Hair regrowth in alopecia areata patients following Stem Cell Educator therapy.

Abstract:

BACKGROUND:Alopecia areata (AA) is one of the most common autoimmune diseases and targets the hair follicles, with high impact on the quality of life and self-esteem of patients due to hair loss. Clinical management and outcomes are challenged by current limited immunosuppressive and immunomodulating regimens. METHODS:We have developed a Stem Cell Educator therapy in which a patient's blood is circulated through a closed-loop system that separates mononuclear cells from the whole blood, allows the cells to briefly interact with adherent human cord blood-derived multipotent stem cells (CB-SC), and returns the "educated" autologous cells to the patient's circulation. In an open-label, phase 1/phase 2 study, patients (N = 9) with severe AA received one treatment with the Stem Cell Educator therapy. The median age was 20 years (median alopecic duration, 5 years). RESULTS:Clinical data demonstrated that patients with severe AA achieved improved hair regrowth and quality of life after receiving Stem Cell Educator therapy. Flow cytometry revealed the up-regulation of Th2 cytokines and restoration of balancing Th1/Th2/Th3 cytokine production in the peripheral blood of AA subjects. Immunohistochemistry indicated the formation of a "ring of transforming growth factor beta 1 (TGF-β1)" around the hair follicles, leading to the restoration of immune privilege of hair follicles and the protection of newly generated hair follicles against autoimmune destruction. Mechanistic studies revealed that co-culture with CB-SC may up-regulate the expression of coinhibitory molecules B and T lymphocyte attenuator (BTLA) and programmed death-1 receptor (PD-1) on CD8β(+)NKG2D(+) effector T cells and suppress their proliferation via herpesvirus entry mediator (HVEM) ligands and programmed death-1 ligand (PD-L1) on CB-SCs. CONCLUSIONS:Current clinical data demonstrated the safety and efficacy of the Stem Cell Educator therapy for the treatment of AA. This innovative approach produced lasting improvement in hair regrowth in subjects with moderate or severe AA. TRIAL REGISTRATION:ClinicalTrials.gov, NCT01673789, 21 August 2012.

journal_name

BMC Med

journal_title

BMC medicine

authors

Li Y,Yan B,Wang H,Li H,Li Q,Zhao D,Chen Y,Zhang Y,Li W,Zhang J,Wang S,Shen J,Li Y,Guindi E,Zhao Y

doi

10.1186/s12916-015-0331-6

subject

Has Abstract

pub_date

2015-04-20 00:00:00

pages

87

issn

1741-7015

pii

10.1186/s12916-015-0331-6

journal_volume

13

pub_type

杂志文章
  • A mouse model of sitosterolemia: absence of Abcg8/sterolin-2 results in failure to secrete biliary cholesterol.

    abstract:BACKGROUND:Mutations in either of two genes comprising the STSL locus, ATP-binding cassette (ABC)-transporters ABCG5 (encoding sterolin-1) and ABCG8 (encoding sterolin-2), result in sitosterolemia, a rare autosomal recessive disorder of sterol trafficking characterized by increased plasma plant sterol levels. Based upo...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-2-5

    authors: Klett EL,Lu K,Kosters A,Vink E,Lee MH,Altenburg M,Shefer S,Batta AK,Yu H,Chen J,Klein R,Looije N,Oude-Elferink R,Groen AK,Maeda N,Salen G,Patel SB

    更新日期:2004-03-24 00:00:00

  • Treatment of enterohemorrhagic Escherichia coli (EHEC) infection and hemolytic uremic syndrome (HUS).

    abstract::Verotoxigenic Escherichia coli (VTEC) are a specialized group of E. coli that can cause severe colonic disease and renal failure. Their pathogenicity derives from virulence factors that enable the bacteria to colonize the colon and deliver extremely powerful toxins known as verotoxins (VT) or Shiga toxins (Stx) to the...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-10-12

    authors: Goldwater PN,Bettelheim KA

    更新日期:2012-02-02 00:00:00

  • Representation of people with comorbidity and multimorbidity in clinical trials of novel drug therapies: an individual-level participant data analysis.

    abstract:BACKGROUND:Clinicians are less likely to prescribe guideline-recommended treatments to people with multimorbidity than to people with a single condition. Doubts as to the applicability of clinical trials of drug treatments (the gold standard for evidence-based medicine) when people have co-existing diseases (comorbidit...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-019-1427-1

    authors: Hanlon P,Hannigan L,Rodriguez-Perez J,Fischbacher C,Welton NJ,Dias S,Mair FS,Guthrie B,Wild S,McAllister DA

    更新日期:2019-11-12 00:00:00

  • Which patients with advanced respiratory disease die in hospital? A 14-year population-based study of trends and associated factors.

    abstract:BACKGROUND:Strategies in many countries have sought to improve palliative care and reduce hospital deaths for non-cancer patients, but their effects are not evaluated. We aimed to determine the trends and factors associated with dying in hospital in two common progressive respiratory diseases, and the impact of a natio...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-016-0776-2

    authors: Higginson IJ,Reilly CC,Bajwah S,Maddocks M,Costantini M,Gao W,GUIDE_Care project.

    更新日期:2017-02-01 00:00:00

  • GWAS and enrichment analyses of non-alcoholic fatty liver disease identify new trait-associated genes and pathways across eMERGE Network.

    abstract:BACKGROUND:Non-alcoholic fatty liver disease (NAFLD) is a common chronic liver illness with a genetically heterogeneous background that can be accompanied by considerable morbidity and attendant health care costs. The pathogenesis and progression of NAFLD is complex with many unanswered questions. We conducted genome-w...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-019-1364-z

    authors: Namjou B,Lingren T,Huang Y,Parameswaran S,Cobb BL,Stanaway IB,Connolly JJ,Mentch FD,Benoit B,Niu X,Wei WQ,Carroll RJ,Pacheco JA,Harley ITW,Divanovic S,Carrell DS,Larson EB,Carey DJ,Verma S,Ritchie MD,Gharavi AG,

    更新日期:2019-07-17 00:00:00

  • Loss of KCNJ10 protein expression abolishes endocochlear potential and causes deafness in Pendred syndrome mouse model.

    abstract:BACKGROUND:Pendred syndrome, a common autosomal-recessive disorder characterized by congenital deafness and goiter, is caused by mutations of SLC26A4, which codes for pendrin. We investigated the relationship between pendrin and deafness using mice that have (Slc26a4+/+) or lack a complete Slc26a4 gene (Slc26a4-/-). M...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-2-30

    authors: Wangemann P,Itza EM,Albrecht B,Wu T,Jabba SV,Maganti RJ,Lee JH,Everett LA,Wall SM,Royaux IE,Green ED,Marcus DC

    更新日期:2004-08-20 00:00:00

  • Genetic discrimination and life insurance: a systematic review of the evidence.

    abstract:BACKGROUND:Since the late 1980s, genetic discrimination has remained one of the major concerns associated with genetic research and clinical genetics. Europe has adopted a plethora of laws and policies, both at the regional and national levels, to prevent insurers from having access to genetic information for underwrit...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/1741-7015-11-25

    authors: Joly Y,Ngueng Feze I,Simard J

    更新日期:2013-01-31 00:00:00

  • Data management and sharing policy: the first step towards promoting data sharing.

    abstract:BACKGROUND:Health-related research funders, regulators and journals expect that de-identified individual-level health data be shared widely, with as few restrictions as possible; yet, in reality, the volume of shared data remains low. MAIN BODY:Health researchers and other data producers are reluctant to share their d...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-019-1315-8

    authors: Waithira N,Mutinda B,Cheah PY

    更新日期:2019-04-17 00:00:00

  • Advances in treating HER2-positive breast cancer: an interview with Sunil Verma.

    abstract::In this podcast, we talk to Dr Sunil Verma about the evolution of HER2 as a therapeutic target in breast cancer, and about how targeted therapy has revolutionized breast cancer treatment. We also discuss new agents in clinical development and the ways in which advances in treating HER2-positive breast cancer can be us...

    journal_title:BMC medicine

    pub_type: 面试

    doi:10.1186/s12916-014-0129-y

    authors: Verma S

    更新日期:2014-08-12 00:00:00

  • Proteinuria as a predictor of complications of pre-eclampsia.

