Mesenchymal stem cell treatment for hyperactive immune response in patients with COVID-19

Immunotherapy. 2022 Sep;14(13):1055-1065. doi: 10.2217/imt-2021-0245. Epub 2022 Jul 20.

Abstract

The human immune system protects the body against invasive organisms and kicks into a hyperactive mode in COVID-19 patients, particularly in those who are critically sick. Therapeutic regimens directed at the hyperactive immune system have been found to be effective in the treatment of patients with COVID-19. An evolving potential treatment option is therapy with mesenchymal stem cells (MSCs) due to their regenerative and reparative ability in epithelial cells. Clinical trials have reported the safe usage of MSC therapy. Systemic effects of MSC treatment have included a reduction in pro-inflammatory cytokines and a decrease in the levels of CRP, IL-6, and lactase dehydrogenase, which function as independent biomarkers for COVID-19 mortality and respiratory failure.

Keywords: COVID-19; biomarkers; clinical immunology; endothelitis; mesenchymal stem cells.

Plain language summary

Treatment of COVID-19 is becoming increasingly difficult because of new variants, such as Delta, and more recently Omicron. Each virus variant becomes smarter at being able to evade the body’s immune system, vaccines and drug treatments. The biggest challenge in treating COVID-19 is when the body’s immune system starts to become hyperactive. In such a scenario, the immune system releases the compounds that are supposed to be released in small doses all at once. Thus, overwhelming the body and causing many complications. One possible solution to this is the mesenchymal stem cell. Multiple clinical trials have shown that mesenchymal stem cells can heal all different cell types in the body and stop the hyperactive immune system.

Publication types

  • Review

MeSH terms

  • COVID-19* / therapy
  • Humans
  • Immunity
  • Mesenchymal Stem Cell Transplantation* / adverse effects
  • Mesenchymal Stem Cells*
  • SARS-CoV-2