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Gene & Protein in Disease                                              Stem cell-based antimicrobial therapy



            promoting tissue healing can be assessed in animal models.   cultural milieu, growth stimulants, and cellular concentration
            The aforementioned studies have the potential to furnish   may give rise to variations in the caliber and potency of
            significant insights regarding the safety and effectiveness   stem cells, thereby constraining the efficaciousness of stem
            of stem cell treatments before their clinical trials on human   cell treatments. In response to this challenge, scholars are
            subjects . The efficacy of stem cell-derived antimicrobial   currently devising technological solutions to mechanize
                  [64]
                                                                                                           [69]
            therapies in the treatment of human infections can be   and regulate the production procedures of stem cells .
            assessed through clinical trials. Clinical trials can offer   The  utilization of bioreactors, microcarrier systems,  and
            significant insights into the safety and effectiveness of stem   closed-system processing has been shown to enhance the
            cell treatments in human subjects, thereby contributing   uniformity and efficacy of stem cell manufacturing.
            to the advancement of stem cell-based antimicrobial   Furthermore, investigators are examining the potential
            therapies . The process of developing and translating stem   of allogeneic stem cells, which can be generated in
                   [65]
            cell-based antimicrobial therapies necessitates the crucial   significant quantities from a solitary donor and employed
            undertaking of safety and efficacy testing. By guaranteeing   to address numerous patients. The utilization of allogeneic
            the safety and effectiveness of these therapies, it is possible   stem cells has the potential to decrease the requirement for
            to create new and efficient treatments for infections that   autologous stem cells, which necessitate extraction from the
            exhibit resistance to conventional antibiotics.    patient’s own tissues and can be a laborious and expensive
              Stem  cell-based  antimicrobial  therapies  are  subject   process .  The  scalability  of  manufacturing  is  a  crucial
                                                                     [70]
            to regulatory oversight by government agencies such as   factor to be taken into account in the advancement and
            the U.S. Food and Drug Administration (FDA) and the   implementation of antimicrobial therapies based on stem
            European Medicines Agency . The aforementioned     cells. Through the optimization of stem cell manufacturing
                                     [66]
            organizations are responsible for monitoring the   procedures and the advancement of technologies that
            development, production, and medical application of stem   automate and standardize these procedures, it is possible to
            cell-based therapies to ensure their safety and efficacy.   generate significant quantities of stem cells while preserving
            Stem cell-based antimicrobial medicines are governed by   their quality and effectiveness.
            the FDA in the U.S. as biological products. To guarantee
            the consistency and excellence of the manufacturing   5. Current and future applications of stem
            processes, the FDA mandates that the aforementioned   cell antimicrobial therapy
            items be produced in compliance with the current good   Insights into the safety and efficacy of stem cell-based
            manufacturing practices . The FDA also mandates that   antimicrobial therapies have been obtained through
                                [67]
            clinical trials for stem cell-based treatments be carried   preclinical and clinical studies. Various investigations
            out under an investigational new drug application. Data   have examined diverse stem cell varieties, modes of
            proving the safety and effectiveness of the therapy must be   administration, and antimicrobial objectives to establish
            submitted to do this.                              innovative and efficacious therapies for antibiotic-resistant

              The issue of scalability in manufacturing holds   infections. An instance of a preclinical investigation
            significant importance in the context of the advancement   involves  the  utilization of  MSCs  for  the  treatment  of
            of antimicrobial therapies based on stem cells. As these   bacterial infections. MSCs have demonstrated the ability
            therapeutic interventions transition from preclinical   to mitigate inflammation, enhance bacterial elimination,
            stages to clinical trials and eventual commercialization, it   and  facilitate tissue regeneration in animal models of
            becomes imperative to scale up their production to cater   bacterial infections [71,72] . It is believed that the impacts
            to the growing demand for treatment . The concept   are facilitated through the immunomodulatory and
                                            [68]
            of manufacturing scalability pertains to the creation of   antimicrobial characteristics of MSCs.
            procedures and innovations that can be expanded to   An instance of preclinical research involves the
            generate substantial volumes of stem cells, while ensuring   utilization of neural stem cells for the purpose of treating
            the  preservation  of  their  quality  and  effectiveness.  The   viral infections. Studies conducted on animal models have
            optimization of protocols for stem cell isolation, expansion,   demonstrated that neural stem cells possess the ability
            and delivery is necessary to ensure their efficient and   to facilitate viral clearance and mitigate inflammation in
            consistent performance on a large scale.           the brain during viral infections. It is believed that the
              The manufacturing scalability of stem cell-based   immunomodulatory and neuroprotective properties of
            antimicrobial therapies is hindered by the potential   neural stem cells are responsible for these observed effects.
            variability in stem cell quality and efficacy that may arise   Apart from preclinical investigations, human clinical trials
            during the process of large-scale production. Disparities in   have been carried out to assess the safety and effectiveness


            Volume 2 Issue 4 (2023)                         8                        https://doi.org/10.36922/gpd.1230
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