Treatment of knee osteoarthritis with autologous mesenchymal stem cells: a pilot study.

Abstract:

BACKGROUND:Osteoarthritis is the most prevalent joint disease and a frequent cause of joint pain, functional loss, and disability. Osteoarthritis often becomes chronic, and conventional treatments have demonstrated only modest clinical benefits without lesion reversal. Cell-based therapies have shown encouraging results in both animal studies and a few human case reports. We designed a pilot study to assess the feasibility and safety of osteoarthritis treatment with mesenchymal stromal cells (MSCs) in humans and to obtain early efficacy information for this treatment. METHODS:Twelve patients with chronic knee pain unresponsive to conservative treatments and radiologic evidence of osteoarthritis were treated with autologous expanded bone marrow MSCs by intra-articular injection (40×10 cells). Clinical outcomes were followed for 1 year and included evaluations of pain, disability, and quality of life. Articular cartilage quality was assessed by quantitative magnetic resonance imaging T2 mapping. RESULTS:Feasibility and safety were confirmed, and strong indications of clinical efficacy were identified. Patients exhibited rapid and progressive improvement of algofunctional indices that approached 65% to 78% by 1 year. This outcome compares favorably with the results of conventional treatments. Additionally, quantification of cartilage quality by T2 relaxation measurements demonstrated a highly significant decrease of poor cartilage areas (on average, 27%), with improvement of cartilage quality in 11 of the 12 patients. CONCLUSIONS:MSC therapy may be a valid alternative treatment for chronic knee osteoarthritis. The intervention is simple, does not require hospitalization or surgery, provides pain relief, and significantly improves cartilage quality.

journal_name

Transplantation

journal_title

Transplantation

authors

Orozco L,Munar A,Soler R,Alberca M,Soler F,Huguet M,Sentís J,Sánchez A,García-Sancho J

doi

10.1097/TP.0b013e318291a2da

subject

Has Abstract

pub_date

2013-06-27 00:00:00

pages

1535-41

issue

12

eissn

0041-1337

issn

1534-6080

journal_volume

95

pub_type

杂志文章
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    abstract:BACKGROUND:Anemia after kidney transplantation has been associated with poor transplant outcomes. We hypothesized that intravenous (IV) iron may more rapidly correct anemia than oral (PO) iron. METHODS:One hundred four kidney transplant recipients were prospectively randomized to IV iron polymaltose (500 mg single dos...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0b013e318248375a

    authors: Mudge DW,Tan KS,Miles R,Johnson DW,Badve SV,Campbell SB,Isbel NM,van Eps CL,Hawley CM

    更新日期:2012-04-27 00:00:00

  • Posttransplant diabetes mellitus and atherosclerotic events in renal transplant recipients: a prospective study.

    abstract:BACKGROUND:Posttransplant diabetes mellitus (PTDM) is a frequent complication in renal-transplant recipients (RTRs). We conducted a prospective study to assess the potential role of PTDM in the development of atherosclerotic events (AE) in RTRs. METHODS:Three hundred fifty-seven consecutive RTRs were enrolled in this ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000151799.98612.eb

    authors: Ducloux D,Kazory A,Chalopin JM

    更新日期:2005-02-27 00:00:00

  • A novel sulphate conjugate of cyclosporine occurring in high concentrations in vivo.

    abstract::A novel, water-soluble metabolite of cyclosporine, a sulphate conjugate, present in high concentrations in human bile and plasma was evaluated for its immunosuppressive properties. The direct binding of the conjugate to surface molecules on lymphocytes was studied. The effect of the metabolite was tested in several in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199003000-00027

    authors: Johansson A,Henricsson S,Möller E

    更新日期:1990-03-01 00:00:00

  • The frequency of rejection episodes after combined kidney-pancreas transplant--the impact on graft survival.

    abstract::The recipients of combined kidney-pancreas transplants (SPK) are unique because they routinely receive two allografts from the same donor. In a previous study, we found that the long-term graft survival of the two allografts was different, with better graft survival seen in the pancreas allograft. In an attempt to und...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199408270-00006

    authors: Tesi RJ,Henry ML,Elkhammas EA,Davies EA,Ferguson RM

    更新日期:1994-08-27 00:00:00

  • Superiority of the two-layer method before islet isolation confirmed by in vivo viability assessment.

