.1016/j.intimp.2021.108217. Epub 2021 Oct 4.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a new type of coronavirus causing coronavirus 2019 (COVID-19) that was first observed in Wuhan, China, in Dec. 2019. An inflammatory immune response targeting children appeared during the pandemic, which was associated with COVID-19 named multisystem inflammatory syndrome in children (MIS-C). Characteristics of MIS-C include the classic inflammation findings, multi-organ dysfunction, and fever as the cardinal feature. Up to now, no specific therapy has been identified for MIS-C. Currently, considerable progress has been obtained in the MIS-C treatment by cell therapy, specially Mesenchymal stem cells (MSCs). Unique properties have been reported for MSCs, such as various resources for purification of cell, high proliferation, self-renewal, non-invasive procedure, tissue regenerator, multidirectional differentiation, and immunosuppression. As indicated by a recent clinical research, MSCs have the ability of reducing disease inflammation and severity in children with MIS-C. In the present review study, the benefits and characteristics of MSCs and exosomes are discussed for treating patients with MIS-C.

Keywords: Coronavirus disease 2019; Exosomes; MIS-C; Mesenchymal stem cell.

Publication types

  • Review

MeSH terms

  • Animals
  • COVID-19 / complications*
  • COVID-19 / genetics
  • COVID-19 / immunology
  • COVID-19 / therapy
  • Humans
  • Immunotherapy*
  • Mesenchymal Stem Cell Transplantation*
  • Mesenchymal Stem Cells / immunology
  • Systemic Inflammatory Response Syndrome / genetics
  • Systemic Inflammatory Response Syndrome / immunology
  • Systemic Inflammatory Response Syndrome / therapy*

Supplementary concepts

  • pediatric multisystem inflammatory disease, COVID-19 related