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Inflammation, a Common Mechanism in Frailty and COVID-19, and Stem Cells as a Therapeutic Approach

José Becerra, Iván Durán

2021Stem Cells Translational Medicine14 citationsDOIOpen Access PDF

Abstract

As our life expectancy increases, specific medical conditions appear, and new challenges are met in terms of global health. Frailty has become a medical and scientific concept to define pathologies where inflammation, depressed immune system, cellular senescence, and molecular aging converge. But more importantly, frailty is the ultimate cause of death that limits our life span and deteriorates health in an increasing proportion of the world population. The difficulty of tackling this problem is the combination of factors that influence frailty appearance, such as stem cells exhaustion, inflammation, loss of regeneration capability, and impaired immunomodulation. To date, multiple research fields have found mechanisms participating in this health condition, but to make progress, science will need to investigate frailty with an interdisciplinary approach. This article summarizes the current efforts to understand frailty from their processes mediated by inflammation, aging, and stem cells to provide a new perspective that unifies the efforts in producing advanced therapies against medical conditions in the context of frailty. We believe this approach against frailty is particularly relevant to COVID-19, since people in a state of frailty die more frequently due to the hyperinflammatory process associated with this infection.

Topics & Concepts

Life expectancyContext (archaeology)InflammationGerontologyStem cellMedicineImmunosenescencePopulationLife spanFrailty syndromeMechanism (biology)Coronavirus disease 2019 (COVID-19)Immune systemImmunologyIntensive care medicineBioinformaticsBiologyDiseaseFrailty IndexEnvironmental healthPathologyGeneticsPaleontologyInfectious disease (medical specialty)PhilosophyEpistemologyFrailty in Older AdultsMesenchymal stem cell researchIntensive Care Unit Cognitive Disorders