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脐带和骨髓来源的间充质干细胞移植治疗一名复发缓解型多发性硬化症患者

Transplantation of umbilical cord and bone marrow-derived mesenchymal stem cells in a patient with relapsing-remitting multiple sclerosis.

作者信息

Hou Zong-liu, Liu Ying, Mao Xi-Hong, Wei Chuan-yu, Meng Ming-yao, Liu Yun-hong, Zhuyun Yang Zara, Zhu Hongmei, Short Martin, Bernard Claude, Xiao Zhi-cheng

机构信息

Yan-an Hospital; Kunming Medical University; Kunming, PR China.

The Key Laboratory of Stem Cell and Regenerative Medicine; Institute of Molecular and Clinical Medicine; Kunming Medical College; Kunming, PR China; Department of Anatomy and Developmental Biology; Monash University; Clayton, Victoria, Australia.

出版信息

Cell Adh Migr. 2013 Sep-Oct;7(5):404-7. doi: 10.4161/cam.26941. Epub 2013 Oct 30.

DOI:10.4161/cam.26941
PMID:24192520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3903683/
Abstract

There is currently great interest in the use of mesenchymal stem cells as a therapy for multiple sclerosis with potential to both ameliorate inflammatory processes as well as improve regeneration and repair. Although most clinical studies have used autologous bone marrow-derived mesenchymal stem cells, other sources such as allogeneic umbilical cord-derived cells may provide a more accessible and practical supply of cells for transplantation. In this case report we present the treatment of aggressive multiple sclerosis with multiple allogenic human umbilical cord-derived mesenchymal stem cell and autologous bone marrow-derived mesenchymal stem cells over a 4 y period. The treatments were tolerated well with no significant adverse events. Clinical and radiological disease appeared to be suppressed following the treatments and support the expansion of mesenchymal stem cell transplantation into clinical trials as a potential novel therapy for patients with aggressive multiple sclerosis.

摘要

目前,人们对使用间充质干细胞治疗多发性硬化症有着浓厚的兴趣,因为它有潜力改善炎症过程,并促进再生和修复。尽管大多数临床研究使用的是自体骨髓来源的间充质干细胞,但其他来源,如同种异体脐带来源的细胞,可能为移植提供更易获取且实用的细胞供应。在本病例报告中,我们展示了在4年时间里,使用多次同种异体人脐带来源的间充质干细胞和自体骨髓来源的间充质干细胞治疗侵袭性多发性硬化症的情况。治疗耐受性良好,未出现明显不良事件。治疗后临床和影像学疾病似乎得到了抑制,这支持将间充质干细胞移植扩展到临床试验中,作为侵袭性多发性硬化症患者的一种潜在新疗法。

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Transplantation of umbilical cord and bone marrow-derived mesenchymal stem cells in a patient with relapsing-remitting multiple sclerosis.脐带和骨髓来源的间充质干细胞移植治疗一名复发缓解型多发性硬化症患者
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本文引用的文献

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Cell Transplant. 2013;22(8):1409-25. doi: 10.3727/096368912X657620. Epub 2012 Oct 4.
2
Stemness gene expression profile analysis in human umbilical cord mesenchymal stem cells.人脐带间充质干细胞干性基因表达谱分析。
Exp Biol Med (Maywood). 2012 Jun;237(6):709-19. doi: 10.1258/ebm.2012.011429. Epub 2012 Jun 22.
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Transplantation of umbilical cord-derived mesenchymal stem cells as a novel strategy to protect the central nervous system: technical aspects, preclinical studies, and clinical perspectives.脐带间充质干细胞移植作为一种保护中枢神经系统的新策略:技术方面、临床前研究和临床展望。
Pediatr Res. 2012 Apr;71(4 Pt 2):482-90. doi: 10.1038/pr.2011.67. Epub 2012 Feb 8.
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Sustained improvement in Expanded Disability Status Scale as a new efficacy measure of neurological change in multiple sclerosis: treatment effects with natalizumab in patients with relapsing multiple sclerosis.扩展残疾状态量表的持续改善作为多发性硬化症神经学变化的新疗效指标:那他珠单抗治疗复发型多发性硬化症患者的疗效。
Mult Scler. 2011 Aug;17(8):970-9. doi: 10.1177/1352458511399611. Epub 2011 Mar 18.
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Neuroprotective features of mesenchymal stem cells.间充质干细胞的神经保护作用。
Best Pract Res Clin Haematol. 2011 Mar;24(1):59-64. doi: 10.1016/j.beha.2011.01.004. Epub 2011 Feb 25.
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Comparison of mesenchymal stem cells from adipose tissue and bone marrow for ischemic stroke therapy.脂肪间充质干细胞与骨髓间充质干细胞治疗缺血性脑卒中的比较。
Cytotherapy. 2011 Jul;13(6):675-85. doi: 10.3109/14653249.2010.549122. Epub 2011 Jan 13.
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The prospect of stem cells as multi-faceted purveyors of immune modulation, repair and regeneration in multiple sclerosis.干细胞作为多发性硬化症中免疫调节、修复和再生的多面手的前景。
Curr Stem Cell Res Ther. 2011 Mar;6(1):50-62. doi: 10.2174/157488811794480735.
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The therapeutic potential of mesenchymal stem cell transplantation as a treatment for multiple sclerosis: consensus report of the International MSCT Study Group.间充质干细胞移植作为多发性硬化症治疗方法的治疗潜力:国际 MSCT 研究组共识报告。
Mult Scler. 2010 Apr;16(4):503-10. doi: 10.1177/1352458509359727. Epub 2010 Jan 19.
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Mesenchymal stem cells for treatment of steroid-resistant, severe, acute graft-versus-host disease: a phase II study.间充质干细胞治疗类固醇难治性重度急性移植物抗宿主病:一项II期研究。
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Cytotherapy. 2006;8(4):315-7. doi: 10.1080/14653240600855905.