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间充质干细胞输注治疗中重度溃疡性结肠炎的安全性及疗效

Safety and therapeutic effect of mesenchymal stem cell infusion on moderate to severe ulcerative colitis.

作者信息

Hu Jianxia, Zhao Gang, Zhang Lize, Qiao Cuixia, Di Aiping, Gao Hong, Xu Hong

机构信息

Stem Cell Research Center, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266003, P.R. China.

Anorectal Department, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266003, P.R. China.

出版信息

Exp Ther Med. 2016 Nov;12(5):2983-2989. doi: 10.3892/etm.2016.3724. Epub 2016 Sep 20.

Abstract

One of the primary targets of the clinical treatment of ulcerative colitis (UC) is to repair the damaged colonic mucosa. Mesenchymal stem cells (MSCs) have therapeutic potential in regenerative medicine due to their differentiation capacity and their secretion of numerous bioactive molecules. The present study describes a clinical trial (trial registration no. NCT01221428) investigating the safety and therapeutic effect of MSCs derived from human umbilical cord on moderate to severe UC. Thirty-four patients with UC were included in group and treated with MSC infusion in addition to the base treatment, and thirty-six patients were in group and treated with normal saline in addition to the base treatment. One month after therapy, 30/36 patients in group showed good response, and diffuse and deep ulcer formation and severe inflammatory mucosa were improved markedly. During the follow up, the median Mayo score and histology score in group were decreased while IBDQ scores were significantly improved compared with before treatment and group . Compared with group , there were no evident adverse reactions after MSC infusion in any of the patients in group , and no chronic side effects or lingering effects appeared during the follow-up period. In conclusion, MSC infusion might be a useful and safe therapy for treating UC.

摘要

溃疡性结肠炎(UC)临床治疗的主要目标之一是修复受损的结肠黏膜。间充质干细胞(MSCs)因其分化能力和分泌多种生物活性分子的特性,在再生医学中具有治疗潜力。本研究描述了一项临床试验(试验注册号:NCT01221428),旨在调查人脐带间充质干细胞对中重度UC的安全性和治疗效果。34例UC患者被纳入A组,在基础治疗的基础上接受间充质干细胞输注治疗;36例患者被纳入B组,在基础治疗的基础上接受生理盐水治疗。治疗1个月后,B组30/36例患者显示出良好的反应,弥漫性深部溃疡形成和严重炎性黏膜明显改善。在随访期间,A组的梅奥评分中位数和组织学评分降低,而炎症性肠病问卷(IBDQ)评分与治疗前及B组相比显著提高。与B组相比,A组任何患者在间充质干细胞输注后均未出现明显不良反应,且在随访期间未出现慢性副作用或遗留效应。总之,间充质干细胞输注可能是一种治疗UC的有效且安全的疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b014/5103734/b22c376e7034/etm-12-05-2983-g00.jpg

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