Long-term efficacy of autologous bone marrow mesenchymal stromal cells for treatment of knee osteoarthritis

Knee osteoarthritis is the most prevalent joint disease and a frequent cause of pain, functional loss and disability. Conventional treatments have demonstrated only modest clinical benefits whereas cell-based therapies have shown encouraging results, but important details, such as dose needed, long-...

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Autores: Lamo-de-Espinosa-Vázquez-de-Sola, J.M. (José María)|||/items/75feb837-6d53-41fe-808d-4b70661db44e, Prosper-Cardoso, F. (Felipe)|||/items/3d1b0b82-06c3-4e63-8280-e903dc4dc0c1, Blanco‐Libreros, J.F. (Juan F.)|||/items/e0f931b1-805f-46ba-8190-9ec1f0657344, Sanchez-Guijo, F.M. (Fermín M.)|||/items/b31fe6cf-bc6a-42fb-8a92-116c4f62dd49, Alberca, M. (Mercedes)|||/items/4f3494b9-bdc5-459c-a852-390b600f4e14, García-Díaz, V. (Verónica)|||/items/9be6712d-2429-4af3-8d46-5f2cec6754e6, González‑Vallinas, M. (Margarita)|||/items/af3d91b5-081d-40f1-b4d4-f1cf5f1ca306, García-Sancho, J. (Javier)|||/items/7cc25a28-bc44-4622-8011-76df4682eada
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/116024
Acceso en línea:https://hdl.handle.net/10171/116024
Access Level:acceso abierto
Palabra clave:Intraarticular injection
Mesenchymal stem cells
Osteoarthritis
Regenerative medicine
Stem cell therapy
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spelling Long-term efficacy of autologous bone marrow mesenchymal stromal cells for treatment of knee osteoarthritisLamo-de-Espinosa-Vázquez-de-Sola, J.M. (José María)|||/items/75feb837-6d53-41fe-808d-4b70661db44eProsper-Cardoso, F. (Felipe)|||/items/3d1b0b82-06c3-4e63-8280-e903dc4dc0c1Blanco‐Libreros, J.F. (Juan F.)|||/items/e0f931b1-805f-46ba-8190-9ec1f0657344Sanchez-Guijo, F.M. (Fermín M.)|||/items/b31fe6cf-bc6a-42fb-8a92-116c4f62dd49Alberca, M. (Mercedes)|||/items/4f3494b9-bdc5-459c-a852-390b600f4e14García-Díaz, V. (Verónica)|||/items/9be6712d-2429-4af3-8d46-5f2cec6754e6González‑Vallinas, M. (Margarita)|||/items/af3d91b5-081d-40f1-b4d4-f1cf5f1ca306García-Sancho, J. (Javier)|||/items/7cc25a28-bc44-4622-8011-76df4682eadaIntraarticular injectionMesenchymal stem cellsOsteoarthritisRegenerative medicineStem cell therapyKnee osteoarthritis is the most prevalent joint disease and a frequent cause of pain, functional loss and disability. Conventional treatments have demonstrated only modest clinical benefits whereas cell-based therapies have shown encouraging results, but important details, such as dose needed, long-term evolution or number of applications required are scarcely known. Here we have reanalyzed results from two recent pilot trials with autologous bone marrow-derived mesenchymal stromal cells using the Huskisson plot to enhance quantification of efficacy and comparability. We find that cell doses of 10, 40 and 100 million autologous cells per knee provided quite similar healing results and that much of the effect attained 1 year after cell application remained after 2 and 4 years. These results are encouraging because they indicate that, apart from safety and simplicity: (i) the beneficial effect is both significant and sizeable, (ii) it can be achieved with a single injection of cells, and (iii) the effect is perdurable for years.Trial registration: EudraCT 2009-017405-11; NCT02123368. Registered 25 April 2014-Prospectively registered, https://clinicaltrials.gov/ct2/show/NCT02123368?term=02123368&draw=2&rank=1.Springer NatureDadun. Depósito Académico Digital Universidad de Navarra20212021-01-0120212021-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/116024reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/1160242026-06-21T12:47:57Z
dc.title.none.fl_str_mv Long-term efficacy of autologous bone marrow mesenchymal stromal cells for treatment of knee osteoarthritis
title Long-term efficacy of autologous bone marrow mesenchymal stromal cells for treatment of knee osteoarthritis
spellingShingle Long-term efficacy of autologous bone marrow mesenchymal stromal cells for treatment of knee osteoarthritis
Lamo-de-Espinosa-Vázquez-de-Sola, J.M. (José María)|||/items/75feb837-6d53-41fe-808d-4b70661db44e
Intraarticular injection
Mesenchymal stem cells
Osteoarthritis
Regenerative medicine
Stem cell therapy
title_short Long-term efficacy of autologous bone marrow mesenchymal stromal cells for treatment of knee osteoarthritis
