2015
DOI: 10.5966/sctm.2015-0121
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Mesenchymal Stromal Cells in Animal Bleomycin Pulmonary Fibrosis Models: A Systematic Review

Abstract: Data from 17 animal studies indicated mesenchymal stromal cell (MSC) therapy led to improvement in bleomycin‐induced lung collagen deposition, pulmonary fibrosis Ashcroft score (in most studies), histopathology, 14‐day survival in animal models, and reduced levels of markers of inflammation. Preclinical data offer better support for human trials of MSCs in acute exacerbations rather than the chronic phase of pulmonary fibrosis.

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Cited by 98 publications
(84 citation statements)
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References 59 publications
(217 reference statements)
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“…IPF is a disease with a complex pathology, and simple anti‐inflammatory and antifibrotic approaches are not curative. Although the bleomycin model does not capture the full complexity of the disease, it does replicate the acute exacerbations of the disease [] where proinflammatory cytokines predominate (e.g., TNF‐α, IL‐1β, IL‐6, TGF‐β, fibronectin, and procollagen‐1) []. Furthermore, at the early stages of inflammation, when PGE2 and LTB4 provoke neutrophil extravasation, LXA4 and its epimer 15‐epi‐LXA4 was shown to have a profound inhibitory effect on PMN infiltration in vivo [].…”
Section: Discussionmentioning
confidence: 99%
“…IPF is a disease with a complex pathology, and simple anti‐inflammatory and antifibrotic approaches are not curative. Although the bleomycin model does not capture the full complexity of the disease, it does replicate the acute exacerbations of the disease [] where proinflammatory cytokines predominate (e.g., TNF‐α, IL‐1β, IL‐6, TGF‐β, fibronectin, and procollagen‐1) []. Furthermore, at the early stages of inflammation, when PGE2 and LTB4 provoke neutrophil extravasation, LXA4 and its epimer 15‐epi‐LXA4 was shown to have a profound inhibitory effect on PMN infiltration in vivo [].…”
Section: Discussionmentioning
confidence: 99%
“…Fibrotic deposition in the i.p . BLM model is observed in the subpleural areas of the lung that is also observed in IPF patients and is thus more clinically relevant (Degryse & Lawson, ; Della Latta, Cecchettini, Del Ry, & Morales, ; Moore et al., ; Srour & Thébaud, ). Chronic i.p .…”
Section: Introductionmentioning
confidence: 93%
“…administration of BLM causes a more persistent fibrotic response that is typically non-reversible (Ask et al, 2008;Degryse & Lawson, 2011;Pardo et al, 2005). Using this experimental model of lung fibrosis that more closely resembles the clinical presentation of IPF (Degryse & Lawson, 2011;Della Latta et al, 2015;Moore et al, 2013;Srour & Thébaud, 2015), our aim was to identify temporal changes in respiratory system mechanics that are also observed in IPF patients. Identification of early changes in lung mechanics in this model that are more closely aligned with physiological measurements in patients (Carrington et al, 2018) will be essential to guide future drug development efforts.…”
Section: • What Is the Central Question Of This Study?mentioning
confidence: 99%
“…The role of MSCs in bleomycin induced lung fibrosis is controversial with some studies claiming that MSCs are protective in mice challenged with bleomycin whereas others indicating that these cells are protective only when given preventatively prior to bleomycin instillation. Still other studies have not reported any beneficial effect of these cells (reviewed in [55]). Further, a Phase 1b study addressing the safety of the infusion of placental derived mesenchymal stromal cells in IPF patients failed to show any significant changes in Forced Vital Capacity (FVC), Diffusing Capacity of the lungs for Carbon Monoxide (DLCO), 6-minute walk distance or CT fibrosis score, at 6 months after a single infusion of 1–2 million cells intravenously[56].…”
Section: Fibroblast and Myofibroblasts Heterogeneity In Injured Murinmentioning
confidence: 99%