Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (50): 8093-8097.doi: 10.3969/j.issn.2095-4344.2014.50.010

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Treatment of chronic graft-versus-host disease with human umbilical cord mesenchymal stem cells

Huang Ying-dan, Xiao Cui-rong, Lin Jin-zong, Hong Xiu-li, Hu Jia-sheng, Lu Quan-yi   

  1. Department of Haematology, Zhongshan Hospital of Xiamen University, Key Clinical Department of Xiamen City, Xiamen 361004, Fujian Province, China
  • Received:2014-11-06 Online:2014-12-03 Published:2014-12-03
  • Contact: Lu Quan-yi, M.D., Professor, Chief physician, Department of Haematology, Zhongshan Hospital of Xiamen University, Key Clinical Department of Xiamen City, Xiamen 361004, Fujian Province, China
  • About author:Huang Ying-dan, Studying for master’s degree, Department of Haematology, Zhongshan Hospital of Xiamen University, Key Clinical Department of Xiamen City, Xiamen 361004, Fujian Province, China
  • Supported by:

    the Science and Technology Project of Fujian Province, No. 2012D065Huang

Abstract:

BACKGROUND: Mesenchymal stem cells have immunomodulatory effects, which have been proven to be successful in treating acute graft-versus-host disease. However, there are fewer reports concerning human umbilical cord mesenchymal stem cells in treating chronic graft-versus-host disease, particularly for lung-type chronic graft-versus-host disease.
OBJECTIVE: To evaluate the effect of human umbilical cord mesenchymal stem cells to treat chronic graft-versus-host disease after hematopoietic stem cell transplantation.
METHODS: Ten patients undergoing allo-hematopoietic stem cell treatment were clearly diagnosed as having chronic graft-versus-host disease, and had no improvement after conventional immunosuppressive therapy. These patients received the treatment of human umbilical cord mesenchymal stem cells, 2×107 cells per curative unit, 1-2 units every two weeks. The therapeutic results were evaluated according to the clinical standards.
RESULTS AND CONCLUSION: In four patients with lung-type chronic graft-versus-host disease, three patients were effective. In two patients with skin-type chronic graft-versus-host disease, one patient had progress, and another one was effective. In four patients of liver rejection, two patients were effective and the other two were ineffective. The total effective rate was 70% (7/10). Human umbilical cord mesenchymal stem cell infusion can be effective to refractory chronic graft-versus-host disease.


中国组织工程研究杂志出版内容重点:干细胞;骨髓干细胞;造血干细胞;脂肪干细胞;肿瘤干细胞;胚胎干细胞;脐带脐血干细胞;干细胞诱导;干细胞分化;组织工程


全文链接:

Key words: umbilical cord, mesenchymal stem cell transplantation, graft vs host disease

CLC Number: