Innovative BMT methods for intractable diseases.

Abstract:

:We have recently established new bone marrow transplantation (BMT) methods for the treatment of intractable diseases. The methods include the perfusion method (PM) for the collection of bone marrow cells, and intra-bone marrow (IBM)-BMT for the direct injection of collected whole bone marrow cells into the bone marrow cavity. The PM, in comparison with the conventional aspiration method, can minimize the contamination of bone marrow cells (BMCs) with T cells from the peripheral blood. Therefore, without removing T cells, no graft-versus-host disease (GvHD) develops in the case of the PM. Since BMCs collected by the PM contain not only hemopoietic stem cells (HSCs) but also mesenchymal stem cells (MSCs), the injection of both cells directly into the bone marrow cavity (IBM-BMT) facilitates the engraftment of donor hemopoietic cells. In organ allografts with IBM-BMT, no graft failure occurs even if the radiation dose is reduced. In addition, IBM-BMT is applicable to regeneration therapy and various age-associated diseases such as osteoporosis, since it can efficiently recruit donor-derived normal MSCs. Finally, we show that IBM-BMT in conjunction with donor lymphocyte infusion (DLI) can prevent GvHD but suppress tumor growth. We believe that this strategy heralds a revolution in the field of transplantation (BMT and organ allografts) and regeneration therapy.

journal_name

Immunol Res

journal_title

Immunologic research

authors

Ikehara S

doi

10.1007/s12026-007-0004-4

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

251-60

issue

1-3

eissn

0257-277X

issn

1559-0755

pii

IR:38:1-3:251

journal_volume

38

pub_type

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