Parathyroid Allotransplant for Persistent Hypocalcaemia: A New Technique Involving Short-Term Culture

Exp Clin Transplant. 2016 Apr;14(2):238-41. doi: 10.6002/ect.2014.0110. Epub 2014 Dec 3.

Abstract

Objectives: To develop a new parathyroid allotransplant method for the treatment of permanent hypoparathyroidism.

Materials and methods: Parathyroid cells 50 × 10(6) derived from a parathyroid hyperplasia patient were transferred to a 61-year-old patient who had thyroidectomy 17 years earlier, allowing to papillary thyroid cancer; he was admitted to our outpatient clinic with symptomatic chronic hypocalcemia. Cell isolation, cryopreservation, and culturing were conducted according to a new protocol.

Results: During a follow-up of 5 months, the patient had no complications that could indicate rejection, and clinical symptoms completely resolved without requiring any drug supplementation.

Conclusions: Here, we report a new method, enabling fast and cost-effective parathyroid allotransplant with maintained tissue viability sufficient to treat persistent hypocalcemia.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Allografts
  • Biomarkers / blood
  • Calcium / blood
  • Cell Transplantation / methods*
  • Cells, Cultured
  • Chronic Disease
  • Female
  • Humans
  • Hypocalcemia / blood
  • Hypocalcemia / diagnosis
  • Hypocalcemia / surgery*
  • Hypoparathyroidism / blood
  • Hypoparathyroidism / diagnosis
  • Hypoparathyroidism / surgery*
  • Middle Aged
  • Parathyroid Glands / pathology
  • Parathyroid Glands / transplantation*
  • Parathyroid Hormone / blood
  • Time Factors
  • Treatment Outcome

Substances

  • Biomarkers
  • PTH protein, human
  • Parathyroid Hormone
  • Calcium