title_full Long-term efficacy of autologous bone marrow mesenchymal stromal cells for treatment of knee osteoarthritis
title_fullStr Long-term efficacy of autologous bone marrow mesenchymal stromal cells for treatment of knee osteoarthritis
title_full_unstemmed Long-term efficacy of autologous bone marrow mesenchymal stromal cells for treatment of knee osteoarthritis
title_sort Long-term efficacy of autologous bone marrow mesenchymal stromal cells for treatment of knee osteoarthritis
dc.creator.none.fl_str_mv Lamo-de-Espinosa-Vázquez-de-Sola, J.M. (José María)|||/items/75feb837-6d53-41fe-808d-4b70661db44e
Prosper-Cardoso, F. (Felipe)|||/items/3d1b0b82-06c3-4e63-8280-e903dc4dc0c1
Blanco‐Libreros, J.F. (Juan F.)|||/items/e0f931b1-805f-46ba-8190-9ec1f0657344
Sanchez-Guijo, F.M. (Fermín M.)|||/items/b31fe6cf-bc6a-42fb-8a92-116c4f62dd49
Alberca, M. (Mercedes)|||/items/4f3494b9-bdc5-459c-a852-390b600f4e14
García-Díaz, V. (Verónica)|||/items/9be6712d-2429-4af3-8d46-5f2cec6754e6
González‑Vallinas, M. (Margarita)|||/items/af3d91b5-081d-40f1-b4d4-f1cf5f1ca306
García-Sancho, J. (Javier)|||/items/7cc25a28-bc44-4622-8011-76df4682eada
author Lamo-de-Espinosa-Vázquez-de-Sola, J.M. (José María)|||/items/75feb837-6d53-41fe-808d-4b70661db44e
author_facet Lamo-de-Espinosa-Vázquez-de-Sola, J.M. (José María)|||/items/75feb837-6d53-41fe-808d-4b70661db44e
Prosper-Cardoso, F. (Felipe)|||/items/3d1b0b82-06c3-4e63-8280-e903dc4dc0c1
Blanco‐Libreros, J.F. (Juan F.)|||/items/e0f931b1-805f-46ba-8190-9ec1f0657344
Sanchez-Guijo, F.M. (Fermín M.)|||/items/b31fe6cf-bc6a-42fb-8a92-116c4f62dd49
Alberca, M. (Mercedes)|||/items/4f3494b9-bdc5-459c-a852-390b600f4e14
García-Díaz, V. (Verónica)|||/items/9be6712d-2429-4af3-8d46-5f2cec6754e6
González‑Vallinas, M. (Margarita)|||/items/af3d91b5-081d-40f1-b4d4-f1cf5f1ca306
García-Sancho, J. (Javier)|||/items/7cc25a28-bc44-4622-8011-76df4682eada
author_role author
author2 Prosper-Cardoso, F. (Felipe)|||/items/3d1b0b82-06c3-4e63-8280-e903dc4dc0c1
Blanco‐Libreros, J.F. (Juan F.)|||/items/e0f931b1-805f-46ba-8190-9ec1f0657344
Sanchez-Guijo, F.M. (Fermín M.)|||/items/b31fe6cf-bc6a-42fb-8a92-116c4f62dd49
Alberca, M. (Mercedes)|||/items/4f3494b9-bdc5-459c-a852-390b600f4e14
García-Díaz, V. (Verónica)|||/items/9be6712d-2429-4af3-8d46-5f2cec6754e6
González‑Vallinas, M. (Margarita)|||/items/af3d91b5-081d-40f1-b4d4-f1cf5f1ca306
García-Sancho, J. (Javier)|||/items/7cc25a28-bc44-4622-8011-76df4682eada
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Dadun. Depósito Académico Digital Universidad de Navarra
dc.subject.none.fl_str_mv Intraarticular injection
Mesenchymal stem cells
Osteoarthritis
Regenerative medicine
Stem cell therapy
topic Intraarticular injection
Mesenchymal stem cells
Osteoarthritis
Regenerative medicine
Stem cell therapy
description Knee osteoarthritis is the most prevalent joint disease and a frequent cause of pain, functional loss and disability. Conventional treatments have demonstrated only modest clinical benefits whereas cell-based therapies have shown encouraging results, but important details, such as dose needed, long-term evolution or number of applications required are scarcely known. Here we have reanalyzed results from two recent pilot trials with autologous bone marrow-derived mesenchymal stromal cells using the Huskisson plot to enhance quantification of efficacy and comparability. We find that cell doses of 10, 40 and 100 million autologous cells per knee provided quite similar healing results and that much of the effect attained 1 year after cell application remained after 2 and 4 years. These results are encouraging because they indicate that, apart from safety and simplicity: (i) the beneficial effect is both significant and sizeable, (ii) it can be achieved with a single injection of cells, and (iii) the effect is perdurable for years.Trial registration: EudraCT 2009-017405-11; NCT02123368. Registered 25 April 2014-Prospectively registered, https://clinicaltrials.gov/ct2/show/NCT02123368?term=02123368&draw=2&rank=1.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10171/116024
url https://hdl.handle.net/10171/116024
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer Nature
publisher.none.fl_str_mv Springer Nature
dc.source.none.fl_str_mv reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra
instname:Universidad de Navarra
instname_str Universidad de Navarra
reponame_str Dadun. Depósito Académico Digital de la Universidad de Navarra
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