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间充质基质细胞治疗减轻自闭症谱系障碍症状:一例报告

Mesenchymal Stromal Cell Treatment Alleviates Autism Spectrum Disorder Symptoms: A Case Report.

作者信息

Gesundheit Benjamin, Hochbaum Leah, Fetyukhina Alexandra, Vorobyev Vasily, Vorobyev Nikolay

机构信息

Research and Development, Cell El Ltd., Jerusalem, ISR.

Intensive Care Unit, Special Hospital for Internal Medicine, Belgrade, SRB.

出版信息

Cureus. 2025 May 4;17(5):e83440. doi: 10.7759/cureus.83440. eCollection 2025 May.

DOI:10.7759/cureus.83440
PMID:40462775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12130910/
Abstract

Autism spectrum disorder (ASD) is associated with significant lifelong challenges for severely affected children and their families. The condition remains poorly understood, and no reliable, effective treatments are available. Presented is a case of a boy with severe ASD, epilepsy, and a pathological electroencephalogram (EEG) who underwent five treatments between the ages of 5.75 years and nine years with mesenchymal stem cells from allogeneic placenta and umbilical cord tissue of unrelated donors. A significant clinical response was observed following each course, including the disappearance of seizures, normalization of the EEG after the first course, and continuously improved ASD symptoms, social skills, and emotional expression. Allogeneic mesenchymal stem cells might offer an attractive innovative modality for some children with ASD and may prove a promising therapy for children with seizure disorders. Clinical research directions are presented to develop these innovative treatments and design future research.

摘要

自闭症谱系障碍(ASD)给重度受影响的儿童及其家庭带来了重大的终身挑战。这种病症仍未得到充分了解,且尚无可靠、有效的治疗方法。本文介绍了一名患有重度ASD、癫痫和病理性脑电图(EEG)的男孩的病例,该男孩在5.75岁至9岁之间接受了5次来自无关供体的异体胎盘和脐带组织间充质干细胞治疗。每次治疗后均观察到显著的临床反应,包括癫痫发作消失、第一个疗程后脑电图恢复正常,以及ASD症状、社交技能和情感表达持续改善。异体间充质干细胞可能为一些患有ASD的儿童提供一种有吸引力的创新治疗方式,并且可能被证明是治疗癫痫症儿童的一种有前景的疗法。本文还提出了临床研究方向,以开发这些创新治疗方法并设计未来的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec13/12130910/88f6ada4e9ab/cureus-0017-00000083440-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec13/12130910/88f6ada4e9ab/cureus-0017-00000083440-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec13/12130910/88f6ada4e9ab/cureus-0017-00000083440-i01.jpg

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本文引用的文献

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MSCs' conditioned media cytokine and growth factor profiles and their impact on macrophage polarization.间充质干细胞条件培养基细胞因子和生长因子谱及其对巨噬细胞极化的影响。
Stem Cell Res Ther. 2023 May 25;14(1):142. doi: 10.1186/s13287-023-03381-w.
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Autism spectrum disorder diagnosis using a new panel of immune- and inflammatory-related serum biomarkers: A case-control multicenter study.使用一组新的免疫和炎症相关血清生物标志物诊断自闭症谱系障碍:一项病例对照多中心研究。
Front Pediatr. 2023 Feb 21;11:967954. doi: 10.3389/fped.2023.967954. eCollection 2023.
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Mesenchymal Stem Cell-Derived Exosomes for Treatment of Autism Spectrum Disorder.
间充质干细胞衍生的外泌体用于治疗自闭症谱系障碍
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Mesenchymal stromal cell therapies: immunomodulatory properties and clinical progress.间质基质细胞治疗:免疫调节特性和临床进展。
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Measuring robustness of brain networks in autism spectrum disorder with Ricci curvature.使用 Ricci 曲率测量自闭症谱系障碍中的大脑网络稳健性。
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Infusion of human umbilical cord tissue mesenchymal stromal cells in children with autism spectrum disorder.输注人脐带组织间充质干细胞治疗自闭症谱系障碍。
Stem Cells Transl Med. 2020 Oct;9(10):1137-1146. doi: 10.1002/sctm.19-0434. Epub 2020 Jun 12.
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A Phase II Randomized Clinical Trial of the Safety and Efficacy of Intravenous Umbilical Cord Blood Infusion for Treatment of Children with Autism Spectrum Disorder.一项评估静脉输注脐带血治疗自闭症谱系障碍儿童的安全性和有效性的 II 期随机临床试验。
J Pediatr. 2020 Jul;222:164-173.e5. doi: 10.1016/j.jpeds.2020.03.011. Epub 2020 May 19.
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Stem Cell-Derived Exosomes in Autism Spectrum Disorder.干细胞衍生的外泌体在自闭症谱系障碍中的作用。
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Phenotypic Characterization of Eosinophilic Esophagitis in a Large Multicenter Patient Population from the Consortium for Food Allergy Research.食物过敏研究联合会大样本多中心患者人群中嗜酸性食管炎的表型特征
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Electrophysiological Biomarkers Predict Clinical Improvement in an Open-Label Trial Assessing Efficacy of Autologous Umbilical Cord Blood for Treatment of Autism.电生理生物标志物可预测开放性试验中自体脐带血治疗自闭症疗效的临床改善。
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