静脉间充质干细胞移植改善了一名重度阿尔茨海默病患者的病情。

IF 0.9 Q4 CLINICAL NEUROLOGY Case Reports in Neurological Medicine Pub Date : 2024-07-15 eCollection Date: 2024-01-01 DOI:10.1155/2024/8353492
Takahiro Honda Pazili
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引用次数: 0

摘要

阿尔茨海默病(AD)是一种进行性神经系统疾病,也是最常见的痴呆症。阿尔茨海默氏症晚期的特征是认知能力和功能严重衰退,日常活动需要大量协助。由于在这一阶段还没有完全有效的疗法,因此开发能够恢复任何症状的疗法对于改善生活质量非常重要。最近,干细胞疗法在包括AD在内的多种神经系统疾病中备受关注。在此,我们报告了一名处于晚期的AD患者,通过静脉注射活体扩增的骨髓间充质干细胞(MSC),其症状得到了改善。该病例是一名患有严重阿尔茨海默氏症的61岁女性,曾入住特殊疗养院。她既不能独立行走,也不能独立坐起。与她交谈时,她既不会微笑,也不会正常注视。她的颈部活动僵硬。她正在接受吞咽困难饮食治疗。我们培养了她的骨髓间充质干细胞,并静脉注射了 1,5 × 108 个细胞。治疗后,她的微笑消失、眼球运动障碍和颈部活动障碍均得到了改善。这是首例显示间充质干细胞对 AD 终末症状有治疗作用的病例报告。
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A Severe Alzheimer's Disease Patient Improved by Intravenous Mesenchymal Stem Cell Transplant.

Alzheimer's disease (AD) is a progressive neurological disorder and is the most common form of dementia. The terminal stage of AD is characterized by severe cognitive and substantial functional decline, requiring extensive assistance with daily activities. As effective therapies at this stage are not fully available, development of therapeutics that can recover any symptoms would be important to improve the quality of life. Recently, stem cell therapy has gathered a lot of attention in several neurological diseases, including AD. Here, we report an AD patient at the terminal stage whose symptoms were improved by the intravenous administration of ex vivo-expanded bone marrow-derived mesenchymal stem cells (MSC). The case is a 61-year-old woman with severe Alzheimer's disease who had been admitted to the special nursing home. She could neither walk nor sit up independently. She also did neither smile nor gaze properly when talked to. Rigidity including neck motion was observed. She was on dysphagia diets. We cultured her bone-marrow-derived MSCs and intravenously administered 1,5 × 108 cells. After the treatment, smile loss, eye movement dysfunction, and neck immobility were improved. This is the first case report that showed the therapeutic effects of MSCs on terminal symptoms of AD.

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