Treatment of radiation burns with surgery and cell therapy. A report of two cases

被引:15
作者
Bey, Eric [1 ]
Duhamel, Patrick [1 ]
Lataillade, Jean-Jacques [2 ]
de Revel, Thierry [3 ]
Carsin, Herve [3 ,4 ]
Gourmelon, Patrick [5 ]
机构
[1] Serv Chirurg Plast HIA Percy, F-92141 Clamart, France
[2] Ctr Transfus Sanguine Armees Jean Julliard, Clamart, France
[3] Serv Hematol HIA Percy, Clamart, France
[4] Ctr Traitement Brules HIA Percy, Clamart, France
[5] IRSN, Fontenay Aux Roses, France
来源
BULLETIN DE L ACADEMIE NATIONALE DE MEDECINE | 2007年 / 191卷 / 06期
关键词
whole-body irradiation; surgery; regenerative medicine;
D O I
10.1016/S0001-4079(19)32994-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Treatment of severe radiation burns remains a difficult challenge. Conventional surgical treatment (excision, skin grafting, skin or muscle flaps) often fails to prevent unpredictable and uncontrolled extension of the necrotic process. We report two clinical cases in which surgery was combined with mesenchymal stein cell (MSC) therapy. Clinical outcome was good and there was no recurrence of radiation inflammatory waves observed in the first patient after one year This novel multi-disciplinary therapeutic approach, combining physical techniques, modern plastic surgery and cell therapy, should improve the medical management of severe localized radiation burns.
引用
收藏
页码:971 / 978
页数:8
相关论文
共 11 条
[1]  
ARIYAN S, 1990, PLASTIC SURG, P831
[2]   A protective role for keratinocyte growth factor in a murine model of chemotherapy and radiotherapy-induced mucositis [J].
Borges, Luis ;
Rex, Karen L. ;
Chen, Jennifer N. ;
Wei, Ping ;
Kaufman, Stephen ;
Scully, Sheila ;
Pretorius, James K. ;
Farrell, Catherine L. .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2006, 66 (01) :254-262
[3]   New approach for dose reconstruction: Application to one case of localized irradiation with radiological burns [J].
Bottollier-Depois, JF ;
Gaillard-Lecanu, E ;
Roux, A ;
Chau, Q ;
Trompier, F ;
Voisin, P ;
Gourmelon, P .
HEALTH PHYSICS, 2000, 79 (03) :251-256
[4]   Platelet lysates promote mesenchymal stem cell expansion: A safety substitute for animal serum in cell-based therapy applications [J].
Doucet, C ;
Ernou, I ;
Zhang, YZ ;
Llense, JR ;
Begot, L ;
Holy, X ;
Lataillade, JJ .
JOURNAL OF CELLULAR PHYSIOLOGY, 2005, 205 (02) :228-236
[5]   Human mesenchymal stem cells favour healing of the cutaneous radiation syndrome in a xenogenic transplant model [J].
Francois, Sabine ;
Mouiseddine, Moubarak ;
Mathieu, Noelle ;
Semont, Alexandra ;
Monti, Pascale ;
Dudoignon, Nicolas ;
Sache, Amandine ;
Boutarfa, Asma ;
Thierry, Dominique ;
Gourmelon, Patrick ;
Chapel, Alain .
ANNALS OF HEMATOLOGY, 2007, 86 (01) :1-8
[6]  
Gongora R, 1986, Br J Radiol Suppl, V19, P12
[7]   Mesenchymal stem cells support expansion of in vitro irradiated CD34+ cells in the presence of SCF, FLT3 ligand, TPO and IL3:: Potential application to autologous cell therapy in accidentally irradiated victims [J].
Mourcin, F ;
Grenier, N ;
Mayol, JF ;
Lataillade, JJ ;
Sotto, JJ ;
Hérodin, F ;
Drouet, M .
RADIATION RESEARCH, 2005, 164 (01) :1-9
[8]  
Peter Ralf Uwe, 2002, Mil Med, V167, P110
[9]   SURGICAL PROBLEMS IN EXCISION AND REPAIR OF RADIATED TISSUE [J].
ROBINSON, DW .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1975, 55 (01) :41-49
[10]  
STEPHANAZZI J, 2005, TERRORIST THREAT NUC, P112