Bone Marrow Mesenchymal Stem Cells Transplantation on Acute Spinal Cord Injury

被引:9
作者
Song, Hua [1 ,2 ]
Suo, Shiqi [3 ]
Ning, Chao [4 ]
Zhang, Yang [3 ]
Mu, Weidong [5 ]
Chen, Song [4 ]
机构
[1] Shandong Univ, Sch Med, Jinan, Shandong, Peoples R China
[2] Tengzhou Cent Peoples Hosp, Dept Orthopaed, Tengzhou, Shandong, Peoples R China
[3] Hebei Univ Engn, Affiliated Hosp, Dept Gynecol, Handan, Hebei, Peoples R China
[4] Hebei Univ Engn, Affiliated Hosp, Dept Orthoped, 81 Congtai Rd, Handan 056002, Hebei, Peoples R China
[5] Shandong Univ, Shandong Prov Hosp, Dept Orthopaed, Jinan, Shandong, Peoples R China
关键词
Acute spinal cord injury; Autologous bone marrow mesenchymal stem cells transplantation; Neural function; Recovery time; Safety; NEUROGENESIS; MANAGEMENT;
D O I
10.2485/jhtb.29.91
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
To investigate the clinical efficacy of autologous bone marrow mesenchymal stem cells transplantation in patients with acute spinal cord injury. The clinical manifestations of these patients are abnormal sensation and motor functions that dominated by damaged nerve segment. A total of 36 patients with acute spinal cord injury were randomly divided into control group (n=18, treated with decompression internal fixation + conventional medical treatments) and experimental group (n=18, control group's treatment autologous bone marrow mesenchymal stem cells injection in the subarachnoid space). The total effective rate in the observation group was higher than control group (P=0.045). After 12 months of treatment, the SCIM-III score, ASIA exercise score, Botsford score, and ASIA sensory score were significantly higher than those before treatment in both groups, and the increase in the observation group was more obvious (P<0.05). The time for muscle strength and muscle function recovery and independent walking in the observation group were less than those of the control group (P<0.05). Autologous bone marrow mesenchymal stem cells transplantation can improve the therapeutic effect and nerve function, promote the recovery of motor function, sensory function and spinal cord injury without disorder in humoral immune function.
引用
收藏
页码:91 / 98
页数:8
相关论文
共 22 条
[1]   Transplantation of bone marrow mesenchymal stem cells pretreated with valproic acid in rats with an acute spinal cord injury [J].
Chen, Lei ;
Cui, Xiaoyan ;
Wu, Zhourui ;
Jia, Long ;
Yu, Yan ;
Zhou, Qiulian ;
Hu, Xiao ;
Xu, Wei ;
Luo, Dandan ;
Liu, Jie ;
Xiao, Junjie ;
Yan, Qiao ;
Cheng, Liming .
BIOSCIENCE TRENDS, 2014, 8 (02) :111-119
[2]   Mesenchymal Stem Cells for Spinal Cord Injury: Current Options, Limitations, and Future of Cell Therapy [J].
Cofano, Fabio ;
Boido, Marina ;
Monticelli, Matteo ;
Zenga, Francesco ;
Ducati, Alessandro ;
Vercelli, Alessandro ;
Garbossa, Diego .
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2019, 20 (11)
[3]   Transplantation of neurotrophin-3-transfected bone marrow mesenchymal stem cells for the repair of spinal cord injury [J].
Dong, Yuzhen ;
Yang, Libin ;
Yang, Lin ;
Zhao, Hongxing ;
Zhang, Chao ;
Wu, Dapeng .
NEURAL REGENERATION RESEARCH, 2014, 9 (16) :1520-1524
[4]   The translational importance of establishing biomarkers of human spinal cord injury [J].
Elizei, Sanam Salimi ;
Kwon, Brian K. .
NEURAL REGENERATION RESEARCH, 2017, 12 (03) :385-388
[5]   A modified collagen scaffold facilitates endogenous neurogenesis for acute spinal cord injury repair [J].
Fan, Caixia ;
Li, Xing ;
Xiao, Zhifeng ;
Zhao, Yannan ;
Liang, Hui ;
Wang, Bin ;
Han, Sufang ;
Li, Xiaoran ;
Xu, Bai ;
Wang, Nuo ;
Liu, Sumei ;
Xue, Weiwei ;
Dai, Jianwu .
ACTA BIOMATERIALIA, 2017, 51 :304-316
[6]   A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury: Recommendations on the Type and Timing of Rehabilitation [J].
Fehlings, Michael G. ;
Tetreault, Lindsay A. ;
Aarabi, Bizhan ;
Anderson, Paul ;
Arnold, Paul M. ;
Brodke, Darrel S. ;
Chiba, Kazuhiro ;
Dettori, Joseph R. ;
Furlan, Julio C. ;
Harrop, James S. ;
Hawryluk, Gregory ;
Holly, Langston T. ;
Howley, Susan ;
Jeji, Tara ;
Kalsi-Ryan, Sukhvinder ;
Kotter, Mark ;
Kurpad, Shekar ;
Kwon, Brian K. ;
Marino, Ralph J. ;
Martin, Allan R. ;
Massicotte, Eric ;
Merli, Geno ;
Middleton, James W. ;
Nakashima, Hiroaki ;
Nagoshi, Narihito ;
Palmieri, Katherine ;
Singh, Anoushka ;
Skelly, Andrea C. ;
Tsai, Eve C. ;
Vaccaro, Alexander ;
Wilson, Jefferson R. ;
Yee, Albert ;
Burns, Anthony S. .
GLOBAL SPINE JOURNAL, 2017, 7 :231S-238S
[7]   Optimizing Clinical Decision Making in Acute Traumatic Spinal Cord Injury [J].
Fehlings, Michael G. ;
Noonan, Vanessa K. ;
Atkins, Derek ;
Burns, Anthony S. ;
Cheng, Christiana L. ;
Singh, Anoushka ;
Dvorak, Marcel F. .
JOURNAL OF NEUROTRAUMA, 2017, 34 (20) :2841-2842
[8]  
[高德萱 Gao De-xuan], 2011, [中国组织工程研究与临床康复, Journal of Clinical Rehabilitative Tissue Engineering Research], V15, P5016
[9]  
[关骅 Guan Hua], 2005, [中国脊柱脊髓杂志, Chinese Journal of Spine and Spinal Cord], V15, P264
[10]  
[郭志松 Guo Zhisong], 2014, [中华实验外科杂志, Chinese Journal of Experimental Surgery], V31, P2605