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使用基质血管成分对多种退行性疾病和损伤进行自体干细胞治疗的安全性分析

Safety Analysis of Autologous Stem Cell Therapy in a Variety of Degenerative Diseases and Injuries Using the Stromal Vascular Fraction.

作者信息

Comella Kristin, Parlo Michelle, Daly Rosemary, Depasquale Vincent, Edgerton Eric, Mallory Patrick, Schmidt Roy, Drake Walter P

机构信息

US Stem Cell, Inc., 13794 NW 4th Street, Suite 212, Sunrise, FL 33325, USA.

Panama College of Cell Science, 3rd Floor, C&H Towers Corner of Great Marlboro and Great George Streets Roseau, 00152, Commonwealth of Dominica.

出版信息

J Clin Med Res. 2017 Nov;9(11):935-942. doi: 10.14740/jocmr3187w. Epub 2017 Oct 2.

Abstract

BACKGROUND

Stem cells from adipose tissue offer a novel therapy for patients with damaged tissue. Stromal vascular fraction (SVF) injected into patients may reduce inflammation, promote healing, and repair damaged/scarred tissue. SVF can be isolated from fat (adipose) tissue in an outpatient procedure. The SVF population includes mesenchymal stem cells (MSCs), pericytes, endothelial/progenitor cells, fibroblasts and growth factors where the adipocyte (fat cell) population has been removed. Here we describe the use of SVF in the clinic for degenerative diseases in orthopedics, neurological conditions and systemic conditions in 676 patients.

METHODS

This study demonstrated the strong safety profile from a multi-center analysis of SVF injection in treating various diseases. Approximately 60 mL of fat tissue was removed from the abdomen or flanks using a local tumescent liposuction procedure. The fat was separated via centrifuge to isolate the SVF and the cells were delivered intraarticularly, intravenously, intrathecally, or intradiscally directly into the same patient. All subjects were monitored for adverse events.

RESULTS

The procedure demonstrates exceptional patient safety, and the study underscores the safety of autologous stem cell therapy in general. Few adverse events were reported and were overwhelmingly of mild and transient nature, such as the expected soreness at the site of liposuction and occasional headache.

CONCLUSION

The three deaths reported were most likely not related to the treatment but instead to the underlying disease. Our study demonstrates a strong safety profile with low complication rates.

摘要

背景

脂肪组织来源的干细胞为受损组织患者提供了一种新的治疗方法。注入患者体内的基质血管成分(SVF)可能会减轻炎症、促进愈合并修复受损/瘢痕化组织。SVF可通过门诊手术从脂肪组织中分离出来。SVF群体包括间充质干细胞(MSC)、周细胞、内皮/祖细胞、成纤维细胞和生长因子,其中脂肪细胞群体已被去除。在此,我们描述了676例患者中SVF在骨科、神经疾病和全身性疾病的临床退行性疾病治疗中的应用。

方法

本研究通过对SVF注射治疗各种疾病的多中心分析,证明了其强大的安全性。使用局部肿胀吸脂术从腹部或侧腹取出约60 mL脂肪组织。通过离心分离脂肪以分离SVF,然后将细胞直接关节内、静脉内、鞘内或椎间盘内注射回同一患者体内。对所有受试者进行不良事件监测。

结果

该手术显示出卓越的患者安全性,该研究总体上强调了自体干细胞治疗的安全性。报告的不良事件很少,而且绝大多数是轻微和短暂的,如吸脂部位预期的酸痛和偶尔的头痛。

结论

报告的三例死亡很可能与治疗无关,而是与基础疾病有关。我们的研究显示出强大的安全性,并发症发生率低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4384/5633095/f8c2788f3faa/jocmr-09-935-g001.jpg

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