Lin Fuquan, Wang Yunxia, Zheng Yujie, Hong Weisong, Fu Lifang, Zhou Miaoni, Xu Aie
Department of Dermatology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Department of Dermatology, Hangzhou Third People's Hospital, Hangzhou, China.
J Dermatol. 2024 Aug;51(8):1060-1067. doi: 10.1111/1346-8138.17320. Epub 2024 Jun 19.
Autologous cultured pure melanocyte transplantation (CMT) can be utilized to treat stable vitiligo cases, but clinical data are insufficient to improve its efficacy. To evaluate the influence of various factors on the therapeutic effect of CMT, this single-center retrospective study enrolled stable vitiligo patients who underwent CMT between 2009 and 2020. Univariate and multivariable analysis were used to determine the factors affecting the outcome of repigmentation. The study included 491 patients with long-term follow-up data (6-120 months). It was found that 69.7% of patients achieved an excellent re-color effect and 18.4% achieved a good re-color effect. There were statistically significant differences in pigmentation between patients with stable disease course, vitiligo type, and lesion site. Overall, a significant positive correlation between the target area treatment ratio of varied lesions and the percentage of repigmentation was found. CMT is effective and well tolerated in the treatment of stable vitiligo. Various factors, especially the target area treatment ratio of varied lesions, should be carefully assessed before using CMT. As the target area treatment ratio of varied lesions could further improve the post-operative repigmentation other than type of vitiligo. This clinic trial was approved by Hangzhou Third People's Hospital (number 2023KA015, national clinical record number MR-33-23-034502).
自体培养纯黑素细胞移植(CMT)可用于治疗稳定期白癜风病例,但临床数据不足以提高其疗效。为评估各种因素对CMT治疗效果的影响,这项单中心回顾性研究纳入了2009年至2020年间接受CMT的稳定期白癜风患者。采用单因素和多因素分析来确定影响色素沉着结果的因素。该研究纳入了491例有长期随访数据(6 - 120个月)的患者。结果发现,69.7%的患者达到了极佳的复色效果,18.4%的患者达到了良好的复色效果。病程稳定、白癜风类型和皮损部位不同的患者在色素沉着方面存在统计学显著差异。总体而言,不同皮损的靶面积治疗率与色素沉着百分比之间存在显著正相关。CMT治疗稳定期白癜风有效且耐受性良好。在使用CMT之前,应仔细评估各种因素,尤其是不同皮损的靶面积治疗率。因为除白癜风类型外,不同皮损的靶面积治疗率可进一步改善术后色素沉着。本临床试验经杭州市第三人民医院批准(编号2023KA015,国家临床记录编号MR - 33 - 23 - 034502)。