Department of Stem Cell Disorders, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi City, Osaka, Japan.
Best Pract Res Clin Haematol. 2011 Sep;24(3):477-83. doi: 10.1016/j.beha.2011.04.003. Epub 2011 Jun 12.
A recently-developed BMT method combines a "Perfusion Method" (PM) for collecting bone marrow cells (BMCs) with the Intra-Bone Marrow (IBM) injection of BMCs (IBM-BMT). As distinct from the conventional aspiration method (AM), the PM allows rapid (within 1 h) collection of BMCs without T cell contamination (T cells < 10%). Therefore, no GvHD occurs. Moreover, the burden on donors, such as back pain, bleeding and infection, can be reduced. Full chimerism can be achieved even with only mild conditioning regimens if IBM-BMT is carried out, since IBM-BMT replaces not only the recipient's hemopoietic stem cells (HSCs) but also mesenchymal stem cells (MSCs) with donor-derived HSCs and MSCs. Using this method, we show that most currently intractable diseases are HSC or MSC disorders, and that this novel strategy (PM + IBM-BMT) can be used to treat various otherwise intractable diseases (including autoimmune diseases and age-associated diseases). We believe that the development of this technique will herald a revolution in the field of BMT, regeneration medicine and also organ transplantation.
一种新开发的 BMT 方法结合了一种采集骨髓细胞(BMCs)的“灌注法”(PM)和 BMCs 的骨髓内注射(IBM-BMT)。与传统的抽吸法(AM)不同,PM 允许在 1 小时内快速(<10%T 细胞污染)采集 BMCs,因此不会发生 GvHD。此外,由于 IBM-BMT 不仅可以替代受体的造血干细胞(HSCs),还可以用供体来源的 HSCs 和 MSC 替代间充质干细胞(MSCs),因此即使采用轻度的调理方案也可以实现完全嵌合。使用这种方法,我们表明大多数目前难以治疗的疾病是 HSC 或 MSC 疾病,这种新策略(PM+IBM-BMT)可用于治疗各种其他难以治疗的疾病(包括自身免疫性疾病和与年龄相关的疾病)。我们相信,这项技术的发展将预示着 BMT、再生医学和器官移植领域的革命。
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