PT - JOURNAL ARTICLE AU - Lucas Pires Guarnier AU - Lincoln Gozzi Moro AU - Francislaine Aparecida dos Reis Lívero AU - Carolina Arruda de Faria AU - Mauricio Fogaça Azevedo AU - Beatriz Pizoni Roma AU - Edilson Rodrigues Albuquerque AU - Maria José Malagutti-Ferreira AU - Alessandra Gomes Duarte Rodrigues AU - Adelson Alves da Silva AU - Eliseo Joji Sekiya AU - João Tadeu Ribeiro-Paes TI - Regenerative and translational medicine in COPD: hype and hope AID - 10.1183/16000617.0223-2022 DP - 2023 Sep 30 TA - European Respiratory Review PG - 220223 VI - 32 IP - 169 4099 - http://err.ersjournals.com/content/32/169/220223.short 4100 - http://err.ersjournals.com/content/32/169/220223.full SO - EUROPEAN RESPIRATORY REVIEW2023 Sep 30; 32 AB - COPD is a common, preventable and usually progressive disease associated with an enhanced chronic inflammatory response in the airways and lung, generally caused by exposure to noxious particles and gases. It is a treatable disease characterised by persistent respiratory symptoms and airflow limitation due to abnormalities in the airways and/or alveoli. COPD is currently the third leading cause of death worldwide, representing a serious public health problem and a high social and economic burden. Despite significant advances, effective clinical treatments have not yet been achieved. In this scenario, cell-based therapies have emerged as potentially promising therapeutic approaches. However, there are only a few published studies of cell-based therapies in human patients with COPD and a small number of ongoing clinical trials registered on clinicaltrials.gov. Despite the advances and interesting results, numerous doubts and questions remain about efficacy, mechanisms of action, culture conditions, doses, timing, route of administration and conditions related to homing and engraftment of the infused cells. This article presents the state of the art of cell-based therapy in COPD. Clinical trials that have already been completed and with published results are discussed in detail. We also discuss the questions that remain unanswered about cell-based regenerative and translational medicine for COPD.This review describes the current state of the art of cell-based, regenerative and translational medicine in COPD, presenting the clinical trials already completed and with published results. https://bit.ly/3P08Bmq