    abstract::Proteinuria is a defining criterion for the diagnosis of pre-eclampsia. The amount of protein lost per day has been thought by some to predict both maternal and fetal outcome. The systematic review of 16 primary papers including over 6700 patients by Thangaratinam and colleagues published this month in BMC Medicine su...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/1741-7015-7-11

    authors: Hofmeyr GJ,Belfort M

    更新日期:2009-03-24 00:00:00

  • A cluster randomized trial to assess the effect of clinical pathways for patients with stroke: results of the clinical pathways for effective and appropriate care study.

    abstract:BACKGROUND:Clinical pathways (CPs) are used to improve the outcomes of acute stroke, but their use in stroke care is questionable, because the evidence on their effectiveness is still inconclusive. The objective of this study was to evaluate whether CPs improve the outcomes and the quality of care provided to patients ...

    journal_title:BMC medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1741-7015-10-71

    authors: Panella M,Marchisio S,Brambilla R,Vanhaecht K,Di Stanislao F

    更新日期:2012-07-10 00:00:00

  • Post-stroke dementia - a comprehensive review.

    abstract::Post-stroke dementia (PSD) or post-stroke cognitive impairment (PSCI) may affect up to one third of stroke survivors. Various definitions of PSCI and PSD have been described. We propose PSD as a label for any dementia following stroke in temporal relation. Various tools are available to screen and assess cognition, wi...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/s12916-017-0779-7

    authors: Mijajlović MD,Pavlović A,Brainin M,Heiss WD,Quinn TJ,Ihle-Hansen HB,Hermann DM,Assayag EB,Richard E,Thiel A,Kliper E,Shin YI,Kim YH,Choi S,Jung S,Lee YB,Sinanović O,Levine DA,Schlesinger I,Mead G,Milošević V,Ley

    更新日期:2017-01-18 00:00:00

  • Ethical challenges in global health-related stigma research.

    abstract:BACKGROUND:It is critically important to conduct research on stigmatized conditions, to include marginalized groups that experience stigma, and to develop interventions to reduce stigma. However, such research is ethically challenging. Though superficial reference is frequently made to these widely acknowledged challen...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-019-1317-6

    authors: Millum J,Campbell M,Luna F,Malekzadeh A,Karim QA

    更新日期:2019-04-29 00:00:00

  • Infectious disease testing of UK-bound refugees: a population-based, cross-sectional study.

    abstract:BACKGROUND:The UK, like a number of other countries, has a refugee resettlement programme. External factors, such as higher prevalence of infectious diseases in the country of origin and circumstances of travel, are likely to increase the infectious disease risk of refugees, but published data is scarce. The Internatio...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-018-1125-4

    authors: Crawshaw AF,Pareek M,Were J,Schillinger S,Gorbacheva O,Wickramage KP,Mandal S,Delpech V,Gill N,Kirkbride H,Zenner D

    更新日期:2018-08-28 00:00:00

  • Ancestral dichlorodiphenyltrichloroethane (DDT) exposure promotes epigenetic transgenerational inheritance of obesity.

    abstract:BACKGROUND:Ancestral environmental exposures to a variety of environmental factors and toxicants have been shown to promote the epigenetic transgenerational inheritance of adult onset disease. The present work examined the potential transgenerational actions of the insecticide dichlorodiphenyltrichloroethane (DDT) on o...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-11-228

    authors: Skinner MK,Manikkam M,Tracey R,Guerrero-Bosagna C,Haque M,Nilsson EE

    更新日期:2013-10-23 00:00:00

  • Antidepressant use and cognitive decline in community-dwelling elderly people - The Three-City Cohort.

    abstract:BACKGROUND:Cognitive impairment is very common in late-life depression, principally affecting executive skills and information processing speed. The aim of the study was to examine the effect of antidepressant treatment on cognitive performances over a 10-year period. METHODS:The community-based cohort included 7381 p...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-017-0847-z

    authors: Carrière I,Norton J,Farré A,Wyart M,Tzourio C,Noize P,Pérès K,Fourrier-Réglat A,Ritchie K,Ancelin ML

    更新日期:2017-04-19 00:00:00

  • Incentivised chronic disease management and the inverse equity hypothesis: findings from a longitudinal analysis of Scottish primary care practice-level data.

