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Clin Transl Med:这也可以?月经血来源间充质干细胞可有效治疗重症新冠肺炎!

2021-03-01 MedSci原创 MedSci原创

月经血来源间充质干细胞可有效治疗重症新冠肺炎

新冠病毒肆虐全球一年有余,我国中高风险地区早已清零,但国外仍是此起彼伏,特别是美国仍日新增数万。

科学家甚至预测新冠病毒将长期与人类共存,但目前还没有治愈新冠肺炎的有效方法。

间充质基质细胞(MSC)有望有效治疗新冠肺炎,尤其是对于危重患者。月经血来源的骨髓间充质干细胞因其优越的增殖能力和无伦理问题而受到广泛关注。

2020年1月-4月,浙江大学附属第一医院和武汉大学附属人民医院等多家医院联合开展了一项多中心、开放标签、非随机、平行对照的探索性试验。

招募了44位患者,其中26位患者接受了同种异体月经血源性MSC治疗,并同时接受药物治疗(实验组),18位患者仅接受同期药物治疗(对照组)。实验组共输注MSC 9×107个,分3次,隔日输注1次。在MSC输注后的1个月内,在不同的时间点对与安全性和有效性相关的主要和次要终点进行评估。

实验组患者的死亡率明显较对照组的降低(7.69% vs 33.33%;P=0.048)。实验组患者每次输注MSC后(第1、3、5天)呼吸困难均有明显改善。

此外,实验组的SpO2也随着MSC的输注明显改善,胸部影像学检查结果在MSC输注后第1个月有明显改善(P<0.05)。两组间大多数不良反应的发生率没有差异。

综上,以MSC为基础的治疗可能成为治疗重症和危重新冠肺炎的一种有前景的替代方法。

原始出处:

Xu Xiaowei,Jiang Wanli,Chen Lijun et al. Evaluation of the safety and efficacy of using human menstrual blood-derived mesenchymal stromal cells in treating severe and critically ill COVID-19 patients: An exploratory clinical trial. Clin Transl Med, 2021, 11: e297.

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    2021-12-02 bsmagic9140
  2. 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    2021-09-11 血液小医生

    谢谢分享

    0

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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=944570, encodeId=8f7a9445e08a, content=为什么没有人跟踪研究?, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210703/9c448fe1b3b54fd7bc9477662f4861bb/4bdadad22bfd46f2921aabb4c40265d3.jpg, createdBy=a8d81938466, createdName=weigq, createdTime=Mon Mar 01 21:34:27 CST 2021, time=2021-03-01, status=1, ipAttribution=)]
    2021-03-04 独孤立克

    干细胞是热点,但是进入临床仍然需要时间和临床疗效验证哦

    0

  6. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=944570, encodeId=8f7a9445e08a, content=为什么没有人跟踪研究?, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210703/9c448fe1b3b54fd7bc9477662f4861bb/4bdadad22bfd46f2921aabb4c40265d3.jpg, createdBy=a8d81938466, createdName=weigq, createdTime=Mon Mar 01 21:34:27 CST 2021, time=2021-03-01, status=1, ipAttribution=)]
    2021-03-03 luwei00
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  8. [GetPortalCommentsPageByObjectIdResponse(id=1657412, encodeId=15ce165e41258, content=<a href='/topic/show?id=3ca31e71903' target=_blank style='color:#2F92EE;'>#TRA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17719, encryptionId=3ca31e71903, topicName=TRA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=757b24868428, createdName=bsmagic9140, createdTime=Thu Dec 02 10:04:19 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1016636, encodeId=a0f5101663617, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/zN0zNa6WxPrMcb0wXicHafjnuglnleugIQya9bOAOpIYA1e3iceY7HpfzVluEbUKuiaPYo9znTicRvALNvhO6kfI0Q/132, 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=944570, encodeId=8f7a9445e08a, content=为什么没有人跟踪研究?, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210703/9c448fe1b3b54fd7bc9477662f4861bb/4bdadad22bfd46f2921aabb4c40265d3.jpg, createdBy=a8d81938466, createdName=weigq, createdTime=Mon Mar 01 21:34:27 CST 2021, time=2021-03-01, status=1, ipAttribution=)]
    2021-03-03 hb2008ye
  9. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=944570, encodeId=8f7a9445e08a, content=为什么没有人跟踪研究?, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210703/9c448fe1b3b54fd7bc9477662f4861bb/4bdadad22bfd46f2921aabb4c40265d3.jpg, createdBy=a8d81938466, createdName=weigq, createdTime=Mon Mar 01 21:34:27 CST 2021, time=2021-03-01, status=1, ipAttribution=)]
    2021-03-01 weigq

    为什么没有人跟踪研究?

    0

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通过多种临床探索发现牙髓中存在间充质干细胞(MSCs),这促使牙髓组织的再生成为可能,尽管体外扩展和培养的MSC植入髓腔还存在诸多困难。搅碎的牙髓组织作为牙髓MSCs的来源,可以绕过体外MSC培养调控和技术的复杂性。在此,研究者探讨搅碎牙髓的组织再生能力。

Artif Cells Nanomed Biotechnol:缺氧MSC外泌体通过miRNA-210发挥更好的心梗后心功能保护作用

浙江大学医学院附属第二医院余红教授的这项研究,目的是探究在心肌修复方面来自缺氧处理的MSC(Exo(H))的外泌体是否优于那些从常氧处理的MSC(Exo(N))。

Cell Death Dis:耗竭ID3可改善干燥综合征MSC疗法的效果

干燥综合征(SS)是一种慢性的自身免疫性疾病,通常会损害外分泌腺(主要是唾液腺和泪腺)的正常功能,导致口干和眼睛干燥等症状。免疫系统的功能异常已被证明在SS的发病机制中起着至关重要的作用。

Blood:ALK阴性的间变性大细胞淋巴瘤的复发性MSCE116K突变

间变性大细胞淋巴瘤(ALCLs)是一组比较常见的T细胞非霍奇金淋巴瘤(T-NHLs),它们具有相似的病理特征,但具有显著的遗传异质性。根据ALK重排的存在与否,ALCLs大致可分为ALK阳性或ALK阴性。对62例T-NHLs患者的外显子测序发现在肌球蛋白基因上有一个既往未报道过的复发性突变,MSCE116K,仅见于ALK阴性的ALCLs。对238例T-NHLs患者进行额外测序证实了MSCE116K

Blood:MSC,ALL治疗过程中的“叛徒”!

Richard Burt等人研究并建立了成人急性淋巴细胞白血病(ALL)的间充质基质细胞(MSC)生态位模型。研究人员通过基因表达谱、细胞因子/趋化因子定量、流式细胞术和多种成像技术证实,MSC是直接来自于ALL患者的原始骨髓样本,这些MSC都具有活化的、与癌症相关的成纤维细胞表型。

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