    abstract:BACKGROUND:Although the outcome of islet transplantation has improved, there remains a major obstacle in isolating viable islets from prolonged preserved pancreas. We previously reported that the two-layer cold storage method (TLM) improved the yield and in vitro function. In this study, we performed in vivo accurate f...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000154914.34121.72

    authors: Kakinoki K,Fujino Y,Suzuki Y,Li S,Tanioka Y,Sakai T,Kuroda Y

    更新日期:2005-06-15 00:00:00

  • Patient Travel Distance and Post Lung Transplant Survival in the United States: A Cohort Study.

    abstract:BACKGROUND:In response to a longstanding Federal mandate to minimize the role of geography in access to transplant in the United States, we assessed whether patient travel distance was associated with lung transplant outcomes. We focused on the posttransplant time period, when the majority of patient visits to a transp...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003129

    authors: Tsuang WM,Arrigain S,Lopez R,Snair M,Budev M,Schold JD

    更新日期:2020-11-01 00:00:00

  • Renal transplants from HLA-haploidentical living-related donors. The influence of donor-specific transfusions and different immunosuppressive regimens.

    abstract::A total of 151 potential recipients of kidney grafts from one-HLA-haplotype-mismatched MLC-positive (RR greater than 20%) donors treated during 1980-1984 was investigated. The recipients were divided retrospectively into four groups: (A) 42 patients who received pretransplant donor-specific transfusions (DST) and post...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Leivestad T,Albrechtsen D,Flatmark A,Thorsby E

    更新日期:1986-07-01 00:00:00

  • Increasing hematocrit reduces early posttransplant cardiovascular risk in diabetic transplant recipients.

    abstract:BACKGROUND:Cardiovascular disease remains epidemic in transplant recipients, despite aggressive treatment of cardiovascular risk factors. Thus, novel risk factors could play a role in the genesis of cardiovascular events in this population. METHODS:We evaluated the impact of early posttransplant anemia on cardiovascul...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000084872.26360.C5

    authors: Djamali A,Becker YT,Simmons WD,Johnson CA,Premasathian N,Becker BN

    更新日期:2003-09-15 00:00:00

  • Diabetes mellitus after transplant: relationship to pretransplant glucose metabolism and tacrolimus or cyclosporine A-based therapy.

    abstract:OBJECTIVE:The purpose of this study was to identify pretransplantation and posttransplantation indicators for the development of diabetes mellitus in the first 2 months after renal transplantation and to examine the influence of a cyclosporine A (CsA)-based versus a tacrolimus-based immunosuppressive regimen on these r...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000084295.67371.11

    authors: Sato T,Inagaki A,Uchida K,Ueki T,Goto N,Matsuoka S,Katayama A,Haba T,Tominaga Y,Okajima Y,Ohta K,Suga H,Taguchi S,Kakiya S,Itatsu T,Kobayashi T,Nakao A

    更新日期:2003-11-15 00:00:00

  • Randomized trial to evaluate the clinical benefits of serum alpha-glutathione S-transferase concentration monitoring after liver transplantation.

    abstract:BACKGROUND:An increase in serum alpha-glutathione S-transferase concentration (GST) has been shown to be a more sensitive and specific marker of hepatocellular damage than equivalent increases in transaminase activities. A randomized clinical trial of 60 liver transplants in 49 patients was carried out to assess the cl...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199711270-00013

    authors: Hughes VF,Trull AK,Gimson A,Friend PJ,Jamieson N,Duncan A,Wight DG,Prevost AT,Alexander GJ

    更新日期:1997-11-27 00:00:00

  • The Safety of Neuromuscular Blockade Reversal in Patients With Cardiac Transplantation.

