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静脉注射人源间充质干细胞条件培养基用于全身不适患者。

Intravenous Administration of Human-Derived Mesenchymal Stem Cell-Conditioned Medium for Patients with General Malaise.

作者信息

Inami Norihito

机构信息

Seihoku Clinic, 775 Takawa, Oshibedani, Nishi-ku, Kobe 651-2204, Japan.

出版信息

J Clin Med. 2025 Aug 20;14(16):5884. doi: 10.3390/jcm14165884.

DOI:10.3390/jcm14165884
PMID:40869710
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12387221/
Abstract

Animal studies have demonstrated that mesenchymal stem cell-conditioned medium (MSC-CM) possesses various therapeutic effects, including anti-inflammatory and anti-fibrotic properties. This study investigated the efficacy and safety of administering MSC-CM as a treatment for patients with generalized fatigue. The MSC-CM used in this study was derived from human adipose tissue and umbilical cord-derived mesenchymal stem cells cultured in a medium free of animal-derived components to avoid the risk of infection. This MSC-CM has recently been shown to possess anti-inflammatory effects and has been reported to be safe for human administration. With the expectation of alleviating fatigue symptoms through its anti-inflammatory effects, it was administered to patients intravenously and by inhalation. Safety and changes in subjective symptoms were evaluated, and blood biomarkers related to inflammation and oxidative stress were measured. In this trial involving 19 patients experiencing fatigue, no serious side effects were observed following MSC-CM administration. Nearly half of the patients reported symptom improvement after a single dose, and some exhibited signs of reduced inflammation. This report presents the first investigation of systemic MSC-CM treatment for generalized fatigue, paving the way for more targeted studies on dosage and treatment frequency. These findings offer new hope and possibilities for treating fatigue, providing valuable insights into the clinical application of MSC-CM.

摘要

动物研究表明,间充质干细胞条件培养基(MSC-CM)具有多种治疗作用,包括抗炎和抗纤维化特性。本研究调查了给予MSC-CM治疗全身疲劳患者的疗效和安全性。本研究中使用的MSC-CM来源于人脂肪组织和脐带间充质干细胞,在无动物源性成分的培养基中培养,以避免感染风险。最近研究表明,这种MSC-CM具有抗炎作用,并且据报道对人体给药是安全的。期望通过其抗炎作用减轻疲劳症状,对患者进行静脉注射和吸入给药。评估安全性和主观症状变化,并测量与炎症和氧化应激相关的血液生物标志物。在这项涉及19名疲劳患者的试验中,给予MSC-CM后未观察到严重副作用。近一半患者在单次给药后报告症状改善,一些患者表现出炎症减轻的迹象。本报告首次对全身应用MSC-CM治疗全身疲劳进行了研究,为更有针对性的剂量和治疗频率研究铺平了道路。这些发现为治疗疲劳带来了新的希望和可能性,为MSC-CM的临床应用提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8459/12387221/f2637360f245/jcm-14-05884-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8459/12387221/07cf30f0425c/jcm-14-05884-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8459/12387221/bae4bbf45994/jcm-14-05884-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8459/12387221/8b6722c2fa10/jcm-14-05884-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8459/12387221/f2637360f245/jcm-14-05884-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8459/12387221/07cf30f0425c/jcm-14-05884-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8459/12387221/bae4bbf45994/jcm-14-05884-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8459/12387221/8b6722c2fa10/jcm-14-05884-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8459/12387221/f2637360f245/jcm-14-05884-g004.jpg

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本文引用的文献

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Brain Behav Immun Health. 2025 Jun 30;48:101046. doi: 10.1016/j.bbih.2025.101046. eCollection 2025 Oct.
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Oxidative stress is a shared characteristic of ME/CFS and Long COVID.氧化应激是肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)和长期新冠的共同特征。
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Mesenchymal stromal cell secretome reduces lung injury and thrombo-inflammation induced by SARS-CoV-2 spike protein.
间充质基质细胞分泌组可减轻由SARS-CoV-2刺突蛋白诱导的肺损伤和血栓炎症。
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Safety assessment of multiple systemic administration of human mesenchymal stem cell-conditioned medium for various chronic diseases.人骨髓间充质干细胞条件培养基多次全身给药用于多种慢性疾病的安全性评估。
PLoS One. 2025 May 6;20(5):e0322497. doi: 10.1371/journal.pone.0322497. eCollection 2025.
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Delphinidin-3-O-glucoside in vitro suppresses NF-κB and changes the secretome of mesenchymal stem cells affecting macrophage activation.飞燕草素-3-O-葡萄糖苷在体外抑制 NF-κB 并改变间充质干细胞的分泌组,从而影响巨噬细胞的激活。
Nutrition. 2023 Jan;105:111853. doi: 10.1016/j.nut.2022.111853. Epub 2022 Sep 30.
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