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人类脐带血-间充质干细胞改善失代偿期肝硬化患者肝脏功能和腹水的进展

作者: 张明媛 发布日期: 2012-06-25 阅读次数:1618
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 目的:失代偿期肝硬化,是慢性肝脏疾病发展过程中出现的一种危及生命的并发症,也是临床上需要进行肝移植的主要适应症。最近有研究表明:输注间充质干细胞可以实现人类和小鼠中肝纤维化的逆转。方法:本研究旨在验证从脐带血中获得的间充质干细胞在失代偿期肝硬化患者中应用的安全性及有效性。结果:共有45名慢性乙肝病毒感染后出现失代偿性肝硬化的患者被纳入此项研究,其中30名患者接受UC-MSC输注的治疗,15名患者输注盐水作为对照。临床参考指标在1年的随访期内被规律的监测,在任何一组患者中都没有观察到明显的副作用及相关的并发症。结论:利用UC-MSC进行治疗组与对照组相比,腹水量有明显的下降(P < 0.05). 同时,接受UC-MSC治疗组肝脏功能得到明显的改善,其肝功的改善可以通过血清中白蛋白水平的上升,总胆红素水平的下降,以及终末期肝病-钠模型评分的下降来得到提示。

 

吉林大学第一医院肝胆胰内科  张明媛  摘译

本文首次发表于[J Gastroenterol Hepatol. 2012;27 Suppl 2:112-120.]

 

Human umbilical cord mesenchymal stem cells improve liver function and ascites in decompensated liver cirrhosis patients

Abstract

BACKGROUND AND AIMS: Decompensated liver cirrhosis (LC), a life-threatening complication of chronic liver disease, is one of the major indications for liver transplantation.

Recently,mesenchymal stem cell (MSC) transfusion has been shown to lead to the regression of liver fibrosis in mice and humans.

METHODS: This study examined the safety and efficacy of umbilical cord-derived MSC (UC-MSC) in patients with decompensated LC.

RESULTS: A total of 45 chronic hepatitis B patients with decompensated LC, including 30 patients receiving UC-MSC transfusion,and 15 patients receiving saline as the control, were recruited clinical parameters were detected during a 1-year follow-up period. No significant side-effects and complications were observed in either group.

CONCLUSIONS: There was a significant reduction in the volume of ascites in patients treated with UC-MSC transfusion compared with controls (P < 0.05). UC-MSC therapy also significantly improved liver function, as indicated by the increase of serum albumin levels, decrease in total serum bilirubin levels, and decrease in the sodium model for end-stage liver disease scores.

 

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作者: 张明媛 发布日期: 2012-06-25 阅读次数:1618