Autologous Peripheral Blood Purified Stem Cells Transplantation for Treatment of Systemic Lupus Erythematosus

نویسندگان

  • Ledong Sun
  • Bing Wang
چکیده

"Lupus", from the Latin in the 19th century, had appeared in the West before and after the medical literature. In 1828, the French dermatologist Bette (Biett) firstly reported such a patient: facial skin has erythema the same as the the wolf bites. To the mid-19th century, there was a doctor named Carson Musharraf formally using the "lupus" (lupus erythematosus, LE) as the medical terminology, which only refered to skin lesions of discoid lupus erythematosus then. With the development of medical science and clinical practice, more and more doctors found that lupus is not only skin damage, but also associated with kidney, brain, heart, lungs, nerves, muscles and joints, blood and other systemic diseases. To the 1890s, American doctor Osler (Osler) proposed the disease as "systemic lupus erythematosus" (systemic lupus erythematosus, SLE) [1]. Systemic lupus erythematosus (SLE), a common autoimmune disease without explicit etiology, has a high incidence of secondary infection, treatment difficulties and high mortality, arousing the focus of domestic and foreign scholars. According to the prevalence rate from 70 to 100/10 million people [2], China has reached to 1.12 million patients which is constituted mainly by young women. In addition to involving the outer skin, the disease violates various body organs, including vital organs such as the nervous system, heart, kidney and so on, the central nervous system such as meningitis, encephalitis, acute cerebrovascular disease, spinal cord inflammation and subarachnoid hemorrhage, even to death. It is the most common when occurring cardiac involvement, such as pericarditis, pericardial effusion heart attack, and life-threatening acute cardiac tamponade, which affect the quality of life. Involving the kidneys, it may be kidney failure. Respiratory system involvement includes bronchial pneumonia, pleurisy, atelectasis and respiratory failure. Secondary infection is a common complication of SLE, causing death at worst. SLE is considered a typical multi-organ involvement autoimmune disease, as a result of the disorder of immune system[3,4]. Before the 1960s, the 5-year survival rate was below 50%. With the progress of the treatment and the development of therapeutic drugs, especially corticosteroids and cytotoxic drugs for SLE, the survival rate has improved significantly, has

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Successful treatment with autologous peripheral blood stem cell transplantation for multiple myeloma concurrent systemic lupus erythematosus: a case report

Increased occurrence of monoclonal gammapathy in systemic lupus erythematosus (SLE) patients has been reported by early studies. There is strong association between SLE and malignant tumors, but SLE with concurrent multiple myeloma (MM) cases were seldom reported in literature. The current study reported one case of a 48-year-old male who was diagnosed MM with concurrent SLE. He was treated wit...

متن کامل

A phase I-II trial of autologous peripheral blood stem cell transplantation in the treatment of refractory autoimmune disease.

OBJECTIVES To carry out a phase I-II trial to elucidate the feasibility and efficacy of high dose cyclophosphamide (CY) supported by autologous peripheral blood stem cell transplantation (PBSCT) in the treatment of severe and refractory autoimmune disease (AD). METHODS Peripheral blood stem cells (PBSCs) were mobilised during haematological recovery after relatively high dose CY (2 g/m2) for ...

متن کامل

Fatal CMV-Infection after Autologous Stem Cell Transplantation in Refractory Systemic Lupus Erythematosus

High-dose chemotherapy followed by autologous stem cell transplantation can be a rescue for patients with severe refractory systemic lupus erythematosus (SLE). However, the procedure might have fatal complications including infections and bleeding. We report on a young female patient with SLE whose disease started in her early childhood. After many years, severe renal, neurological, and bone ma...

متن کامل

Autologous blood stem cell transplantation in refractory systemic lupus erythematosus with severe pulmonary impairment: a case report.

For patients with severe forms of autoimmunity, including systemic lupus erythematosus (SLE), purging autoreactive T cells from the immune repertoire by transplanting autologous hematopoietic stem cells (ASCT) is a therapeutic option. We describe an 18-year-old woman with SLE who had been treated with corticosteroids, azathioprine, cyclophosphamide (CYC), and immunopheresis for 4 years, during ...

متن کامل

The effect of autologus peripheral blood cells transplantation along with platelet rich plasma in the treatment of patients with stress incontinence

Background The aim of this clinical trial was the assessment of safety and efficacy of submocosal and periurethral injections of peripheral blood derived autologous stem cells along with platelets, and focused on outcome for six months. Methods An open, prospective study was conducted on 10 patients presenting with stress urinary incontinence. At the baseline (pre-operative), 1, 3 and 6 mont...

متن کامل

Influence of 1 Alpha, 25-Dihydroxyvitamin D3 on T Helper 17 Cells and Related Cytokines in Systemic Lupus Erythematosus

Background: Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease. Emerging data suggests that T helper 17 (Th17) cells play a pathogenic role in SLE and the increased number of these cells correlates with disease activity. In recent years, 1α, 25-dihydroxyvitamin D3 (1,25VitD3) has been considered as an immunomodulatory factor. Objective: To investigate the effect of 1,25VitD3...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2012