Treatment of systemic sclerosis: potential role for stem cell transplantation
Author(s) -
Chris T. Derk
Publication year - 2009
Publication title -
stem cells and cloning advances and applications
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.606
H-Index - 22
ISSN - 1178-6957
DOI - 10.2147/sccaa.s5282
Subject(s) - mesenchymal stem cell , multiple sclerosis , medicine , transplantation , immune system , stem cell , hematopoietic stem cell transplantation , immunology , clinical trial , cell therapy , disease , pathology , biology , genetics
Hematopoietic stem cell transplantation may "reset" the immune reconstitution and induce self tolerance of autoreactive lymphocytes, and has been explored in the treatments for systemic sclerosis. Phase I/II trials have shown a satisfactory risk benefit ratio. The true benefit will be identified by two ongoing prospective, randomized phase III trials. Multipotent mesenchymal stromal cells (MSCs) possess antiproliferative, anti-inflammatory, and immunosuppressive properties. The use of MSCs has showed successful responses in patients with severe steroid-resistant acute graft versus host disease in phase II trials, and may be a potentially promising option for patients with systemic sclerosis.
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