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[细胞疗法及其风险]

[Cell therapy and its risks].

作者信息

Bohl J R, Goebel H H, Pötsch L, Walther G, Mattern R

机构信息

Abteilung für Neuropathologie, Universität Mainz.

出版信息

Fortschr Med. 1994 Jun 30;112(18):261-5.

PMID:8088690
Abstract

Parenteral administration of fresh cells, frozen cells (snapfrozen cell suspensions) or lyophilized cells (sicca cells), is known as cellular or cell therapy. While the German Health Office (BGA) provisionally banned the use of dried cell preparations in 1987, injection of fresh cells is still allowed. There have been repeated reports of life-threatening, and even fatal, complications of this type of therapy. Since it involves the administration of heterologous biological material, most of the complications that have been observed have been of the allergic/hyperergic type resembling experimental allergic encephalomyelitis (EAE) and experimental allergic neuritis (EAN). When evaluating the risks of this form of alternative-medical treatment, the well-known risks of injection therapy must also be borne in mind. In the case of cell therapy, too, the hoped for effect must be weighed against the risks of the procedure, and our guiding principle must be: nil nocere.

摘要

肠胃外给予新鲜细胞、冷冻细胞(速冻细胞悬液)或冻干细胞(干燥细胞),被称为细胞治疗。虽然德国卫生局(BGA)在1987年临时禁止使用干燥细胞制剂,但新鲜细胞注射仍被允许。关于这种治疗方式危及生命甚至致命并发症的报道屡见不鲜。由于它涉及给予异源生物材料,所观察到的大多数并发症属于过敏/超敏类型,类似于实验性过敏性脑脊髓炎(EAE)和实验性过敏性神经炎(EAN)。在评估这种替代医学治疗形式的风险时,也必须牢记注射治疗的常见风险。对于细胞治疗而言,同样必须权衡预期效果与操作风险,而我们的指导原则必须是:切勿伤害。

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