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[胰岛细胞培养物移植治疗糖尿病患者的结果]

[Results of transplantation of pancreatic islet cell cultures to patients with diabetes mellitus].

作者信息

Shumakov V I, Bliumkin V N, Ignatenko S N, Skaletskiĭ N N, Slovesnova T A

出版信息

Probl Endokrinol (Mosk). 1985 Sep-Oct;31(5):67-70.

PMID:2933733
Abstract

Altogether 110 intramuscular pancreatic islet cell (PIC) culture transplantations were performed in diabetes mellitus patients from April 1981 to May 1984 at the Research Institute of Transplantology and Artificial Organs, USSR Ministry of Health: 65 allotransplantations of human fetal PIC and 45 xenotransplantations fo swine fetal PIC. Immunosuppressive therapy was not employed. The paper is concerned with an analysis of a therapeutic effect of the IC cell cull culture transplantation on 30 patients who were followed-up for not less than 1 year after operation. A pronounced and long-term antidiabetic effect was observed in wost of the recepients subjected to the intramuscular human fetal PIC culture transplantation: demand in exogenous insulin decreased, a durable stabilization of a course of disease in patients with labile diabetes mellitus was observed, and in patients with such diabetic complications as polyneuropathy, retinopathy and glomerulosclerosis certain regress of these complications was observed. As to the results of the intramuscular swine fetal PIC culture xenotransplantation the authors note that xenogenic transplantation as compared with IC culture allotransplantation possesses a less noticeable offect on diabetes mellitus complications.

摘要

1981年4月至1984年5月期间,苏联卫生部移植学与人工器官研究所对糖尿病患者共进行了110次肌内注射胰腺胰岛细胞(PIC)培养移植:65次人胎儿PIC同种异体移植和45次猪胎儿PIC异种移植。未采用免疫抑制疗法。本文对30例术后随访不少于1年的患者进行IC细胞培养移植的治疗效果进行了分析。在大多数接受肌内注射人胎儿PIC培养移植的受者中观察到了显著且长期的抗糖尿病作用:对外源性胰岛素的需求减少,观察到不稳定型糖尿病患者的病程持久稳定,并且在患有诸如多发性神经病变、视网膜病变和肾小球硬化等糖尿病并发症的患者中观察到这些并发症有一定程度的消退。关于肌内注射猪胎儿PIC培养异种移植的结果,作者指出,与IC培养同种异体移植相比,异种移植对糖尿病并发症的影响不太明显。

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