    abstract:BACKGROUND:The inverse equity hypothesis asserts that new health policies initially widen inequality, then attenuate inequalities over time. Since 2004, the UK's pay-for-performance scheme for chronic disease management (CDM) in primary care general practices (the Quality and Outcomes Framework) has permitted practices...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-017-0833-5

    authors: Lowrie R,McConnachie A,Williamson AE,Kontopantelis E,Forrest M,Lannigan N,Mercer SW,Mair FS

    更新日期:2017-04-11 00:00:00

  • So depression is an inflammatory disease, but where does the inflammation come from?

    abstract:BACKGROUND:We now know that depression is associated with a chronic, low-grade inflammatory response and activation of cell-mediated immunity, as well as activation of the compensatory anti-inflammatory reflex system. It is similarly accompanied by increased oxidative and nitrosative stress (O&NS), which contribute to ...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/1741-7015-11-200

    authors: Berk M,Williams LJ,Jacka FN,O'Neil A,Pasco JA,Moylan S,Allen NB,Stuart AL,Hayley AC,Byrne ML,Maes M

    更新日期:2013-09-12 00:00:00

  • Genotype-guided versus traditional clinical dosing of warfarin in patients of Asian ancestry: a randomized controlled trial.

    abstract:BACKGROUND:Genotype-guided warfarin dosing has been shown in some randomized trials to improve anticoagulation outcomes in individuals of European ancestry, yet its utility in Asian patients remains unresolved. METHODS:An open-label, non-inferiority, 1:1 randomized trial was conducted at three academic hospitals in So...

    journal_title:BMC medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12916-018-1093-8

    authors: Syn NL,Wong AL,Lee SC,Teoh HL,Yip JWL,Seet RC,Yeo WT,Kristanto W,Bee PC,Poon LM,Marban P,Wu TS,Winther MD,Brunham LR,Soong R,Tai BC,Goh BC

    更新日期:2018-07-10 00:00:00

  • Estimation of outbreak severity and transmissibility: Influenza A(H1N1)pdm09 in households.

    abstract:BACKGROUND:When an outbreak of a novel pathogen occurs, some of the most pressing questions from a public-health point of view relate to its transmissibility, and the probabilities of different clinical outcomes following infection, to allow an informed response. Estimates of these quantities are often based on househo...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-10-117

    authors: House T,Inglis N,Ross JV,Wilson F,Suleman S,Edeghere O,Smith G,Olowokure B,Keeling MJ

    更新日期:2012-10-09 00:00:00

  • Fatty fish intake and cognitive function: FINS-KIDS, a randomized controlled trial in preschool children.

    abstract:BACKGROUND:Marine resources including fatty fish are important sources of n-3 long chain polyunsaturated fatty acids (n-3 LC-PUFAs), which are important for brain development. To our knowledge, this is the first randomized controlled trial (RCT) investigating the impact of fatty fish on cognition in preschool children....

    journal_title:BMC medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12916-018-1020-z

    authors: Øyen J,Kvestad I,Midtbø LK,Graff IE,Hysing M,Stormark KM,Markhus MW,Baste V,Frøyland L,Koletzko B,Demmelmair H,Dahl L,Lie Ø,Kjellevold M

    更新日期:2018-03-12 00:00:00

  • Investigating spillover of multidrug-resistant tuberculosis from a prison: a spatial and molecular epidemiological analysis.

    abstract:BACKGROUND:Congregate settings may serve as institutional amplifiers of tuberculosis (TB) and multidrug-resistant tuberculosis (MDR-TB). We analyze spatial, epidemiological, and pathogen genetic data prospectively collected from neighborhoods surrounding a prison in Lima, Peru, where inmates experience a high risk of M...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-018-1111-x

    authors: Warren JL,Grandjean L,Moore DAJ,Lithgow A,Coronel J,Sheen P,Zelner JL,Andrews JR,Cohen T

    更新日期:2018-08-03 00:00:00

  • Trends in life expectancy: did the gap between the healthy and the ill widen or close?

    abstract:BACKGROUND:During the past decades, life expectancy has continued to increase in most high-income countries. Previous research suggests that improvements in life expectancy have primarily been driven by advances at the upper end of the health distribution, while parts of the population have lagged behind. Using data fr...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-020-01514-z

    authors: Meyer AC,Drefahl S,Ahlbom A,Lambe M,Modig K

    更新日期:2020-03-20 00:00:00

  • Model-based comorbidity clusters in patients with heart failure: association with clinical outcomes and healthcare utilization.

