Vnitr Lek 2023, 69(6):E12-E18 | DOI: 10.36290/vnl.2023.080
Stem cells therapy in patients with chronic limb-threating ischemia
- 1 Centrum diabetologie, Institut klinické a experimentální medicíny Praha
- 2 1. lékařská fakulta Univerzity Karlovy, Praha
Autologous cell therapy has been used in patients with chronic limb-threatening ischemia for many years. Numerous studies and meta-analyses assessed benefits of cell therapy and also presented its new possibilities. In addition to the standard sources of stem cells, like bone marrow and peripheral blood, new possibilities of using various types of tissues were considered. There is still question about a comparison of the effect among different types of cells and their administration. The possibility of combined therapy consisting of hyperbaric oxygen therapy and stem cell therapy is also an interesting approach. According to the experience from our centre, autologous cell therapy is an effective method with low rate of adverse events.
Keywords: stem cells, limb ischemia, diabetic foot disease, revascularisation.
Accepted: October 5, 2023; Published: October 10, 2023 Show citation
References
- Ruemenapf G, Morbach S, Sigl M. Therapeutic Alternatives in Diabetic Foot Patients without an Option for Revascularization. J Clin Med. 2022;11(8):2155.
Go to original source...
Go to PubMed...
- Edmonds M, Manu C, Vas P. The current burden of diabetic foot disease. J Clin Orthop Trauma. 2021:17:88-93.
Go to original source...
Go to PubMed...
- Panunzi A, Madotto F. Sangalli E, et al. Results of a prospective observational study of autologous peripheral blood mononuclear cell therapy for no-optional critical limb-threatening ischemia and severe diabetic foot ulcers. Cardiovasc Diabetol. 2022;21(1):196.
Go to original source...
Go to PubMed...
- Lindquist J, Schramm K. Drug-Eluting Balloons and Drug-Eluting Stents in the Treatment of Peripheral Vascular Disease. Semin Intervent Radiol. 2018;35(5):443-452.
Go to original source...
Go to PubMed...
- Jogsma H., Bekken JA, Akkersdijk GP, et al. Angiosome-directed revascularization in patients with critical limb ischemia. J Vasc Surg. 2016; 65(4):1208-1219.
Go to original source...
Go to PubMed...
- Ciccone MM, Notarnicola A, Scicchitano P, Sassara M, Carbonara S, Maiorano M, Moretti B. Shockwave therapy in patients with peripheral artery disease. Adv Ther. 2012;29(8):698-707.
Go to original source...
Go to PubMed...
- Saarinen E, Kauhanen P, Söderström M, et al. Long-term Results of Inframalleolar Bypass for Critical Limb Ischaemia. Eur J Vasc Endovasc Surg. 2016;52(6):815-822.
Go to original source...
Go to PubMed...
- Adam DJ, Beard JD, Cleveland T, Bell J et al. BASIL Trial Participants. Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial. Lancet. 2005; 366(9501):1925-1934.
Go to original source...
Go to PubMed...
- Yunir E, Kurniawan F, Rezaprasga E, et al. Autologous Bone-Marrow vs. Peripheral Blood Mononuclear Cells Therapy for Peripheral Artery Disease in Diabetic Patients. Int J Stem Cells. 2021;14(1):21-32.
Go to original source...
Go to PubMed...
- Verwer MC, Wijnand JGJ, Teraa M, et al. Long Term Survival and Limb Salvage in Patients With Non-Revascularisable Chronic Limb Threatening Ischaemia. Eur J Vasc Endovasc Surg. 2021;62(2):225-232.
Go to original source...
Go to PubMed...
- Ilyas S, Powell RJ. Management of the no-option foot: Deep vein arterialization. Semin Vasc Surg. 2022;35(2):210-218.
Go to original source...
Go to PubMed...
- Kessler L, Bilbault P, Ortega F, et al. Hyperbaric oxygenation accelerates the healing rate of nonischemic chronic diabetic foot ulcers: a prospective randomized study. Diabetes Care. 2003;26(8):2378-82.
Go to original source...
Go to PubMed...
- Mathieu D, Marroni A, Kot J. Tenth European Consensus Conference on Hyperbaric Medicine: recommendations for accepted and non-accepted clinical indications and practice of hyperbaric oxygen treatment. Diving Hyperb Med. 2017;47(1):24-32.
Go to original source...
Go to PubMed...
- Santema KTB, Stoekenbroek RM, Koelemay MJW, et al. Hyperbaric oxygen therapy in the treatment of ischemic lower extremity ulcers in patients with diabetes: Results of the DAMO2CLES multicenter randomized clinical trial. Commentary on article in Diabetes Care. Undersea Hyperb Med. 2018;45(1):114-115.
