Efficiency and safety of umbilical cord mesenchymal stromal cell infusion in treatment of hemorrhagic cystitis after allogenic hematopoietic stem cell transplantation

Objective To investigate the efficiency and safety of the infusion of umbilical cord mesenchymal stromal cells (UCMSCs) for hemorrhagic cystitis after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Methods Clinical data of patients with hemorrhages cystitis after allo-HSCT in our me...

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Main Authors: LIU Hongyun, CHEN Guo, ZENG Yunjing, ZHANG Xi, GAO Li
Format: Article
Language:zho
Published: Editorial Office of Journal of Third Military Medical University 2019-12-01
Series:Di-san junyi daxue xuebao
Subjects:
Online Access:http://aammt.tmmu.edu.cn/Upload/rhtml/201907007.htm
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author LIU Hongyun
CHEN Guo
ZENG Yunjing
ZHANG Xi
GAO Li
author_facet LIU Hongyun
CHEN Guo
ZENG Yunjing
ZHANG Xi
GAO Li
author_sort LIU Hongyun
collection DOAJ
description Objective To investigate the efficiency and safety of the infusion of umbilical cord mesenchymal stromal cells (UCMSCs) for hemorrhagic cystitis after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Methods Clinical data of patients with hemorrhages cystitis after allo-HSCT in our medical center from January 2014 to December 2018 were collected and analyzed retrospectively in this study. The duration of hemorrhagic cystitis, response rate and pain scores were compared between the patients undergoing UCMSCs infusion (n=28) and those without (n=24). The safety of the infusion was also observed. Results The UCMSCs infusion group had significantly higher overall response rate (100.0% vs 45.8%, P < 0.05), shorter median time of pain disappearance (20.6±13.5 vs 33.9±21.7 d, P < 0.05), and shorter duration of hematuria macroscopically (26.3±14.8 vs 38.9±24.0 d, P < 0.05) and microscopically (31.3±13.6 vs 48.9±22.0 d, P < 0.05) when compared the infusion group. Infusion of UCMSCs had no effect on the infection rates of blood cytomegalovirus and urinary BK virus. Conclusion Infusion of UCMSCs can significantly shorten the course of hemorrhagic cystitis, reduce pain, improve general prognosis, and have no side effect in the patients after allo-HSCT
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spelling doaj.art-e8236724d2a74ca996108b75c7afbcb82022-12-21T20:16:53ZzhoEditorial Office of Journal of Third Military Medical UniversityDi-san junyi daxue xuebao1000-54042019-12-0141232296230010.16016/j.1000-5404.201907007Efficiency and safety of umbilical cord mesenchymal stromal cell infusion in treatment of hemorrhagic cystitis after allogenic hematopoietic stem cell transplantationLIU Hongyun0CHEN Guo1ZENG Yunjing2ZHANG Xi3GAO Li4State Key Laboratory of Trauma, Burns and Combined Injury, Medical Center of Hematology, PLA Center for Hematology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China State Key Laboratory of Trauma, Burns and Combined Injury, Medical Center of Hematology, PLA Center for Hematology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China State Key Laboratory of Trauma, Burns and Combined Injury, Medical Center of Hematology, PLA Center for Hematology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China State Key Laboratory of Trauma, Burns and Combined Injury, Medical Center of Hematology, PLA Center for Hematology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China State Key Laboratory of Trauma, Burns and Combined Injury, Medical Center of Hematology, PLA Center for Hematology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China Objective To investigate the efficiency and safety of the infusion of umbilical cord mesenchymal stromal cells (UCMSCs) for hemorrhagic cystitis after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Methods Clinical data of patients with hemorrhages cystitis after allo-HSCT in our medical center from January 2014 to December 2018 were collected and analyzed retrospectively in this study. The duration of hemorrhagic cystitis, response rate and pain scores were compared between the patients undergoing UCMSCs infusion (n=28) and those without (n=24). The safety of the infusion was also observed. Results The UCMSCs infusion group had significantly higher overall response rate (100.0% vs 45.8%, P < 0.05), shorter median time of pain disappearance (20.6±13.5 vs 33.9±21.7 d, P < 0.05), and shorter duration of hematuria macroscopically (26.3±14.8 vs 38.9±24.0 d, P < 0.05) and microscopically (31.3±13.6 vs 48.9±22.0 d, P < 0.05) when compared the infusion group. Infusion of UCMSCs had no effect on the infection rates of blood cytomegalovirus and urinary BK virus. Conclusion Infusion of UCMSCs can significantly shorten the course of hemorrhagic cystitis, reduce pain, improve general prognosis, and have no side effect in the patients after allo-HSCThttp://aammt.tmmu.edu.cn/Upload/rhtml/201907007.htmhemorrhagic cystitisumbilical cord mesenchymal stromal cellsallogeneic hematopoietic stem cell transplantationcytomegalovirusbk virus
spellingShingle LIU Hongyun
CHEN Guo
ZENG Yunjing
ZHANG Xi
GAO Li
Efficiency and safety of umbilical cord mesenchymal stromal cell infusion in treatment of hemorrhagic cystitis after allogenic hematopoietic stem cell transplantation
Di-san junyi daxue xuebao
hemorrhagic cystitis
umbilical cord mesenchymal stromal cells
allogeneic hematopoietic stem cell transplantation
cytomegalovirus
bk virus
title Efficiency and safety of umbilical cord mesenchymal stromal cell infusion in treatment of hemorrhagic cystitis after allogenic hematopoietic stem cell transplantation
title_full Efficiency and safety of umbilical cord mesenchymal stromal cell infusion in treatment of hemorrhagic cystitis after allogenic hematopoietic stem cell transplantation
title_fullStr Efficiency and safety of umbilical cord mesenchymal stromal cell infusion in treatment of hemorrhagic cystitis after allogenic hematopoietic stem cell transplantation
title_full_unstemmed Efficiency and safety of umbilical cord mesenchymal stromal cell infusion in treatment of hemorrhagic cystitis after allogenic hematopoietic stem cell transplantation
title_short Efficiency and safety of umbilical cord mesenchymal stromal cell infusion in treatment of hemorrhagic cystitis after allogenic hematopoietic stem cell transplantation
title_sort efficiency and safety of umbilical cord mesenchymal stromal cell infusion in treatment of hemorrhagic cystitis after allogenic hematopoietic stem cell transplantation
topic hemorrhagic cystitis
umbilical cord mesenchymal stromal cells
allogeneic hematopoietic stem cell transplantation
cytomegalovirus
bk virus
url http://aammt.tmmu.edu.cn/Upload/rhtml/201907007.htm
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