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接受干细胞教育者治疗后,一名长期克罗恩病患者的临床、免疫学、影像学及病理学改善情况

Clinical, Immunological, Radiographic, and Pathologic Improvements in a Patient with Long-Standing Crohn's Disease After Receiving Stem Cell Educator Therapy.

作者信息

Fox Richard, Veysman Boris, Antolijao Kristine, Mendoza Noelle, Lorenzo Ruby Anne, Wang Honglan, Huang Zhi Hua, Zhao Yelu, Zhao Yewen, Tibbot Terri, Povrzenic Darinka, Bayawa Mary Lauren, Kung Sophia, Saffouri Bassam, Zhao Yong

机构信息

Throne Biotechnologies, Paramus, NJ 07652, USA.

Fresenius Medical Care North America, Waltham, MA 02451, USA.

出版信息

Int J Mol Sci. 2025 Jul 28;26(15):7292. doi: 10.3390/ijms26157292.


DOI:10.3390/ijms26157292
PMID:40806424
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12346882/
Abstract

Crohn's disease is a chronic inflammation affecting the gastrointestinal tract. To date, patients are commonly treated with corticosteroids or more aggressive biologics for high-risk subjects. Stem Cell Educator therapy has been successfully utilized to treat patients with type 1 diabetes and other autoimmune conditions. A 78-year-old patient with long-standing Crohn's disease received one treatment with the Stem Cell Educator therapy, followed by clinical, radiographic, pathological examinations and immune marker testing by flow cytometry. After the treatment with Stem Cell Educator therapy, the patient's clinical symptoms were quickly improved with normal bowel movements, without abdominal pain or rectal bleeding. Flow cytometry analysis revealed a marked decline in inflammatory markers, such as the percentage of monocyte/macrophage-associated cytokine interleukin-1 beta (IL-1β) cells, which reduced from 94.98% at the baseline to 18.21%, and down-regulation of the percentage of chemokine CXCL16 cells from 91.92% at baseline to 42.58% at 2-month follow-up. Pathologic examination of the biopsy specimens from colonoscopy five weeks and six months post-treatment showed ileal mucosa with no specific abnormality and no significant inflammation or villous atrophy; no granulomas were identified. A follow-up CT scan four and one-half months post-treatment showed no evidence of the previously seen stenosis of the ilio-colonic anastomosis with proximal dilatation. Stem Cell Educator therapy markedly reduced inflammation in the subject with Crohn's disease, leading to durable clinical, immunological, radiographic, and pathological improvements.

摘要

克罗恩病是一种影响胃肠道的慢性炎症。迄今为止,对于高危患者,通常使用皮质类固醇或更具攻击性的生物制剂进行治疗。干细胞教育者疗法已成功用于治疗1型糖尿病患者和其他自身免疫性疾病。一名患有长期克罗恩病的78岁患者接受了一次干细胞教育者疗法治疗,随后进行了临床、影像学、病理检查以及通过流式细胞术进行免疫标志物检测。接受干细胞教育者疗法治疗后,患者的临床症状迅速改善,排便正常,无腹痛或直肠出血。流式细胞术分析显示炎症标志物显著下降,例如单核细胞/巨噬细胞相关细胞因子白细胞介素-1β(IL-1β)细胞的百分比从基线时的94.98%降至18.21%,趋化因子CXCL16细胞的百分比从基线时的91.92%下调至2个月随访时的42.58%。治疗后5周和6个月结肠镜检查活检标本的病理检查显示回肠黏膜无特异性异常,无明显炎症或绒毛萎缩;未发现肉芽肿。治疗后四个半月的随访CT扫描显示,先前可见的回结肠吻合口狭窄伴近端扩张无证据。干细胞教育者疗法显著减轻了克罗恩病患者的炎症,带来了持久的临床、免疫、影像学和病理改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ea/12346882/f31602218254/ijms-26-07292-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ea/12346882/a71c0db80162/ijms-26-07292-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ea/12346882/8109b0ba22a8/ijms-26-07292-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ea/12346882/10c8cf4f5ba3/ijms-26-07292-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ea/12346882/f31602218254/ijms-26-07292-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ea/12346882/a71c0db80162/ijms-26-07292-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ea/12346882/8109b0ba22a8/ijms-26-07292-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ea/12346882/10c8cf4f5ba3/ijms-26-07292-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ea/12346882/f31602218254/ijms-26-07292-g004.jpg

相似文献

[1]
Clinical, Immunological, Radiographic, and Pathologic Improvements in a Patient with Long-Standing Crohn's Disease After Receiving Stem Cell Educator Therapy.

Int J Mol Sci. 2025-7-28

[2]
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[3]
Stem cell transplantation for induction of remission in medically refractory Crohn's disease.

Cochrane Database Syst Rev. 2022-5-13

[4]
Anti-IL-12/23p40 antibodies for induction of remission in Crohn's disease.

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[5]
Anti-IL-12/23p40 antibodies for induction of remission in Crohn's disease.

Cochrane Database Syst Rev. 2015-5-5

[6]
Maintenance treatment with vedolizumab in paediatric inflammatory bowel disease (VEDOKIDS): 54-week outcomes of a multicentre, prospective, cohort study.

Lancet Gastroenterol Hepatol. 2025-3

[7]
Withdrawal of immunosuppressant or biologic therapy for patients with quiescent Crohn's disease.

Cochrane Database Syst Rev. 2018-5-12

[8]
Methotrexate for induction of remission in refractory Crohn's disease.

Cochrane Database Syst Rev. 2005-1-25

[9]
Aminosalicylates for induction of remission or response in Crohn's disease.

Cochrane Database Syst Rev. 2016-7-3

[10]
Budesonide for maintenance of remission in Crohn's disease.

Cochrane Database Syst Rev. 2014-8-21

本文引用的文献

[1]
Novel Insights into the Pathogenesis of Inflammatory Bowel Diseases.

Biomedicines. 2025-1-26

[2]
Long-Term Risk of Autoimmune and Autoinflammatory Connective Tissue Disorders Following COVID-19.

JAMA Dermatol. 2024-12-1

[3]
Increase in the Expression of Glucose Transporter 2 (GLUT2) on the Peripheral Blood Insulin-Producing Cells (PB-IPC) in Type 1 Diabetic Patients after Receiving Stem Cell Educator Therapy.

Int J Mol Sci. 2024-7-30

[4]
A global consensus on the definitions, diagnosis and management of fibrostenosing small bowel Crohn's disease in clinical practice.

Nat Rev Gastroenterol Hepatol. 2024-8

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Nat Rev Immunol. 2024-8

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Lancet. 2024-3-23

[7]
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Int J Mol Sci. 2024-2-2

[8]
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Front Immunol. 2024-1-11

[9]
Autoimmune and Autoinflammatory Connective Tissue Disorders Following COVID-19.

JAMA Netw Open. 2023-10-2

[10]
Role of the CXCR6/CXCL16 axis in autoimmune diseases.

Int Immunopharmacol. 2023-8

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