Go to original source...
- Jirkovská A, Dubský M, Fejfarová V. Syndrom diabetické nohy- prevence, diagnostika a terapie. Adaptovaný doporučený postup na základě mezinárodních guidelines. Geum: Semily 2022: 126-127. ISBN: 978-80-87969-61-8.
- Ho VT. Gologorsky R. Kibrik P. Open, percutaneous, and hybrid deep venous arterialization technique for no-option foot salvage. J Vasc Surg. 2020;71(6):2152-2160.
Go to original source...
Go to PubMed...
- Khodayari S. Khodayari H. Barough-Ebrahimi S. Stem Cell Therapy in Limb Ischemia: State-of-Art, Perspective, and Possible Impacts of Endometrial - Derived Stem Cells. Front Cell Dev Biol. 2022;10. Dostupné z DOI
Go to original source...
Go to PubMed...
- Liew A, Bhattacharya V, Shaw J, et al. Cell therapy for critical limb ischemia: a meta-analysis of randomized controlled trials. Angiology. 2016;67(5):444-55.
Go to original source...
Go to PubMed...
- Dubsky M, Jirkovska A, Bem R, et al. Both autologous bone marrow mononuclear cell and peripheral blood progenitor cell therapies similarly improve ischaemia in patients with diabetic foot in comparison with control treatment. Diabetes Metab Res Rev. 2013;29(5):369-76.
Go to original source...
Go to PubMed...
- Hölig K. G-CSF in healthy allogeneic stem cell donors. Transfus Med Hemother. 2013;40(4):225-35.
Go to original source...
Go to PubMed...
- Lozano Navarro LV, Chen X, Viviescas LTG, et al. Mesenchymal stem cells for critical limb ischemia: their function, mechanism, and therapeutic potential. Stem Cell Res Ther. 2022;13(1):345.
Go to original source...
Go to PubMed...
- Galea C, Riva N, Calleja-Agius J. Non-gynaecological applications of menstrual-derived stem cells: a systematic review. Avicenna J Med Biotechnol. 2022; 14(1):10-29.
Go to original source...
Go to PubMed...
- Kim JH, Park JS. Usage of Human Mesenchymal Stem Cells in Cell-based Therapy: Advantages and Disadvantages. Dev. Reprod. 2017;21(1):1-10.
Go to original source...
Go to PubMed...
- Mushahary D, Spittler A, Kasper C, Weber V, Charwat V. Isolation, cultivation, and characterization of human mesenchymal stem cells. Cytometry A. 2018;93(1):19-31.
Go to original source...
Go to PubMed...
- Sun Y. Zhao J. Zhang L, et al. Effectiveness and safety of stem cell therapy for diabetic foot: a meta-analysis update. Stem Cell Res Ther. 2022;13(1):416.
Go to original source...
Go to PubMed...
- Lu D, Chcen B, Linag Z, et al. Comparison of bone marrow mesenchymal stem cells with bone marrow-derived mononuclear cells for treatment of diabetic critical limb ischemia and foot ulcer: a double- blind, randomized, controlled trial. Diabetes Res Clin Pract. 2011;92(1):26-36.
Go to original source...
Go to PubMed...
- Medina RJ, Barber CL, Sabatier F, et al. Endothelial Progenitors: A Consensus Statement on Nomenclature. Stem Cells Transl Med. 2017; 6(5):1316-1320.
Go to original source...
Go to PubMed...
- Sullivan, R, Dailey T, Duncan K, et al. Peripheral Nerve Injury: Stem Cell Therapy and Peripheral Nerve Transfer. Int J Mol Sci. 2016;17(12):2101. Dostupné z DOI
Go to original source...
Go to PubMed...
- Fuentealba LC, Obernier K, and Alvarez-Buylla A. Adult Neural Stem Cells Bridge Their Niche. Cell Stem Cell. 2012;10(6):698-708.
Go to original source...
Go to PubMed...
- Kaneko N, Kako E, and Sawamoto K. Prospects and Limitations of Using Endogenous Neural Stem Cells for Brain Regeneration. Genes (Basel). 2011;2(1):107-30.
Go to original source...
Go to PubMed...
- Muir K, Bulters D, Willmot M. Intracerebral implantation of human neural stem cells and motor recovery after stroke: multicentre prospective single-arm study (PISCES-2). J Neurol Neurosurg Psychiatry. 2020;91(4):396-401.
Go to original source...
Go to PubMed...
- Cui CH, Uyama, T, Miyado K, et al. Menstrual Blood-Derived Cells Confer Human Dystrophin Expression in the Murine Model of Duchenne Muscular Dystrophy via Cell Fusion and Myogenic Transdifferentiation. Mol Biol Cell. 2007;18(5):1586-94.
