Key clinical evidence of stem cell therapy in burn healing: a systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i10.32781

Keywords:

Mesenchymal stem cells; Burns; Review.

Abstract

Objective: To analyze the main clinical evidence of stem cell therapy in the healing of burns. Methodology: This is a systematic review carried out using the PRISMA method, in the electronic databases PubMed, Scopus and Web of Science, using the following descriptors: “stem cell”, “hematopoetic stem cells'”, “embryonic stem cell”, “burn”, “burned” and “burn units”. Full texts, available in Portuguese, English or Spanish, published between January 2005 and April 2022 were included; human studies (clinical studies). Results: Four articles made up the final sample of this review, with publication frequency between 2005 and 2022. In total, 328 burn patients were treated with stem cells. The therapy showed positive results in terms of faster wound healing, lower rate of infection and complications, higher survival rate and faster hospital discharge. Conclusion: It was found that stem cell therapy in burn patients can increase the effectiveness of local treatment and improve surgical skin restoration. However, more clinical trials need to be encouraged in order to more accurately justify the use of this therapy in these patients.

Author Biographies

Juliana Alves de Souza, Centro Universitário Brasileiro

Graduanda de Enfermagem pelo Centro Universitário Brasileiro (UNIBRA)

Letícia de Sousa Eduardo, Universidade Federal de Campina Grande

Enfermeira pela Universidade Federal de Campina Grande (UFCG -CFP) e pós-graduanda em Enfermagem em Terapia Intensiva.

Geny Vitória Albuquerque Gomes, Centro Universitário de João Pessoa

Graduanda de Medicina pelo Centro Universitário de João Pessoa (UNIPÊ)

Risoneide Bezerra da Silva, Universidade Católica de Pernambuco

Graduanda de Enfermagem pela Universidade Católica de Pernambuco (UNICAP)

Debora Raquel do Nascimento, Universidade Católica de Pernambuco

Graduanda de Enfermagem pela Universidade Católica de Pernambuco (UNICAP)

José William Araújo do Nascimento, Universidade Federal de Pernambuco

Enfermeiro pela Universidade Católica de Pernambuco (UNICAP), Especialista em Anatomia Humana pela UNINTER, Mestre e Doutorando em Informática Médica pela Universidade Federal de Pernambuco (Cin-UFPE).

References

Ahmadi, A.R., Chicco, M., Huang, J., Qi, L., Burdick, J., Williams, G.M., et al. (2019). Stem cells in burn wound healing: A systematic review of the literature. Burns. 45(5), 1014-1023.

Babakhani, A., Nobakht, M., Torodi, H.P., Dahmardehei, M., Hashemi, P., Ansari, J.M., et al. (2020). Effects of hair follicle stem cells on partial-thickness burn wound healing and tensile strength. Iran Biomed J. 24, 99–109.

Brasil. Ministério da Saúde (MS). (1998). Lei no 9.610, de 19 de fevereiro de 1998, que altera, atualiza e consolida a legislação sobre direitos autorais e dá outras providências. Diário Oficial da União. Brasília: Ministério da Saúde. Recuperado de http://www.planalto.gov.br/ccivil_03/leis/l9610.htm

Caliari-Oliveira, C., Yaochite, J.N., Ramalho, L.N., Palma, P.V., Carlos, D., Cunha Fde, Q., et al. (2016). Xenogeneic mesenchymal stromal cells improve wound healing and modulate the immune response in an extensive burn model. Cell Transplant. 25, 201-215.

Falanga, V., Iwamoto, S., Chartier, M., Yufit, T., Butmarc, J., Kouttab, N., et al. (2007). Autologous bone marrow-derived cultured mesenchymal stem cells delivered in a fibrin spray accelerate healing in murine and human cutaneous wounds. Tissue Eng. 13, 1299–1312.

Francis, E., Kearney, L. & Clover, J. (2019). The effects of stem cells on burn wounds: a review. Int J Burns Trauma. 9(1),1–12.

Franck, C.L., Senegaglia, A.C., Leite, L.M.B., de Moura, S.A.B., Francisco, N.F. & Ribas Filho, J.M. (2019). Influence of adipose tissue-derived stem cells on the burn wound healing process. Stem Cells Int. 2019, 2340725.

Ghieh, F., Jurjus, R., Ibrahim, A., Geagea, A.G., Daouk, H., El Baba, B., et al. (2015). The use of stem cells in burn wound healing: a review. Biomed Res Int. 2015, 684084.

