Aysan Erhan, Kilic Ulkan, Gok Ozlem, Altug Burcugul, Ercan Cilem, Kesgin Toka Cemile, Idiz Ufuk Oguz, Muslumanoglu Mahmut
From the Department of General Surgery, Bezmialem Vakif University, Istanbul, Turkey.
Exp Clin Transplant. 2016 Apr;14(2):238-41. doi: 10.6002/ect.2014.0110. Epub 2014 Dec 3.
To develop a new parathyroid allotransplant method for the treatment of permanent hypoparathyroidism.
Parathyroid cells 50 × 10(6) derived from a parathyroid hyperplasia patient were transferred to a 61-year-old patient who had thyroidectomy 17 years earlier, allowing to papillary thyroid cancer; he was admitted to our outpatient clinic with symptomatic chronic hypocalcemia. Cell isolation, cryopreservation, and culturing were conducted according to a new protocol.
During a follow-up of 5 months, the patient had no complications that could indicate rejection, and clinical symptoms completely resolved without requiring any drug supplementation.
Here, we report a new method, enabling fast and cost-effective parathyroid allotransplant with maintained tissue viability sufficient to treat persistent hypocalcemia.
开发一种用于治疗永久性甲状旁腺功能减退症的新型甲状旁腺同种异体移植方法。
将一名甲状旁腺增生患者的50×10(6)个甲状旁腺细胞移植到一名17年前因甲状腺乳头状癌行甲状腺切除术的61岁患者体内;该患者因症状性慢性低钙血症入住我院门诊。细胞分离、冷冻保存和培养按照新方案进行。
在5个月的随访期间,患者未出现任何提示排斥反应的并发症,临床症状完全缓解,无需任何药物补充。
在此,我们报告一种新方法,能够实现快速且经济高效的甲状旁腺同种异体移植,同时保持足够的组织活力以治疗持续性低钙血症。