    abstract:BACKGROUND:Neuromuscular blockade (NMB) reversal with neostigmine and glycopyrrolate has been reported to cause cardiac arrest in patients with a history of cardiac transplantation. The purpose of this study was to examine the safety of NMB reversal with acetylcholinesterase inhibitors and muscarinic anticholinergics i...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001060

    authors: Barbara DW,Christensen JM,Mauermann WJ,Dearani JA,Hyder JA

    更新日期:2016-12-01 00:00:00

  • Release of soluble CD30 after allogeneic stimulation is mediated by memory T cells and regulated by IFN-γ and IL-2.

    abstract:BACKGROUND:Membrane CD30 is an important costimulatory molecule for activated T lymphocytes, and serum level of soluble CD30 (sCD30) is considered a marker for predicting outcome in kidney transplantation. METHODS:We investigated the kinetics of CD30 expression on CD4 and CD8 T-cell populations and the source of sCD30...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318296fd69

    authors: Velásquez SY,García LF,Opelz G,Alvarez CM,Süsal C

    更新日期:2013-07-27 00:00:00

  • Blood citrulline level is an exclusionary marker for significant acute rejection after intestinal transplantation.

    abstract:BACKGROUND:Serum citrulline is a marker for acute cellular rejection (ACR) after intestinal transplantation; however, its clinical utility has not yet been established. The goal of this study was to determine clearcut serum levels beyond which the diagnosis of acute rejection could be supported or refuted, and predicto...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000287186.04342.82

    authors: David AI,Selvaggi G,Ruiz P,Gaynor JJ,Tryphonopoulos P,Kleiner GI,Moon JI,Nishida S,Pappas PA,Conanan L,Weppler D,Esquenazi V,Levi DM,Kato T,Tzakis AG

    更新日期:2007-11-15 00:00:00

  • Biochemical, pathological, and clinical response to transplantation of normal bone marrow cells into acid sphingomyelinase-deficient mice.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199804150-00005

    authors: Miranda SR,Erlich S,Friedrich VL Jr,Haskins ME,Gatt S,Schuchman EH

    更新日期:1998-04-15 00:00:00

  • Kidney Transplant With Low Levels of DSA or Low Positive B-Flow Crossmatch: An Underappreciated Option for Highly Sensitized Transplant Candidates.

    abstract:BACKGROUND:Avoiding donor-specific antibody (DSA) is difficult for sensitized patients. Improved understanding of the risk of low level DSA is needed. METHODS:We retrospectively compared the outcomes of 954 patients transplanted with varied levels of baseline DSA detected by single antigen beads and B flow cytometric ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001619

    authors: Schinstock CA,Gandhi M,Cheungpasitporn W,Mitema D,Prieto M,Dean P,Cornell L,Cosio F,Stegall M

    更新日期:2017-10-01 00:00:00

  • Characterization of naturally occurring CD4+CD25+ regulatory T cells in rhesus monkeys.

    abstract:BACKGROUND:Translational research in a relevant preclinical model is recommended before Treg-inducing protocols can be implemented in humans. We have characterized rhesus monkey CD25 cells phenotypically and functionally. METHODS:The phenotype of CD4(+)CD25(high) cells was determined by FACS, focusing on established m...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31816b15b9

    authors: Haanstra KG,van der Maas MJ,'t Hart BA,Jonker M

    更新日期:2008-04-27 00:00:00

  • Evidence of intragraft interleukin-2-activated killer cells and allospecific cytolytic T lymphocytes in rejecting lung allografts.

    abstract::In vivo cell-mediated effector mechanisms of allograft destruction were investigated in a canine single-lung transplantation model. This large animal model permits direct longitudinal studies of immune effector cells from the grafts of individual recipients by bronchoalveolar lavage (BAL). Evidence was obtained that t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198911000-00026

    authors: Norin AJ,Kamholz SL

    更新日期:1989-11-01 00:00:00

  • Prolactin supplementation to culture medium improves beta-cell survival.

