CN114886921A - Novel stem cell preparation and application thereof in treating cerebral hemorrhage - Google Patents

Novel stem cell preparation and application thereof in treating cerebral hemorrhage Download PDF

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CN114886921A
CN114886921A CN202210518095.0A CN202210518095A CN114886921A CN 114886921 A CN114886921 A CN 114886921A CN 202210518095 A CN202210518095 A CN 202210518095A CN 114886921 A CN114886921 A CN 114886921A
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cerebral hemorrhage
treatment
stem cell
cell preparation
patients
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周美龄
刘家权
何美良
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Shenzhen Zhongjianlian New Drug Testing Co ltd
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Shenzhen Zhongjianlian New Drug Testing Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/12Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
    • A61K35/28Bone marrow; Haematopoietic stem cells; Mesenchymal stem cells of any origin, e.g. adipose-derived stem cells
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/04Antihaemorrhagics; Procoagulants; Haemostatic agents; Antifibrinolytic agents

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Abstract

The invention discloses a novel stem cell preparation and application thereof in treating cerebral hemorrhage, which comprises the following steps: collecting healthy adult bone marrow blood, and culturing by density gradient centrifugation combined with adherence to obtain purified MSC S Continuous culture and expansion of MSCs using low-sugar DMEM containing 10% fetal bovine serum S (ii) a Detecting cell CD by observing cell morphology and adherent growth characteristics by using flow cytometry 29 、CD 34 、CD 45 And identifying the cultured MSCS. The traditional Chinese medicine composition shows good treatment effect on the aspect of repairing nerve injury after cerebral hemorrhage, radically changes the prognosis of patients with cerebral hemorrhage, and improves the quality of life of the patients.

