Stem Cell Res Ther:间充质干细胞或是治疗系统性硬化症的有效疗法

2022-04-12 MedSci原创 MedSci原创

系统性硬化症(SSc)是一种发病率和死亡率都很高的自身免疫性疾病,其特点是皮肤和内部器官的纤维化。有研究显示,使用干细胞可有效治疗SSc。

系统性硬化症(SSc)是一种发病率和死亡率都很高的自身免疫性疾病,其特点是皮肤和内部器官的纤维化。有研究显示,使用干细胞可有效治疗SSc。在此,研究人员进行了一项系统回顾和荟萃分析,以确定间充质干细胞(MSCs)在治疗SSc方面的疗效和安全性。

研究人员检索了PubMed、Embase、Cochrane图书馆、Web of Science、OVID、中国国家知识基础设施和万方数据库,截止至2021年2月1日。文献筛选、数据提取和质量评估由两名研究人员根据纳入和排除标准独立进行。

 

研究共纳入了9项研究,包括133名SSc患者。分析结果显示,与基线相比,使用间充质干细胞治疗后:1.SSc患者的改良Rodnan皮肤评分(mRSS)明显减少(P < 0.00001)。2.间充质干细胞减少了SSc患者的溃疡数量、口腔残障量表和手部疼痛视觉模拟量表(P=0.0007和P=0.03)。3. 间充质干细胞治疗6个月时,Raynaud病情评分和Cochin手功能量表评分没有发现统计学差异(P = 0.5和P = 0.62)。4. 随访12个月后,间充质干细胞改善了SSc患者的一氧化碳扩散能力和用力肺活量(P < 0.05)。5. 总的来说,间充质干细胞的应用是安全的,少数病例表现为注射部位的肿胀、腹泻和关节痛,这些都可自愈,在纳入的试验中没有发生严重的不良事件。

综上所述,该研究结果表明,间充质干细胞治疗能改善SSc患者的皮肤增厚程度、肺功能和张口度,并能缓解手指溃疡和疼痛,且无严重不良事件发生。因此,间充质干细胞或间充质干细胞与血浆和传统药物相结合可能是一种有效和有前途的SSc患者的治疗。

 

原始出处:

 

Jiehan Cui, et al., Efficacy and safety of mesenchymal stem cells in the treatment of systemic sclerosis: a systematic review and meta-analysis. Stem Cell Res Ther. 2022 Mar 21;13(1):118. doi: 10.1186/s13287-022-02786-3.

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    2022-12-08 维他命
  4. 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  5. 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  6. 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  7. 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    2022-05-09 病毒猎手

    #间充质干细胞#治疗#系统性硬化症#这也是#自身免疫性疾病#,都是值得探索的路径,它能重建人体的免疫耐受。

    0

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