# The salvage therapy utilizing human umbilical cord-derived mesenchymal stem cells for the treatment of critically ill patients with COVID-19

**Authors:** Weiqi Yao, Boran Li, Yingan Jiang, Qiaoyu Yuan, Wenjie Wu, Ruizhen Hou, Qi Qi, Haibo Dong, Yun Zhang, Yu Zhang

PMC · DOI: 10.3389/fimmu.2025.1594373 · Frontiers in Immunology · 2025-07-04

## TL;DR

This study explores using umbilical cord stem cells to safely treat critically ill COVID-19 patients, showing potential benefits in reducing inflammation and lung damage.

## Contribution

Demonstrates the safety and potential therapeutic efficacy of hUC-MSCs in treating severe COVID-19.

## Key findings

- Intravenous hUC-MSCs showed no serious adverse events in critically ill patients.
- hUC-MSCs improved immune function and reduced inflammation markers like CRP and IL-6.
- CT scans showed controlled lung lesions post-treatment.

## Abstract

The therapeutic options for patients with coronavirus disease (COVID-19) are limited. Mesenchymal stem cells (MSCs) have immunomodulatory and regenerative properties that may inhibit excessive inflammatory responses, promote recovery from COVID-19-induced lung injury, and potentially serve as a therapeutic option.

An evaluation of the safety and efficacy of using human umbilical cord mesenchymal stem cells (hUC-MSCs) in 5 critically ill patients with COVID-19 was conducted in this study. In all patients, hUC-MSCs were administered intravenously three times at a dosage of 3 × 107 cells per time, 2 days between each infusion. Safety was evaluated using adverse events. The efficacy was assessed by coagulation function (serum D dimer), inflammatory index (CRP and IL-6) and immune index (lymphocyte count, neutrophil count, CD4, CD19, and CD16 + 56), as well as chest computed tomography (CT) images. Post-infusion visits focused on oxygen saturation and progression of lung lesions.

Infusions of hUC-MSCs were not associated with any serious adverse events. The CT scans indicate that lung lesions have been adequately controlled after receiving the hUC-MSCs. HUC-MSCs injection improved immune system function and alleviated inflammation.

According to our findings, intravenous infusion of hUC-MSCs has proven to be safe, and it has also proven to show potential therapeutic benefits for patients with severe COVID-19.

## Linked entities

- **Diseases:** COVID-19 (MONDO:0100096)
- **Species:** Homo sapiens (taxon 9606)

## Full-text entities

- **Genes:** CD19 (CD19 molecule) [NCBI Gene 930] {aka B4, CVID3}, CRP (C-reactive protein) [NCBI Gene 1401] {aka PTX1}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}, CD4 (CD4 molecule) [NCBI Gene 920] {aka CD4mut, IMD79, Leu-3, OKT4D, T4}, FCGR3A (Fc gamma receptor IIIa) [NCBI Gene 2214] {aka CD16-II, CD16A, FCG3, FCGR3, FCRIIIA, FcGRIIIA}
- **Diseases:** lung injury (MESH:D055370), coronavirus disease (MESH:D018352), inflammation (MESH:D007249), COVID-19 (MESH:D000086382), critically ill (MESH:D016638), lung lesions (MESH:D008171)
- **Chemicals:** oxygen (MESH:D010100), D (MESH:D003903)
- **Species:** Homo sapiens (human, species) [taxon 9606]
- **Cell lines:** HUC — Homo sapiens (Human), Transformed cell line (CVCL_3798)

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12271227/full.md

## References

44 references — full list in the complete paper: https://tomesphere.com/paper/PMC12271227/full.md

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Source: https://tomesphere.com/paper/PMC12271227