Description

Novel stem cell preparation and application thereof in treating cerebral hemorrhage
Technical Field
The invention relates to the field of medical treatment, in particular to a novel stem cell preparation and application thereof in treating cerebral hemorrhage.
Background
Cerebral hemorrhage is a more violent neurological emergency with severe neurological impairment caused by hematoma formed after intracranial vascular rupture. The early stage of cerebral hemorrhage is mainly caused by mechanical injury to brain tissue due to the compression and space occupying effects of hematoma, and secondary injury at the later stage of hemorrhage can also cause serious damage to nerve tissue structures and functions to different degrees, and the factors together cause that the traditional medicine and operation treatment effect is not ideal at present. Due to its complex pathological changes including neuronal loss, infiltration of inflammatory cells and scar formation of glial fibers, the clinical prognosis of patients is very poor, and it puts heavy pressure and economic burden on families and society.
After cerebral hemorrhage occurs, the injury around the hemorrhage focus involves multiple levels and links, including the space occupying effect of hematoma, inflammatory reaction, free radical injury, and the like. Initial bleeding can destroy the physical structure of brain tissue, and the formation and expansion of hematoma can also stress normal brain tissue, causing primary damage. Inflammation, erythrocyte lysis, thrombin generation and the like can cause secondary brain injury such as cerebral edema, blood brain barrier damage, nerve tissue necrosis and the like, and further cause the continuous deterioration of nerve function. With the increasing awareness of inflammatory responses to cerebral hemorrhage, inflammatory responses are considered to be the most critical factor in secondary damage after cerebral hemorrhage. A plurality of researches show that the intervention treatment for inhibiting inflammatory reaction can reduce the mass expression of inflammatory factors after cerebral hemorrhage, relieve cerebral edema and obviously improve the nerve function damage. Therefore, anti-inflammatory treatment of inflammatory responses after cerebral hemorrhage has attracted general attention.
With the intensive research on mesenchymal stem cells, mesenchymal stem cells have been widely used in clinical practice as a means for treating and repairing irreversible brain damage caused by cerebrovascular diseases. The mesenchymal stem cells used in clinic at present are mainly derived from bone marrow, umbilical cord and umbilical cord blood. The stem cells are classified into autologous cells and allogeneic stem cells according to different sources.
Disclosure of Invention
Aiming at the defects in the prior art, the invention provides a novel stem cell preparation and application thereof in treating cerebral hemorrhage, which show good treatment effect in the aspect of repairing nerve injury after cerebral hemorrhage, radically change the prognosis of patients with cerebral hemorrhage and improve the survival quality of the patients.
In order to achieve the aim of the invention, the invention adopts the specific scheme that:
a novel stem cell preparation and its use for treating cerebral hemorrhage, comprising: human bone marrowCollecting bone marrow blood of healthy adult, and culturing by density gradient centrifugation combined with adherence to obtain purified MSC S Continuous culture and expansion of MSCs using low-sugar DMEM containing 10% fetal bovine serum S (ii) a Detecting cell CD by observing cell morphology and adherent growth characteristics by using flow cytometry 29 、CD 34 、CD 45 And identifying the cultured MSCS.
Furthermore, 37 patients with cerebral hemorrhage treated by mesenchymal thousand cells are researched, the patients are treated by adopting a drilling drainage method or a craniotomy hematoma removal method, and a drainage tube is reserved and retreated to the edge of a hematoma cavity in the treatment process.
Furthermore, a drainage tube injection method is adopted for autologous mesenchymal stem cells to be transplanted for treatment; and the degree of neurological deficit (NIHSS score) before and after treatment was assessed.
Furthermore, by comparing the NIHSS scores of the study population before and after mesenchymal stem cell transplantation, the NIHSS score of the patient is obviously reduced (P is less than 0.05) after 6 months of treatment, and the hematoma volume and the edema volume of the patient are obviously reduced (P is less than 0.05) before and after the treatment; some patients have a transient fever reaction, and the fever disappears after symptomatic treatment.
The invention has the beneficial effects that:
the materials are easy to obtain, and the cells can be obtained by bone marrow puncture, so that immunological rejection and ethical disputes are avoided; the culture proliferation speed is high, and a large amount of amplification can be realized in a short period, so that the culture medium is more suitable for clinical treatment. The treatment effect of bone marrow mesenchymal stem cell transplantation on nervous system injury is proved in different clinical researches, and the action mechanism is multifaceted; can pass through the blood brain barrier; no immunological rejection was observed in either allografts or xenotransplants. The method has the advantages that the autologous mesenchymal stem cell transplantation is adopted to provide an effective method for treating the nerve injury after cerebral hemorrhage, and along with the development of research foundation and clinical practice of mesenchymal stem cells, the autologous bone marrow mesenchymal stem cell transplantation is used as a safe and comprehensive method with less side effect, and the good treatment effect is shown in the aspect of repairing the nerve injury after cerebral hemorrhage, so that the prognosis of a cerebral hemorrhage patient is fundamentally changed, and the survival quality of the patient is improved.
Detailed Description
The present invention is further described below by way of specific examples, but the present invention is not limited to only the following examples. Variations, combinations, or substitutions of the invention, which are within the scope of the invention or the spirit, scope of the invention, will be apparent to those of skill in the art and are within the scope of the invention.
A novel stem cell preparation and its use for treating cerebral hemorrhage, comprising: collecting healthy adult bone marrow blood, and culturing by density gradient centrifugation combined with adherence to obtain purified MSC S Continuous culture and expansion of MSCs using low-sugar DMEM containing 10% fetal bovine serum S (ii) a Detecting cell CD by observing cell morphology and adherent growth characteristics by using flow cytometry 29 、CD 34 、CD 45 And identifying the cultured MSCS.
37 patients who adopt mesenchymal thousand cells to treat cerebral hemorrhage are researched, the patients are treated by adopting a method of drilling drainage or craniotomy hematoma removal, and a drainage tube is reserved and retreated to the edge of a hematoma cavity in the treatment process. Adopting a drainage tube injection method to carry out autologous bone marrow mesenchymal cell transplantation treatment; and the degree of neurological deficit (NIHSS score) before and after treatment was assessed. By comparing the NIHSS scores before and after the transplantation of the mesenchymal stem cells of the study population, the NIHSS score of the patient is obviously reduced (P is less than 0.05) after 6 months of treatment, and the hematoma volume and the edema volume of the patient are obviously reduced (P is less than 0.05) before and after the treatment; some patients have a transient fever reaction, and the fever disappears after symptomatic treatment.
37 patients with cerebral hemorrhage treated by mesenchymal stem cells are taken as research objects, wherein 18 men and 19 women meet the diagnosis standard established by the fourth cerebrovascular disease academic conference, and all patients have cerebral hemorrhage confirmed by skull C T and have short course of disease.
Analyzing the neurological impairment degree and daily life and activity ability before and after treatment of the population: the NIHSS scores before and after treatment are respectively (20.22 +/-5.94) and (11.05 +/-5.47), and the comparison of the NIHSS scores before and after treatment of the study population shows that the score after treatment is obviously lower than the level before treatment (P < 0.05). Analysis of hematoma volume and edema volume before and after treatment for study population: comparison of hematoma and edema volumes before and after treatment in the study population showed a significant decrease in both hematoma and edema volumes (P <0.05) in the patients after treatment compared to before treatment. See table 1 for details:
Figure BDA0003642137560000031
the above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the present invention, and any modifications, equivalents and improvements made within the spirit and principle of the present invention should be included in the scope of the present invention.