Jeschke, M.G., Patsouris, D., Stanojcic, M., Abdullahi, A., Rehou, S., Pinto, R., et al. (2015). Pathophysiologic response to burns in the elderly. EBioMedicine. 2(10), 1536–1548.

Jeschke, M.G., van Baar, M.E., Choudhry, M.A., Chung, K.K., Gibran, N.S. & Logsetty, S. (2020). Burn injury. Nat Rev Dis Primers. 6(1), 11.

Lewis, C.J. (2013). Stem cell application in acute burn care and reconstruction. J Wound Care. 22, 7-8.

, 2–6

Li, Y., Xia, W.D., Van der Merwe, L., Dai, W.T. & Lin, C. (2020). Efficacy of stem cell therapy for burn wounds: a systematic review and meta-analysis of preclinical studies. Stem Cell Research & Therapy. 11(322).

Mahmood, R., Mehmood, A., Choudhery, M.S., Awan, S.J., Khan, S.N. & Riazuddin, S. (2019). Human neonatal stem cell-derived skin substitute improves healing of severe burn wounds in a rat model. Cell Biol Int. 43, 147–157.

Mansilla, E., Aquino, V.D., Roque, G., Tau, J.M. & Maceira, A. (2012). Time and regeneration in burns treatment: heading into the first worldwide clinical trial with cadaveric mesenchymal stem cells. Burns. 38, 450-452.

Mansilla, E., Marin, G.H., Berges, M., Scafatti, S., Rivas, J., Nunez, A., et al. (2015). Cadaveric bone marrow mesenchymal stem cells: first experience treating a patient with large severe burns. Burns Trauma. 3, 17.

McHugh, M.L. (2012). Interrater reliability: the kappa statistic. Biochemia Medica: 22(3), 276-282.

Nascimento, J.W.A., Santos, R.S., Santos, T.M.R., Silva, A.L.B., Rodrigues, L.D.C., Silva, V.W., et al. (2021). Complications associated with intimate partner violence in pregnant women: a systematic review. Int. J. Dev. Res. 11(7), 48924-48928.

Nourian Dehkordi, A., Mirahmadi Babaheydari, F., Chehelgerdi, M. & Raeisi Dehkordi, S. (2019). Skin tissue engineering: wound healing based on stem-cell-based therapeutic strategies. Stem Cell Res Ther. 10(1), 111.

Page, M.J., McKenzie, J.E., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., et. al. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 372:n71.

Pati, D. & Lorusso, L.N. (2018). How to Write a Systematic Review of the Literature. HERD. 11(1), 15-30.

Rasulov, M.F., Vasilchenkov, A.V., Onishchenko, N.A., Krasheninnikov, M.E., Kravchenko, V.I., Gorshenin, T.L., et al. (2005). First experience of the use bone marrow mesenchymal stem cells for the treatment of a patient with deep skin burns. Bull Exp Biol Med. 139, 141-144.

Stanojcic, M., Abdullahi, A., Rehou, S., Parousis, A. & Jeschke, M.G. (2018). Pathophysiological response to burn injury in adults. Ann Surg. 267(3), 576–584.

Stillwell, S., Fineout-Overholt, E., Melnyk, B.M. & Wiliamson, K.M. (2010). Evidence– based practice: step by step. Am J Nurs; 110(5), 41-47.

Stone, I.R., Natesan, S., Kowalczewski, C.J., Mangum, L.H., Clay, N.E., Clohessy, R.M., et al. (2018). Advancements in regenerative strategies through the continuum of burn care. Front Pharmacol. 9, 672.

Zhou, L., Wang, H., Yao, S., Li, L. & Kuang, X. (2022). Efficacy of Human Adipose Derived Mesenchymal Stem Cells in Promoting Skin Wound Healing. J Healthc Eng. 2022, 6590025.

Zinovyev, E.V., Yudin, V.E., Asadulaev, M.S., Tsygan, V.N., Kostyakov, D.V., Shabunin, A.S., et al. (2018). Experience of stem cell use in treatment of skin burns. Pediatrician. 9(4), 12-27.

Published

27/07/2022

How to Cite

SOUZA, J. A. de .; EDUARDO, L. de S.; GOMES, G. V. A.; SILVA, R. B. da .; NASCIMENTO, D. R. do .; NASCIMENTO, J. W. A. do . Key clinical evidence of stem cell therapy in burn healing: a systematic review. Research, Society and Development, [S. l.], v. 11, n. 10, p. e184111032781, 2022. DOI: 10.33448/rsd-v11i10.32781. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32781. Acesso em: 23 nov. 2024.

Issue

Section

Health Sciences