Page 85 - Mesenchymal Stem cells, Exosomes and vitamins in the fight aginst COVID
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Pain Physician: August 2020 COVID-19 Special Issue 23:S391-S420



                            Reduction in myocardial infarct  size and recovery of regional  systolic function, no increase in  LVEF or myocardial perfusion   Improvement of 6-minute  walking distance (6 months)  and decreased hospitalization  (2 years). No change in LVEF,  LVEDD, or myocardium lesion   Reduction in death, MI, need for  revascularization. Also reduction  of recurrence of MI, and/or  rehospitalization for health   Improvement in NYHA  functional class. Reduction in   I







                       Findings    and metabolism.  area.  failure.  end-systolic volumes.  hospitalization days.  duration.



                      Follow-  Up   4     24         12       6            24            6        12      6





                      LVEF   Impact  No   No         Not assessed  Yes   - improvement  Yes   – improvement  Yes   - improvement  Yes   - improvement  Yes   - improvement


                       Outcome  Yes       Yes        Yes      Yes          Yes           Yes      Yes     Yes



                       Condition  IHD     IHD        IHD      DCM          DCM           IHD      IHD     IHD




                      Delivery   Method  IC  IC      IC     IC with   CS   occlusion  IC  IV      IC      IC




                    Type   of   Stem   Cell  BM   MNC  BM   MNC  BM   MNC  BM   MNC  BM   MNC  Allo BM   MSC  BM   MNC  BM   MNC

                      Number of   SCs  172 billion  UNK  198 billion  28 million  UNK  0.5 or 1.6 or   2.5 million/  kg  Not   disclosed  400 million



                 Table 2 con't. MSC therapy studies treating cardiac failure.
                      BMA   (mL)  304   billion   cells  UNK  50  50–60    UNK           NA      Not   disclosed  80




                    No. of   Patients in   Treatment   Group  33  10  101  24  71        34       27      39


                      Type of   Study  RCT  PCT      RCT      RCT          PCT           RCT      RCT     RCT



                       Year     2006      2006       2006     2006         2008          2009     2009    2009




                       Author  Janssens et al,   Lancet 2006;   367:113-121  Huang et al,   Zhonghua Xin   Xue Guan Bing   Za Zhi 2006;   34:111-113  Schächinger   et al, Eur   Heart J 2006;   27:2775-2783  Seth et al,   J Am Coll   Cardiol 2006;   48:2350-2351  Chen et   al, Saudi   Med J 2008;   36:1087-1091  Hare et al,   J Am Coll   Cardiol 2009;   54:2277-2286  Dill et al, Am   Heart J 2009;   157:541-547  Miettinen et   al, Heart 2010;   96:362-367



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