Claims (4)

1. A novel stem cell preparation and its use for treating cerebral hemorrhage, comprising: collecting healthy adult bone marrow blood, and culturing by density gradient centrifugation combined with adherence to obtain purified MSC S Continuous culture and expansion of MSCs using low-sugar DMEM containing 10% fetal bovine serum S (ii) a Detecting cell CD by observing cell morphology and adherent growth characteristics by using flow cytometry 29 、CD 34 、CD 45 And identifying the cultured MSCS.
2. The novel stem cell preparation and the use thereof for treating cerebral hemorrhage according to claim 1, wherein 37 patients with cerebral hemorrhage treated by mesenchymal stem cells are studied, and are treated by drilling drainage or craniotomy for hematoma removal, and a drainage tube is left and is retracted to the edge of a hematoma cavity in the treatment process.
3. The novel stem cell preparation and the use thereof for treating cerebral hemorrhage according to claim 2, wherein autologous mesenchymal stem cells are subjected to cell transplantation treatment by using a drainage tube injection method; and the degree of neurological deficit (NIHSS score) before and after treatment was assessed.
4. The novel stem cell preparation and the use thereof for treating cerebral hemorrhage according to claim 3, wherein the NIHSS score of the patient after 6 months of treatment is obviously reduced (P <0.05), and the hematoma volume and the edema volume of the patient before and after treatment are obviously reduced (P <0.05) by comparing the NIHSS score before and after the transplantation of the mesenchymal stem cells of the study population; some patients have a transient fever reaction, and the fever disappears after symptomatic treatment.
CN202210518095.0A 2022-05-13 2022-05-13 Novel stem cell preparation and application thereof in treating cerebral hemorrhage Pending CN114886921A (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1803193A (en) * 2005-01-13 2006-07-19 中山大学 Use of stroma stem cell derived from bone marrow in preparing formulation for treating hypoxic ischemic cerebral palsy
CN103773734A (en) * 2014-01-24 2014-05-07 浙江大学 Preparation method of tissue engineering cell sheet with osteogenic differentiation and vasculogenesis
CN104546916A (en) * 2015-02-06 2015-04-29 吉林省拓华生物科技有限公司 Novel stem cell preparation and application thereof in treating cerebral hemorrhage
CN105838673A (en) * 2016-06-07 2016-08-10 三峡大学仁和医院 Extraction and separation method for mesenchymal stem cells (MSCs)
CN113412118A (en) * 2019-02-07 2021-09-17 北海道公立大学法人札幌医科大学 Pharmaceutical composition for preventing in-stent restenosis

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1803193A (en) * 2005-01-13 2006-07-19 中山大学 Use of stroma stem cell derived from bone marrow in preparing formulation for treating hypoxic ischemic cerebral palsy
CN103773734A (en) * 2014-01-24 2014-05-07 浙江大学 Preparation method of tissue engineering cell sheet with osteogenic differentiation and vasculogenesis
CN104546916A (en) * 2015-02-06 2015-04-29 吉林省拓华生物科技有限公司 Novel stem cell preparation and application thereof in treating cerebral hemorrhage
CN105838673A (en) * 2016-06-07 2016-08-10 三峡大学仁和医院 Extraction and separation method for mesenchymal stem cells (MSCs)
CN113412118A (en) * 2019-02-07 2021-09-17 北海道公立大学法人札幌医科大学 Pharmaceutical composition for preventing in-stent restenosis

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
PENG HUANG ET AL: "safety and efficacy of intraventricular delivery of bone marrow-derived mesenchymal stem cells in hemorrhagic stroke model", SCIENTIFIC REPORTS, no. 9, 5 April 2019 (2019-04-05), pages 1 - 9 *

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