Safety of Multiple Intrathecal Administrations of Cultured Human Autologous Adipose-Derived Stem Cells in the Patients with Neurological Disorders Including Parkinson’s Disease

R. Jc, Park Ch, Choi Hj, Y. Kim
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Abstract

Although autologous adipose stem cells have much therapeutic potential for incurable diseases, safety concerns have been constantly raised for clinical use. An intrathecal injection of the stem cells to improve therapeutic efficiency in central nervous system diseases is also reluctant due to concerns of adverse reaction. To investigate the safety of multiple intrathecal administrations of autologous adipose-derived mesenchymal stem cells (hAdMSCs), adverse reactions were analyzed by questionnaire survey and blood chemistry examination in 70 patients with Parkinson’s disease and other neurodegenerative diseases who received hAdMSCs multiple times in China and Japan, retrospectively. As results, multiple IT administrations of cultured autologous hAdMSCs were safe, although mild back pain at the injection site in 4 patients and headache, dizziness, fever and asleep legs in other 4 patients. Adverse reactions were disappeared completely without specific treatment within a day. There were no serious adverse reactions during the cell treatment period. No remarkable atypical clinical change was observed in the blood analysis before and after the cell administrations. This study demonstrates that multiple IT administrations of hAdMSCs are safe for clinical use.
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体外培养的人自体脂肪来源干细胞多次鞘内注射治疗神经系统疾病(包括帕金森病)的安全性
尽管自体脂肪干细胞在治疗不治之症方面具有很大的潜力,但其临床应用的安全性问题一直备受关注。鞘内注射干细胞以提高中枢神经系统疾病的治疗效率也不太愿意,因为担心不良反应。为探讨多次鞘内注射自体脂肪源性间充质干细胞(hAdMSCs)的安全性,回顾性分析中国和日本70例多次接受hAdMSCs治疗的帕金森病及其他神经退行性疾病患者的不良反应。结果表明,多次给药培养的自体hAdMSCs是安全的,尽管4例患者在注射部位出现轻度背部疼痛,另外4例患者出现头痛、头晕、发热和腿部睡眠。不良反应在1天内完全消失,无需特殊治疗。细胞治疗期间未见严重不良反应。细胞给药前后血液分析未见明显的非典型临床变化。本研究表明,hAdMSCs的多次IT管理是安全的临床应用。
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