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采用自体基质血管成分干细胞治疗间质性膀胱炎的个人细胞疗法。

Personal cell therapy for interstitial cystitis with autologous stromal vascular fraction stem cells.

作者信息

Lander Elliot B, Berman Mark H, See Jackie R

机构信息

Cell Surgical Network, 72780 Country Club Drive #301, Rancho Mirage, CA 92270, USA.

Cell Surgical Network, Rancho Mirage, CA, USA.

出版信息

Ther Adv Urol. 2019 Aug 17;11:1756287219868590. doi: 10.1177/1756287219868590. eCollection 2019 Jan-Dec.

Abstract

BACKGROUND

The objective of this study was to evaluate whether autologous stem-cell-based therapy may mitigate the symptoms of interstitial cystitis.

METHODS

Stromal vascular fraction (SVF) rich in stem cells and derived from autologous adipose tissue was deployed into 109 men and women with interstitial cystitis/painful bladder syndrome as a surgical procedure. This stem-cell-rich biologic product was injected both systemically and regionally into pelvic floor targets. Patients were queried about quality of life and symptom and bother subjective outcomes tests every 3 months for 2 years.

RESULTS

A total of 78 patients reported a positive response at 1 year. Symptom and bother metrics were statistically improved at 1 year. There were minimal adverse events associated with the harvesting, procurement, and clinical deployment of SVF.

CONCLUSION

Interstitial cystitis is a complex clinical problem that is known for its resistance to conventional therapies. SVF as an autologous personalized regenerative strategy shows good safety and efficacy and may potentially have a role in the mitigation of interstitial cystitis.

摘要

背景

本研究的目的是评估基于自体干细胞的疗法是否可以减轻间质性膀胱炎的症状。

方法

作为一种外科手术,将富含干细胞且源自自体脂肪组织的基质血管成分(SVF)应用于109例患有间质性膀胱炎/膀胱疼痛综合征的男性和女性。这种富含干细胞的生物制品通过全身和局部注射到盆底靶点。在2年的时间里,每3个月询问患者关于生活质量以及症状和困扰主观结果测试的情况。

结果

共有78例患者在1年时报告有阳性反应。在1年时,症状和困扰指标在统计学上有所改善。与SVF的采集、获取和临床应用相关的不良事件极少。

结论

间质性膀胱炎是一个复杂的临床问题,以其对传统疗法的抵抗性而闻名。SVF作为一种自体个性化再生策略显示出良好的安全性和有效性,并且可能在减轻间质性膀胱炎方面发挥作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c69/6698997/21c4d605b9b5/10.1177_1756287219868590-fig1.jpg

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