    abstract:OBJECTIVES:Recent studies demonstrated that prolactin (PRL) has beneficial effects on beta cells for islet transplantation. We examined the effect of human recombinant PRL (rhPRL) supplementation to the culture media to determine its potential use in the context of clinical islet transplantation. MATERIALS AND METHODS...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181d98af1

    authors: Yamamoto T,Mita A,Ricordi C,Messinger S,Miki A,Sakuma Y,Timoneri F,Barker S,Fornoni A,Molano RD,Inverardi L,Pileggi A,Ichii H

    更新日期:2010-06-15 00:00:00

  • Prope tolerance: the future of organ transplantation--from the laboratory to the clinic.

    abstract::This is a short review of tolerance from the point of view of the clinician. Various examples of tolerance occurring in patients and animal models that relate to the clinical experience are described. There may be different mechanisms by which tolerance is achieved, but from the patient's point of view operational tol...

    journal_title:Transplantation

    pub_type: 历史文章,杂志文章

    doi:10.1097/01.tp.0000117776.14277.03

    authors: Calne RY

    更新日期:2004-03-27 00:00:00

  • Beneficial effect of MCI-186 on hepatic warm ischemia-reperfusion in the rat.

    abstract::Despite growing evidence that reactive oxygen species are responsible for deleterious effects of ischemia-reperfusion (I/R) injury of the liver, there exists, until now, no reliable antioxidant therapeutics applicable in the clinical setting. We investigated the effects of free radical scavenger, 3-methyl-1-phenyl-2-p...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200211270-00021

    authors: Ninomiya M,Shimada M,Harada N,Shiotani S,Hiroshige S,Soejima Y,Suehiro T,Sugimachi K

    更新日期:2002-11-27 00:00:00

  • APOL1 Genotype and Kidney Transplantation Outcomes From Deceased African American Donors.

    abstract:BACKGROUND:Two apolipoprotein L1 gene (APOL1) renal-risk variants in donors and African American (AA) recipient race are associated with worse allograft survival in deceased-donor kidney transplantation (DDKT) from AA donors. To detect other factors impacting allograft survival from deceased AA kidney donors, APOL1 ren...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000969

    authors: Freedman BI,Pastan SO,Israni AK,Schladt D,Julian BA,Gautreaux MD,Hauptfeld V,Bray RA,Gebel HM,Kirk AD,Gaston RS,Rogers J,Farney AC,Orlando G,Stratta RJ,Mohan S,Ma L,Langefeld CD,Bowden DW,Hicks PJ,Palmer ND,Pala

    更新日期:2016-01-01 00:00:00

  • Qualitative and quantitative aspects of anti-H-2Ld sera.

    abstract::Two anti-H-2Ld sera were analyzed, BALB/c-H-2dm2 anti-BALB/cBy and (C3H X BALB/c-H-2dm2)F1 anti-BALB/cHe, the latter also containing anti-Qa antibodies. Their reaction patterns were compared with an anti-Qa serum (C3H X BALB/cBy)F1 anti-BALB/cHe. Four H-2 specificities could be detected by the anti-H-2Ld sera, two alr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198108000-00009

    authors: Oudshoorn-Snoek M,Iványi D,Démant P

    更新日期:1981-08-01 00:00:00

  • Respiratory complications: a major concern after right hepatectomy in living liver donors.

    abstract:BACKGROUND:One of the main concerns after living donor liver transplantation is the risk of morbidity and/or mortality that it imposes on the donors. Respiratory postoperative complications in living liver donors have already been reported but their frequency seems to be underestimated. We designed a prospective study ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000191624.70135.35

    authors: Dondero F,Taillé C,Mal H,Sommacale D,Sauvanet A,Farges O,Francoz C,Durand F,Delefosse D,Denninger MH,Vilgrain V,Marrash-Chahla R,Fournier M,Belghiti J

    更新日期:2006-01-27 00:00:00

  • Combined cold storage-perfusion preservation with a new synthetic perfusate.

    abstract::Based upon encouraging experimental results, we began employing a synthetic perfusate for cadaver kidney preservation. The new perfusate contains hydroxyethyl starch (HES) as the sole colloid for oncotic support; 107 cadaver kidneys were preserved and transplanted (93 primary, 14 nonprimary) using the HES solution and...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198901000-00008

    authors: Hoffmann RM,Stratta RJ,D'Alessandro AM,Sollinger HW,Kalayoglu M,Pirsch JD,Southard JH,Belzer FO