Go to original source...
Go to PubMed...
- Asahara T, Murohara T, Sullivan A, et al. Isolation of putative progenitor endothelial cells for angiogenesis. Science. 1997;275(5302):964-7.
Go to original source...
Go to PubMed...
- Göthert JR, Gustin SE, van Eekelen JA, et al. Genetically tagging endothelial cells in vivo: bone marrow-derived cells do not contribute to tumor endothelium. Blood. 2004;104(6):1769-77.
Go to original source...
Go to PubMed...
- Purhonen S, Palm J, Rossi D, et al. Bone marrow-derived circulating endothelial precursors do not contribute to vascular endothelium and are not needed for tumor growth. Proc Natl Acad Sci U S A. 2008; 105(18):6620-5.
Go to original source...
Go to PubMed...
- Bergers G, Song S. The role of pericytes in blood-vessel formation and maintenance. Neuro Oncol. 2005;7(4):452-64.
Go to original source...
Go to PubMed...
- Dong Z, Chen B, Fu W, et al. Transplantation of purified CD34+ cells in the treatment of critical limb ischemia. J Vasc Surg. 2013;58(2):404-411.
Go to original source...
Go to PubMed...
- Klepanec A, Mistrík M, Altaner C. No difference in intra-arterial and intramuscular delivery of autologous bone marrow cells in patients with advanced critical limb ischemia. Cell Transplant. 2012;21(9):1909-18.
Go to original source...
Go to PubMed...
- Hsu SL, Yin TC, Shao PL, et al. Hyperbaric oxygen facilitates the effect of endothelial progenitor cell therapy on improving outcome of rat critical limb ischemia. Am J Transl Res. 2019;11(4):1948-1964.
- Fejfarová V, Matuška J, Jude E, et al. Stimulation TcPO2 Testing Improves Diagnosis of Peripheral Arterial Disease in Patients With Diabetic Foot. Front Endocrinol (Lausanne). 2021; 12. Available from: DOI
Go to original source...
Go to PubMed...
- Baláž D, Komorníková A, Sabaka P, et al. Význam transkutánneho monitorovania tkanivového kyslíka u pacienta s diabetes mellitus s jeho komplikáciami. Vnitř Lék. 2015;61(2):106-113.
- Hájek M, Šedivý P, Kovář J, et al. Dynamická in vivo 31P MR spektroskopie člověka. Chem. Listy. 2017;111:516-523.
- Dubský M, Husáková J, Bém R, et al. Comparison of the impact of autologous cell therapy and conservative standard treatment on tissue oxygen supply and course of the diabetic foot in patient with chronic limb- ischemia: A randomized controlled trial. Front Endocrinol (Lausanne). 2022; 29. Available from: DOI
Go to original source...
Go to PubMed...
- Tateishi-Yuyama E, Matsubara H, Murohara T, et al. Therapeutic angiogenesis for patients with limb ischaemia by autologous transplantation of bone-marrow cells: A pilot study and a randomised controlled trial. Lancet. 2002;360 (9331):427-35.
Go to original source...
Go to PubMed...
- Matoba S, Tatsumi T, Murohara T, et al. Long-term clinical outcome after intramuscular implantation of bone marrow mononuclear cells (Therapeutic Angiogenesis by Cell Transplantation [TACT] trial) in patients with chronic limb ischemia. Am Heart J. 2008;156(5):1010-8.
Go to original source...
Go to PubMed...
- Walter DH, Krankenberg H, Balzer J, et al. Intraarterial Administration of Bone Marrow Mononuclear Cells in Patients With Critical Limb Ischemia. A Randomized-Start, Placebo-Controlled Pilot Trial (PROVASA). Circ Cardiovasc Interv. 2011;4(1):26-37.
Go to original source...
Go to PubMed...
- Teraa M, Sprengers RW, Schutgens REG, et al. Effect of repetitive intra-arterial infusion of bone marrow mononuclear cells in patients with no-option limb ischemia: the randomized, double-blind, placebo-controlled Rejuvenating Endothelial Progenitor Cells via Transcutaneous Intra-arterial Supplement. Circulation. 2015;131(10):851-60.
Go to original source...
Go to PubMed...
- Pu H. Huang Q, Zhang X. A meta-analysis of randomized controlled trials on therapeutic efficacy and safety of autologous cell therapy for atherosclerosis obliterans. J Vasc Surg. 2022;75(4):1440-1449.
Go to original source...
Go to PubMed...
- Murphy MP, Lawson JH, Rapp BM, et al. Autologous bone marrow mononuclear cell therapy is safe and promotes amputation-free survival in patients with critical limb ischemia. J Vasc Surg. 2011;53(6):1565-74.
Go to original source...
Go to PubMed...