Center of Experimental and Clinical Regenerative Medicine, University of Veterinary Medicine and Pharmacy, Komenskeho 73, 04181 Kosice, Slovakia.
University Veterinary Hospital, University of Veterinary Medicine and Pharmacy, Komenskeho 73, 04181 Kosice, Slovakia.
Int J Mol Sci. 2020 Jul 20;21(14):5129. doi: 10.3390/ijms21145129.
Spinal cord injury (SCI) involves nerve damage and often leads to motor, sensory and autonomic dysfunctions. In the present study, we have designed a clinical protocol to assess the feasibility of systemic delivery of allogenic canine bone marrow tissue-derived mesenchymal stem cell conditioned medium (BMMSC CM) to dogs with SCI. Four client-owned dogs with chronic SCI lasting more than six months underwent neurological and clinical evaluation, MRI imaging and blood tests before being enrolled in this study. All dogs received four intravenous infusions with canine allogenic BMMSC CM within one month. Between the infusions the dogs received comprehensive physiotherapy, which continued for three additional months. No adverse effects or complications were observed during the one, three and six months follow-up periods. Neither blood chemistry panel nor hematology profile showed any significant changes. All dogs were clinically improved as assessed using Olby locomotor scales after one, three and six months of BMMSC CM treatment. Furthermore, goniometric measurements revealed partial improvement in the range of joint motion. Bladder function improved in two disabled dogs. We conclude that multiple delivery of allogenic cell-derived conditioned medium to dogs with chronic SCI is feasible, and it might be clinically beneficial in combination with physiotherapy.
脊髓损伤 (SCI) 涉及神经损伤,通常导致运动、感觉和自主功能障碍。在本研究中,我们设计了一个临床方案,以评估将同种异体犬骨髓组织衍生的间充质干细胞条件培养基 (BMMSC CM) 全身递送至患有 SCI 的犬中的可行性。4 只患有慢性 SCI 超过 6 个月的患犬在接受这项研究之前接受了神经学和临床评估、MRI 成像和血液检查。所有犬在一个月内接受了四次同种异体犬 BMMSC CM 的静脉输注。在输注之间,犬接受了综合物理治疗,持续了另外 3 个月。在 1、3 和 6 个月的随访期间,未观察到任何不良反应或并发症。血液化学小组或血液学分析均未显示任何显著变化。所有犬在接受 BMMSC CM 治疗 1、3 和 6 个月后,使用 Olby 运动评分进行临床评估均有改善。此外,关节角度测量显示关节运动范围部分改善。2 只残疾犬的膀胱功能得到改善。我们得出结论,向患有慢性 SCI 的犬多次递送电刺激细胞衍生的条件培养基是可行的,并且与物理治疗相结合可能具有临床益处。