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Remestemcel-L: human mesenchymal stem cells as an emerging therapy for Crohn's disease.

机译:Remestemcel-L:人间充质干细胞作为克罗恩病的新兴疗法。

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INTRODUCTION: Human mesenchymal stem cells (Prochymal brand of remestemcel-L) have been developed for experimental use in Crohn's disease and other conditions. Mesenchymal stems cells (MSCs) have been shown to inhibit inflammatory responses of innate and adaptive immune cells as well as have reparative effects on inflamed tissues. Promising preliminary therapeutic results of MSCs on gastrointestinal graft-versus-host disease have lead to Phase III trials for active Crohn's disease. AREAS COVERED: This review examines the discovery and characterization of mesenchymal stem cells, their immune effects, their use in animal models of disease, the production and administration of remestemcel-L and the published results of trials of remestemcel-L and alternative MSCs in Crohn's disease. EXPERT OPINION: The Prochymal brand of remestemcel-L represents the successful pharmaceutical development of mesenchymal stem cells for potential therapy in human disease. While preliminary results show promise of this therapy in terms of efficacy and safety, robust trials confirming efficacy results, explanation of the mechanism of response and estimates of effect compared to other biologics and immunosuppressants will be needed before this is an approved and widely accepted therapy.
机译:简介:人间充质干细胞(Promesmal品牌的remestemcel-L)已被开发用于克罗恩氏病和其他疾病的实验用途。间充质干细胞(MSCs)已显示抑制先天性和适应性免疫细胞的炎症反应,并对发炎的组织具有修复作用。 MSC对胃肠道移植物抗宿主病的有望的初步治疗结果已导致针对活动性克罗恩病的III期试验。覆盖的区域:这篇综述检查了间充质干细胞的发现和特征,它们的免疫作用,在疾病动物模型中的使用,remestemcel-L的生产和使用以及remestemcel-L和其他MSC在克罗恩病中的试验的已发表结果。疾病。专家意见:Remestemcel-L的Prochymal品牌代表了间充质干细胞在人类疾病中的潜在治疗方法的成功开发。虽然初步结果表明该疗法在疗效和安全性方面有希望,但仍需要强有力的试验来证实疗效结果,与其他生物制剂和免疫抑制剂相比,需要对反应机理进行解释并评估其疗效,然后才能批准该疗法并被广泛接受。

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