    abstract:BACKGROUND:Comorbidities affect outcomes in heart failure (HF), but are not reflected in current HF classification. The aim of this study is to characterize HF groups that account for higher-order interactions between comorbidities and to investigate the association between comorbidity groups and outcomes. METHODS:Lat...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-020-01881-7

    authors: Gulea C,Zakeri R,Quint JK

    更新日期:2021-01-18 00:00:00

  • Evaluation of a multiple ecological level child obesity prevention program: Switch what you Do, View, and Chew.

    abstract:BACKGROUND:Schools are the most frequent target for intervention programs aimed at preventing child obesity; however, the overall effectiveness of these programs has been limited. It has therefore been recommended that interventions target multiple ecological levels (community, family, school and individual) to have gr...

    journal_title:BMC medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1741-7015-7-49

    authors: Gentile DA,Welk G,Eisenmann JC,Reimer RA,Walsh DA,Russell DW,Callahan R,Walsh M,Strickland S,Fritz K

    更新日期:2009-09-18 00:00:00

  • Healthcare system responses to intimate partner violence in low and middle-income countries: evidence is growing and the challenges become clearer.

    abstract::The damage to health caused by intimate partner violence demands effective responses from healthcare providers and healthcare systems worldwide. To date, most evidence for the few existing, effective interventions in use comes from high-income countries. Gupta et al. provide rare evidence of a nurse-delivered intimate...

    journal_title:BMC medicine

    pub_type: 评论,信件

    doi:10.1186/s12916-017-0886-5

    authors: Taft A,Colombini M

    更新日期:2017-07-12 00:00:00

  • The challenges of colposcopy for cervical cancer screening in LMICs and solutions by artificial intelligence.

    abstract:BACKGROUND:The World Health Organization (WHO) called for global action towards the elimination of cervical cancer. One of the main strategies is to screen 70% of women at the age between 35 and 45 years and 90% of women managed appropriately by 2030. So far, approximately 85% of cervical cancers occur in low- and midd...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-020-01613-x

    authors: Xue P,Ng MTA,Qiao Y

    更新日期:2020-06-03 00:00:00

  • Effects of an 18-week exercise programme started early during breast cancer treatment: a randomised controlled trial.

    abstract:BACKGROUND:Exercise started shortly after breast cancer diagnosis might prevent or diminish fatigue complaints. The Physical Activity during Cancer Treatment (PACT) study was designed to primarily examine the effects of an 18-week exercise intervention, offered in the daily clinical practice setting and starting within...

    journal_title:BMC medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12916-015-0362-z

    authors: Travier N,Velthuis MJ,Steins Bisschop CN,van den Buijs B,Monninkhof EM,Backx F,Los M,Erdkamp F,Bloemendal HJ,Rodenhuis C,de Roos MA,Verhaar M,ten Bokkel Huinink D,van der Wall E,Peeters PH,May AM

    更新日期:2015-06-08 00:00:00

  • Tumour response in metastatic renal cell carcinoma treated with tyrosine kinase inhibitors - assessment of intra-tumour heterogeneity.

    abstract::Intra-tumour heterogeneity is a common molecular phenomenon in metastatic clear cell renal carcinoma (mRCC), representing the genetic complexity of a tumour with multiple metastatic sites. The present commentary discusses the observed phenomena of phenotypic intra-tumour heterogeneity in mRCC patients treated with the...

    journal_title:BMC medicine

    pub_type: 社论

    doi:10.1186/s12916-016-0754-8

    authors: Stühler V,Bedke J

    更新日期:2016-12-07 00:00:00

  • The role of a hepatitis C virus vaccine: modelling the benefits alongside direct-acting antiviral treatments.

    abstract:BACKGROUND:Hepatitis C virus (HCV) elimination is being seriously considered globally. Current elimination models require a combination of highly effective HCV treatment and harm reduction, but high treatment costs make such strategies prohibitively expensive. Vaccines should play a key role in elimination but their be...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-015-0440-2

    authors: Scott N,McBryde E,Vickerman P,Martin NK,Stone J,Drummer H,Hellard M

    更新日期:2015-08-20 00:00:00