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Share the Science presents: 
Alvaro Moreira MD

Webinar
Restoring lung growth and development with intranasal delivery of stem cells

Full title: Intranasal delivery of human umbilical cord tissue stem cells restores lung growth and development in an animal model of neonatal lung disease

Presented Wednesday, March 18

Bronchopulmonary dysplasia (BPD) is a devastating lung condition that develops in premature newborns exposed to prolonged mechanical ventilation and supplemental oxygen. Significant morbidity and mortality are associated with this costly disease and effective therapies are limited.

Mesenchymal stem/stromal cells (MSCs) are multipotent cells that can repair injured tissue by secreting paracrine factors known to restore the function and integrity of injured lung epithelium and endothelium. Most preclinical studies showing therapeutic efficacy of MSCs for BPD are administered either intratracheally or intravenously. The purpose of this study was to examine the feasibility and effectiveness of human cord tissue‐derived MSC administration given via the intranasal route. Human umbilical cord tissue MSCs were isolated, characterized, and given intranasally (500 000 cells per 20 μL) to a hyperoxia‐induced rat model of BPD. Lung alveolarization, vascularization, and pulmonary vascular remodeling were restored in animals receiving MSC treatment. Gene and protein analysis suggest the beneficial effects of MSCs were attributed, in part, to a concerted effort targeting angiogenesis, immunomodulation, wound healing, and cell survival.

These findings are clinically significant, as neonates who develop BPD have altered alveolar development, decreased pulmonary vascularization and chronic inflammation, all resulting in impaired tissue healing. Our study is the first to report the intranasal delivery of umbilical cord Wharton's jelly MSCs in experimental BPD is feasible, noninvasive, and an effective route that may bear clinical applicability.

View this webcast to learn:
  • An overview of bronchopulmonary dysplasia (BPD) and its morbidity and mortality for extremely premature neonates
  • The limitations of current therapies for BPD
  • A review of study, in which human umbilical cord tissue MSCs were isolated, characterized, and given intranasally to a hyperoxia‐induced rat model of BPD
  • A discussion of the advances of regenerative medicine, which may provide a novel approach to BPD.


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Recorded Oct 23, 2018

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Alvaro Moreira, MD
Presenter: Alvaro G. Moreira, MD, MSc
Assistant Professor in the Department of Pediatrics, Division of Neonatology at the University of Texas Health Science Center at San Antonio

Alvaro G. Moreira, M.D., is an Assistant Professor in the Department of Pediatrics, Division of Neonatology at the University of Texas Health Science Center at San Antonio. Dr. Moreira received his undergraduate degree from the University of Texas, El Paso where he graduated with Honors in Microbiology. He completed his medical school, pediatric residency, and neonatology fellowship at the University of Texas Medical Branch, Galveston. Dr. Moreira’s research interests have focused on neonatal lung disease and regenerative medicine. His long-term career goal is to become a successful independent physician-scientist who discovers new, targeted therapeutic approaches to improve neonatal lung disease.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly.

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About WellSky

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.