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静脉注射马间充质干细胞治疗犬关节疼痛和跛行:一项可行性研究。

Intravenous Injection of Equine Mesenchymal Stem Cells in Dogs with Articular Pain and Lameness: A Feasibility Study.

机构信息

Department of Medical Imaging and Orthopedics, Domestic Animals, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.

Veterinary Center Randstad, Borsbeek, Belgium.

出版信息

Stem Cells Dev. 2023 Jun;32(11-12):292-300. doi: 10.1089/scd.2022.0296. Epub 2023 Apr 19.

Abstract

Osteoarthritis is a frequently occurring joint disorder in veterinary practice. Current treatments are focused on pain and inflammation; however, these are not able to reverse the pathological condition. Mesenchymal stem cells (MSCs) could provide an interesting alternative because of their immunomodulatory properties. The objective of this study was to evaluate the potential of a single intravenous (IV) injection of xenogeneic equine peripheral blood-derived MSCs (epbMSCs) as treatment for articular pain and lameness. Patients with chronic articular pain were injected intravenously with epbMSCs. They were evaluated at three time points (baseline and two follow-ups) by a veterinarian based on an orthopedic joint assessment and an owner canine brief pain inventory scoring. Thirty-five dogs were included in the safety and efficacy evaluation of the study. Results showed that the epbMSC therapy was well tolerated, with no treatment-related adverse events and no increase in articular heat or pain. A significant improvement in lameness, range of motion, joint effusion, pain severity, and interference scores was found 6 weeks post-treatment compared with baseline. This study demonstrates that future research on IV administration of epbMSCs is warranted to further explore its possible beneficial effects in dogs with chronic articular pain and lameness. Clinical Trial gov ID: EC_2018_002.

摘要

骨关节炎是兽医临床中一种常见的关节疾病。目前的治疗方法侧重于疼痛和炎症,但这些方法并不能逆转病理状况。间充质干细胞(MSCs)由于其免疫调节特性,可能提供一种有趣的替代方法。本研究的目的是评估单次静脉(IV)注射异种马外周血来源的间充质干细胞(epbMSCs)作为治疗关节疼痛和跛行的潜力。患有慢性关节疼痛的患者接受了静脉内注射 epbMSCs。兽医根据骨科关节评估和主人犬简短疼痛量表评分,在三个时间点(基线和两次随访)对患者进行评估。本研究对 35 只狗进行了安全性和疗效评估。结果表明,epbMSC 治疗耐受性良好,无治疗相关不良事件,关节热或疼痛无增加。与基线相比,治疗后 6 周跛行、运动范围、关节积液、疼痛严重程度和干扰评分均显著改善。这项研究表明,未来有必要对静脉内给予 epbMSCs 进行研究,以进一步探索其在患有慢性关节疼痛和跛行的犬中的可能有益作用。临床试验注册号:EC_2018_002。

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