Stem cells in sepsis and acute lung injury.

Abstract:

OBJECTIVE:Sepsis and acute lung injury continue to be major causes of morbidity and mortality worldwide despite advances in our understanding of pathophysiology and the discovery of new management strategies. Recent investigations show that stem cells may be beneficial as prognostic biomarkers and novel therapeutic strategies in these syndromes. This article reviews the potential use of endogenous adult tissue-derived stem cells in sepsis and acute lung injury as prognostic markers and also as exogenous cell-based therapy. DATA SOURCES:A directed systematic search of the medical literature using PubMed and OVID, with particular emphasis on the time period after 2002, was done to evaluate topics related to 1) the epidemiology and pathophysiology of sepsis and acute lung injury; and 2) the definition, characterization, and potential use of stem cells in these diseases. DATA SYNTHESIS AND FINDINGS: When available, preferential consideration was given to prospective nonrandomized clinical and preclinical studies. CONCLUSIONS:Stem cells have shown significant promise in the field of critical care both for 1) prognostic value and 2) treatment strategies. Although several recent studies have identified the potential benefit of stem cells in sepsis and acute lung injury, further investigations are needed to more completely understand stem cells and their potential prognostic and therapeutic value.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Cribbs SK,Matthay MA,Martin GS

doi

10.1097/CCM.0b013e3181f96f5f

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

2379-85

issue

12

eissn

0090-3493

issn

1530-0293

journal_volume

38

pub_type

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