Page 88 - Mesenchymal Stem cells, Exosomes and vitamins in the fight aginst COVID
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Intravascular Mesenchymal Stem Cells to Treat Organ Failure and Possible Application in COVID-19





                            Improvement in LVEDV,  LVESV, systolic wall thickening  in the infarct zone, and border  zone. No change in SV, CO, CI,  ventricular mass index and late  contrast enhancement. MSC   infusion during CABG.  No change in myocardial  viability and perfusion, LVEF,  LVEDV, LVESV, death, recurrent  MI, and rehospitalization. One  patient report of coronary  occlusion during MSC infusion   treated with tirofiban and   Improvement in LVEF. No  significant differen




                      Findings                        balloon inflation.  after MI.          rehospitalization.




                      Follow-  Up   12          24          6          6             18           24      6





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


                      Outcome    Yes            No          Yes        Yes           Yes          Yes     No



                      Condition  IHD            IHD         IHD        HF            HF           IHD     IHD




                      Delivery   Method  CABG   IC          IC         IC            IC           IC      IC




                    Type   of   Stem   Cell  BM   MNC  BM   MSC  BM   MSC  UC   MSC  UC   MSC    UC   MSC  BM   MNC

                      Number of   SCs  133 million  3 million   [Pas 2]  72 million   [Pas 4–5]  Not   disclosed  6 million   [Pas 3]  3, 4, 5   million  200–500   million



                 Table 2 con't. MSC therapy studies treating cardiac failure.
                      BMA   (mL)  60            80          20–25     Not   disclosed  NA         NA      100–150



                    No. of   Patients in   Treatment   Group  31  21  33  30         58           15      109



                      Type of   Study  RCT      RCT         RCT        RCT           RCT          Case series   Controlled   trial



                      Year       2013           2013        2014       2015          2015         2015    2015




                      Author   Lu et al, Int   J Cardiology   2013;   168:2221-2227  Gao et al, Int J   Cardiol 2013;   168:3191-3199  Lee et al, J   Korean Med Sci   2014; 29:23-31  Zhao et al,   Genet Mol   Res 2015;   14:3010-3017  Gao et al, BMC   Medicine 2015;   13:162  Li et al,   Curr Pharm   Des 2015;   21:1426-1432  Nair et al,   Indian J Med   Res 2015;   142:165-174



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