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人脐带间充质干细胞的毒性和过敏作用:体内评估。

Human umbilical cord mesenchymal stem cells toxicity and allergy effects: In vivo assessment.

机构信息

School of Medicine, Wuhan University, Wuhan, Hubei, China.

ALPS Medical Centre, ALPS Global Holding, Kuala Lumpur, Malaysia.

出版信息

PLoS One. 2024 Oct 24;19(10):e0309429. doi: 10.1371/journal.pone.0309429. eCollection 2024.

Abstract

OBJECTIVE

Human umbilical cord mesenchymal stem cells (hUCMSCs) hold significant promise across various clinical applications. Therefore, regulatory requirements necessitate a thorough investigation of the hUCMSCs safety before clinical trials and potential allergic reactions after transplantation.

METHODS

Abnormal toxicity test employed mice and guinea pigs dosed daily at 0.5×106 cells and 5×106 cells, respectively for 7 days. Acute toxicity test employed low, medium, and high doses of hUCMSCs injected into mice once, followed by observations for 23 days. In systemic allergy test, guinea pigs received low and high dose of hUCMSCs, with sensitization and excitation stages at day 14 and 21, respectively.

RESULTS

The abnormal toxicity test of hUCMSC injections revealed no abnormal reactions over a seven-day observation period, indicating the safety of this administration route. In acute toxicity studies, the high-dose hUCMSCs group resulted in fatalities due to pulmonary embolism. Conversely, the low-dose group exhibited no toxic reactions or deaths. The maximum tolerated dose was determined to be >2×107 cells/kg. Systemic active allergy test showed that high doses of hUCMSC intravenous injections did not induce allergic reactions.

CONCLUSION

This research affirms hUCMSC injections meet safety standards for clinical cell therapy, emphasizing their safe and promising clinical utility.

摘要

目的

人脐带间充质干细胞(hUCMSCs)在多种临床应用中具有重要的应用前景。因此,在临床试验前需要对 hUCMSCs 的安全性进行全面研究,以确保其在移植后不会引起潜在的过敏反应。

方法

采用异常毒性试验,分别对小鼠和豚鼠每日给予 0.5×106 个细胞和 5×106 个细胞,连续 7 天。急性毒性试验采用低、中、高剂量的 hUCMSCs 一次性注射入小鼠体内,观察 23 天。在全身过敏试验中,豚鼠接受低剂量和高剂量的 hUCMSCs,在第 14 天和第 21 天分别进行致敏和激发阶段。

结果

hUCMSC 注射的异常毒性试验在 7 天的观察期内未发现异常反应,表明该给药途径是安全的。在急性毒性研究中,高剂量 hUCMSCs 组因肺栓塞导致死亡。相反,低剂量组没有出现毒性反应或死亡。最大耐受剂量确定为 >2×107 个细胞/千克。全身主动过敏试验显示,高剂量的 hUCMSC 静脉注射不会引起过敏反应。

结论

本研究证实 hUCMSC 注射符合临床细胞治疗的安全性标准,强调了其安全且有前景的临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/626f/11500854/f2ad2938b6ce/pone.0309429.g001.jpg

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