胚胎干细胞在获得性再生障碍性贫血患者综合治疗中的应用及其对造血功能恢复的影响

Mikhail M. Shulak, M. Klunnyk, I. Matiyashchuk, O. Ivankova, M. Skalozub, N. Sych, M. Demchuk, Andriy Sinelnyk, Timur V. Karayev, K. Sorochynska
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引用次数: 0

摘要

主要目的是研究胎儿干细胞(FSCs)复合治疗对造血功能恢复的影响。本文研究了50例不同疾病严重程度的再生障碍性贫血患者,并使用含有从妊娠7-12周胎儿中提取的胎儿肝细胞的冷冻保存悬浮液进行了复杂的治疗。在上述研究中,我们证明了FSCs用于获得性再生障碍性贫血(AAA)患者的有效性。早在FSCs移植后的第一周,就报道了患者对自己病情的主观评估以及对体育锻炼耐受性的客观增加的积极影响。我们还记录了研究中所有患者红细胞计数、血红蛋白水平、血小板和白细胞值的稳定。使用FSCs治疗后,感染、出血性和贫血综合征得以逆转。在治疗后的14天内,患者的红细胞和白细胞计数明显升高,贫血、出血性体征和感染综合征也明显逆转。在7天内,患者感觉他们的一般状态有所改善,对体育锻炼的耐受性增加。事实证明,使用FSCs与常规治疗相结合的综合治疗可以稳定再生障碍性贫血患者的实验室血液参数,提高患者的生活质量。
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Fetal Stem Cells Use in Complex Treatment of Patients with Acquired Aplastic Anemia and Therapy Effect on Recovery of Hematopoietic Functions
The principal objective was studying effects of complex treatment using fetal stem cells (FSCs) on recovery of hematopoietic function. 50 patients suffering from aplastic anemia of different disease severity were under study and underwent complex treatment by use of cryopreserved suspensions containing fetal liver cells extracted from 7-12 week gestation fetuses. During the above study we proved effectiveness of FSCs use for the patients with acquired aplastic anemia (AAA). Positive effects on patient’s subjective assessment of his/her condition along with an objective increase of tolerance to physical exercises were reported as early as during the first week after FSCs transplantation. We also recorded a stabilization of erythrocytes count, hemoglobin levels, platelets and leukocytes values in all patients under study. Reverse of infectious, hemorrhagic and anemic syndromes was achieved after treatment by use of FSCs. Significantly high erythrocytes and leucocytes counts controlled by laboratory tests together with reverse of anemia, hemorrhagic signs and infectious syndromes in the patients were also remarkable over 14 days after treatment. Within 7 days the patients felt improvement of their general state and increased tolerance to physical exercises. It has been proved that complex treatment by use of FSCs along with conventional therapy leads to stabilization of laboratory blood parameters and improved life quality among the patients with aplastic anemia.
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