Abstract:
:Critically ill patients often suffer from multiple organ failures involving lung, kidney, liver, or brain. Genomic, proteomic, and metabolomic approaches highlight common injury mechanisms leading to acute organ failure. This underlines the need to focus on therapeutic strategies affecting multiple injury pathways. The use of adult stem cells such as mesenchymal stem or stromal cells (MSC) may represent a promising new therapeutic approach as increasing evidence shows that MSC can exert protective effects following injury through the release of promitotic, antiapoptotic, antiinflammatory, and immunomodulatory soluble factors. Furthermore, they can mitigate metabolomic and oxidative stress imbalance. In this work, the authors review the biological capabilities of MSC and the results of clinical trials using MSC as therapy in acute organ injuries. Although preliminary results are encouraging, more studies concerning safety and efficacy of MSC therapy are needed to determine their optimal clinical use. (ANESTHESIOLOGY 2014; 121:1099-121).
journal_name
Anesthesiologyjournal_title
Anesthesiologyauthors
Monsel A,Zhu YG,Gennai S,Hao Q,Liu J,Lee JWdoi
10.1097/ALN.0000000000000446subject
Has Abstractpub_date
2014-11-01 00:00:00pages
1099-121issue
5eissn
0003-3022issn
1528-1175journal_volume
121pub_type
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