Zhang D
Henan Provincial People's Hospital, Zhengzhou, Henan Province, China
Genet Mol Res. 2017 Mar 15;16(1):gmr-16-01-gmr.16019352. doi: 10.4238/gmr16019352.
The efficacy of bone marrow mesenchymal stem cell (BMSC) on liver fibrosis in animal has been proven, but a few studies have been made in human body and few such researches in China. This study was designed to investigate the effect of BMSC treatment on hepatic fibrosis induced by hepatolenticular degeneration and the influence on serological indicators. Sixty patients with liver fibrosis induced by hepatolenticular degeneration were randomly divided into two groups, a penicillamine group and a BMSCs plus penicillamine group, with 30 patients in each. The therapeutic effects on hepatic fibrosis, liver function, and serological indicators were recorded before and after the treatment, and the data were compared. After treatment, serum levels of HA, PCIII, LN, CIV, TIMP-1, and MMP-1 were reduced in both groups (P < 0.05). However, cytokine levels in the BMSCs plus penicillamine group were significantly lower than those in the penicillamine group (P < 0.05). Combination therapy with BMSCs and penicillamine had a significant positive effect on liver fibrosis induced by hepatolenticular degeneration.
骨髓间充质干细胞(BMSC)对动物肝纤维化的疗效已得到证实,但在人体上的研究较少,在中国此类研究更是寥寥无几。本研究旨在探讨BMSC治疗对肝豆状核变性所致肝纤维化的影响及其对血清学指标的影响。将60例肝豆状核变性所致肝纤维化患者随机分为两组,青霉胺组和BMSCs加青霉胺组,每组30例。记录治疗前后对肝纤维化、肝功能及血清学指标的治疗效果,并对数据进行比较。治疗后,两组患者血清HA、PCIII、LN、CIV、TIMP-1和MMP-1水平均降低(P<0.05)。然而,BMSCs加青霉胺组的细胞因子水平明显低于青霉胺组(P<0.05)。BMSCs与青霉胺联合治疗对肝豆状核变性所致肝纤维化有显著的积极作用。