Title
Mesenchymal Stromal Cell-Based Therapies as Promising Treatments for Muscle Regeneration After Snakebite Envenoming
Date Issued
03 February 2021
Access level
open access
Resource Type
review
Author(s)
Pajuelo-Reyes C.
Tejedo R.
Soria-Juan B.
Andreu E.
Hitos A.B.
Martin F.
Cahuana G.M.
Guerra-Duarte C.
de Assis T.C.S.
Bedoya F.J.
Soria B.
Universidade Federal de Minas Gerais
Universidade Federal de Minas Gerais
Publisher(s)
Frontiers Media S.A.
Abstract
Snakebite envenoming is a global neglected disease with an incidence of up to 2.7 million new cases every year. Although antivenoms are so-far the most effective treatment to reverse the acute systemic effects induced by snakebite envenoming, they have a limited therapeutic potential, being unable to completely neutralize the local venom effects. Local damage, such as dermonecrosis and myonecrosis, can lead to permanent sequelae with physical, social, and psychological implications. The strong inflammatory process induced by snake venoms is associated with poor tissue regeneration, in particular the lack of or reduced skeletal muscle regeneration. Mesenchymal stromal cells (MSCs)-based therapies have shown both anti-inflammatory and pro-regenerative properties. We postulate that using allogeneic MSCs or their cell-free products can induce skeletal muscle regeneration in snakebite victims, improving all the three steps of the skeletal muscle regeneration process, mainly by anti-inflammatory activity, paracrine effects, neovascularization induction, and inhibition of tissue damage, instrumental for microenvironment remodeling and regeneration. Since snakebite envenoming occurs mainly in areas with poor healthcare, we enlist the principles and potential of MSCs-based therapies and discuss regulatory issues, good manufacturing practices, transportation, storage, and related-procedures that could allow the administration of these therapies, looking forward to a safe and cost-effective treatment for a so far unsolved and neglected health problem.
Volume
11
Language
English
OCDE Knowledge area
Inmunología
Scopus EID
2-s2.0-85100912684
PubMed ID
Source
Frontiers in Immunology
Sponsor(s)
Authors strongly appreciate the Non-Commercial Investigator Driven Research launched by the Ministry of Health and Consumer Affairs of Spain in 2008 which allowed Spain to be at the front of Cell Therapy studies. Diabetes and Associated Metabolic Diseases Networking Biomedical Research Centre (CIBERDEM) is an initiative of the Institute of Health Carlos III. The authors are supported by the University Pablo de Olavide (Sevilla), the University Miguel Hernández (Elche, Alicante), National University Toribio Rodriguez de Mendoza (Chachapoyas, Peru) Grants: Contrato N° 09-2019-FONDECYT-BM-INC.INV to
Sources of information: Directorio de Producción Científica Scopus