Autologous CD34+ and CD133+ stem cells transplantation in patients with end stage liver disease

World J Gastroenterol. 2010 Nov 14;16(42):5297-305. doi: 10.3748/wjg.v16.i42.5297.

Abstract

Aim: To assess the utility of an autologous CD34(+) and CD133(+) stem cells infusion as a possible therapeutic modality in patients with end-stage liver diseases.

Methods: One hundred and forty patients with end-stage liver diseases were randomized into two groups. Group 1, comprising 90 patients, received granulocyte colony stimulating factor for five days followed by autologous CD34(+) and CD133(+) stem cell infusion in the portal vein. Group 2, comprising 50 patients, received regular liver treatment only and served as a control group.

Results: Near normalization of liver enzymes and improvement in synthetic function were observed in 54.5% of the group 1 patients; 13.6% of the patients showed stable states in the infused group. None of the patients in the control group showed improvement. No adverse effects were noted.

Conclusion: Our data showed that a CD34(+) and CD133(+) stem cells infusion can be used as supportive treatment for end-stage liver disease with satisfactory tolerability.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • AC133 Antigen
  • Adult
  • Antigens, CD / immunology*
  • Antigens, CD34 / immunology*
  • End Stage Liver Disease / drug therapy
  • End Stage Liver Disease / surgery*
  • Female
  • Glycoproteins / immunology*
  • Granulocyte Colony-Stimulating Factor / therapeutic use
  • Hematopoietic Stem Cell Transplantation*
  • Hematopoietic Stem Cells / cytology
  • Hematopoietic Stem Cells / physiology*
  • Humans
  • Liver / pathology
  • Liver / surgery
  • Male
  • Middle Aged
  • Peptides / immunology*
  • Recombinant Proteins
  • Survival Rate
  • Transplantation, Autologous*
  • Treatment Outcome
  • Young Adult

Substances

  • AC133 Antigen
  • Antigens, CD
  • Antigens, CD34
  • Glycoproteins
  • PROM1 protein, human
  • Peptides
  • Recombinant Proteins
  • Granulocyte Colony-Stimulating Factor