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Headway and the remaining hurdles of mesenchymal stem cells therapy for bronchopulmonary dysplasia
Authors:Eireen Tang,Mariam Zaidi,Wen‐  Huey Lim,Vijayendran Govindasamy,Kong‐  Yong Then,Khong‐  Lek Then,Anjan Kumar Das,Soon‐  Keng Cheong
Affiliation:1. CryoCord Sdn Bhd, Bio‐X Centre, Cyberjaya Malaysia ; 2. Brighton Healthcare (Bio‐X Healthcare Sdn Bhd), Bio‐X Centre, Cyberjaya Malaysia ; 3. Department of Surgery, IQ City Medical College, Durgapur India ; 4. Faculty of Medicine & Health Sciences, Universiti Tunku Abdul Rahman (UTAR), Kajang Malaysia
Abstract:ObjectivePreterm infants are at a high risk of developing BPD. Although progression in neonatal care has improved, BPD still causes significant morbidity and mortality, which can be attributed to the limited therapeutic choices for BPD. This review discusses the potential of MSC in treating BPD as well as their hurdles and possible solutions.Data SourcesThe search for data was not limited to any sites but was mostly performed on all clinical trials available in ClinicalTrials.gov as well as on PubMed by applying the following keywords: lung injury, preterm, inflammation, neonatal, bronchopulmonary dysplasia and mesenchymal stem cells.Study SelectionsThe articles chosen for this review were collectively determined to be relevant and appropriate in discussing MSC not only as a potential treatment strategy for curbing the incidence of BPD but also including insights on problems regarding MSC treatment for BPD.ResultsClinical trials regarding the use of MSC for BPD had good results but also illustrated insights on problems to be addressed in the future regarding the treatment strategy. Despite that, the clinical trials had mostly favourable reviews.ConclusionWith BPD existing as a constant threat and there being no permanent solutions, the idea of regenerative medicine such as MSC may prove to be a breakthrough strategy when it comes to treating BPD. The success in clinical trials led to the formulation of prospective MSC‐derived products such as PNEUMOSTEM®, and there is the possibility of a stem cell medication and permanent treatment for BPD in the near future.
Keywords:chronic lung department   extremely low gestational age newborns (ELGANs)   mesenchymal stem cells   PNEUMOSTEM   preterm infants   respiratory diseases
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