    更新日期:1989-01-01 00:00:00

  • The role of endoscopic ultrasound for evaluating portal hypertension in children being assessed for intestinal transplantation.

    abstract::Intestinal transplant is an established treatment of irreversible intestinal failure, unless complicated by advanced intestinal failure-associated liver disease, when liver-bowel transplant may be necessary. Finding at least moderate hepatic fibrosis or gastroesophageal varices (GOV) at oesophago-gastroduodenoscopy (O...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181891d63

    authors: McKiernan PJ,Sharif K,Gupte GL

    更新日期:2008-11-27 00:00:00

  • Attenuation of cyclosporine-induced hypertension by dietary fatty acids in the borderline hypertensive rat.

    abstract::The effects of dietary (10% calories) safflower (SAF), evening primrose (EPO), and fish oil (F) as sources of linoleic acid (control), gamma-linolenic acid, and long-chain n-3 fatty acids, respectively, on cardiovascular and renal responses to chronic (5 weeks) cyclosporine administration were studied in male borderli...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199203000-00030

    authors: Mills DE,Ward RP,McCutcheon D,Dixon H,Ly H,Scholey J

    更新日期:1992-03-01 00:00:00

  • Kidney transplantation from anti-HBc+ donors: results from a retrospective Italian study.

    abstract:BACKGROUND:The risk of transmitting a hepatitis B virus (HBV) infection from donor kidneys with a past HBV serological profile may be negligible. Data on HBV transmission to kidney transplant recipients from donor organs that were anti-HBc/HBsAg in Italy has not been previously reported. Anti-HBc testing in cadaver org...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000189930.89031.1b

    authors: De Feo TM,Grossi P,Poli F,Mozzi F,Messa P,Minetti E,Sandrini S,Boschiero L,Rigotti P,Maresca C,Rolla D,Chiaramonte S,Gotti E,Caldara R,Briano G,Scalamogna M

    更新日期:2006-01-15 00:00:00

  • Chronopharmacology for deoxyspergualin: toxicity and efficacy in the rat.

    abstract:BACKGROUND:Deoxyspergualin (DSG), a potent immunosuppressive drug, has been clinically used as a rescue therapy for acute graft rejection. However, DSG has severe adverse effects that limits its use. Here, we examined the optimized therapeutic protocol for DSG using chronopharmacological profiles of it. METHODS:First,...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199905150-00012

    authors: Uchida H,Kobayashi E,Matsuda K,Mizuta K,Sugimoto K,Kawarasaki H,Hashizume K,Fujimura A

    更新日期:1999-05-15 00:00:00

  • Alloimmunity in primate heart recipients with CD154 blockade: evidence for alternative costimulation mechanisms.

    abstract:BACKGROUND:CD154 mediates key facets of humoral and cellular immunity to alloantigens, and is tolerogenic to influenza antigens in primates. Barriers to CD154-based tolerance induction for primate cardiac allografts have not previously been defined. METHODS:Heterotopic cardiac allograft outcomes in cynomolgus monkeys ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000190099.62847.e6

    authors: Azimzadeh AM,Pfeiffer S,Wu G,Schröder C,Zorn GL 3rd,Kelishadi SS,Ozkaynak E,Kehry M,Atkinson JB,Miller GG,Pierson RN 3rd

    更新日期:2006-01-27 00:00:00

  • Flow cross-matching identifies patients at risk for postoperative elaboration of cytotoxic antibodies.

    abstract:BACKGROUND:Cytotoxic IgG against class I antigens can contribute to renal dysfunction or failure after transplantation. However, the clinical relevance of IgG measured by flow cytometric cross-matching is controversial. This study correlated pre- and postoperative flow reactivity with clinical outcome among renal trans...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199802150-00029

    authors: Kimball P,Rhodes C,King A,Fisher R,Ham J,Posner M

    更新日期:1998-02-15 00:00:00