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2010 年欧洲关于细胞和工程组织疗法的调查。

The survey on cellular and engineered tissue therapies in Europe in 2010.

机构信息

Department of Surgery and of Biomedicine, University Hospital Basel, Basel, Switzerland.

出版信息

Tissue Eng Part A. 2012 Nov;18(21-22):2268-79. doi: 10.1089/ten.TEA.2012.0169. Epub 2012 Jul 19.

Abstract

Following the coordinated efforts of five established scientific organizations, this report describes the novel cellular therapy activity in Europe for the year 2010. One hundred six teams from 27 countries responded to the cellular therapy survey, 69 teams from 21 countries provided data on 1010 patients using a dedicated survey; 37 teams reported no activity. These data were combined with an additional 260 records reported by 37 teams in 15 countries to the standard European group for Blood and Marrow Transplantation (EBMT) database. Indications were graft-vs.-host-disease (GvHD; 26%; 11% autologous), musculoskeletal disorders (25%; 93% autologous), cardiovascular disorders (20%; 100% autologous), epithelial disorders (16%; 44% autologous), autoimmune diseases (11%; 55% autologous), and neurological disorders (2%; 62% autologous). Autologous cells were predominantly used for musculoskeletal (39%) and cardiovascular (32%) disorders, whereas allogeneic cells were mainly used for GvHD (58%) and epithelial disorders (23%). The reported cell types were mesenchymal stem/stromal cells (MSC; 49%), hematopoietic stem cells (28%), chondrocytes (10%), dermal fibroblasts (4%), keratinocytes (1%), and others (8%). In 63% of the grafts, cells were delivered following ex vivo expansion, whereas cells were transduced or sorted respectively in 10% or 28% of the reported cases. Cells were delivered intraorgan (45%), intravenously (31%), on a membrane or gel (20%) or using 3D scaffolds (4%). Compared with last year, the number of teams adopting the dedicated survey was 1.25-fold higher and, with few exceptions, the collected data confirmed the captured trends. This year's edition specifically discusses scientific, clinical, regulatory, and commercial aspects related to the use of cell therapy for the repair of cartilage defects.

摘要

在五个知名科学组织的共同努力下,本报告描述了 2010 年欧洲新型细胞疗法的活动情况。来自 27 个国家的 106 个团队对细胞疗法调查做出了回应,来自 21 个国家的 69 个团队提供了使用专门调查的 1010 名患者的数据;37 个团队报告无活动。这些数据与另外 37 个团队在 15 个国家向欧洲血液和骨髓移植组(EBMT)标准数据库报告的 260 个记录相结合。适应症为移植物抗宿主病(GvHD;26%;11%自体)、肌肉骨骼疾病(25%;93%自体)、心血管疾病(20%;100%自体)、上皮疾病(16%;44%自体)、自身免疫性疾病(11%;55%自体)和神经疾病(2%;62%自体)。自体细胞主要用于肌肉骨骼(39%)和心血管(32%)疾病,而异基因细胞主要用于 GvHD(58%)和上皮疾病(23%)。报告的细胞类型为间充质干细胞/基质细胞(MSC;49%)、造血干细胞(28%)、软骨细胞(10%)、真皮成纤维细胞(4%)、角质形成细胞(1%)和其他(8%)。在 63%的移植物中,细胞经过体外扩增后进行输送,而在报告的病例中,分别有 10%和 28%的细胞经过转导或分选。细胞通过器官内(45%)、静脉内(31%)、膜或凝胶(20%)或使用 3D 支架(4%)进行输送。与去年相比,采用专门调查的团队数量增加了 1.25 倍,除了少数例外,收集的数据证实了所捕捉到的趋势。今年的版本特别讨论了与使用细胞疗法修复软骨缺陷相关的科学、临床、监管和商业方面。

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