Successful stem cell therapy using umbilical cord blood-derived multipotent stem cells for Buerger's disease and ischemic limb disease animal model.
Buerger's disease, also known as thromboangiitis obliterans, is a nonatherosclerotic, inflammatory, vasoocclusive disease. It is characterized pathologically as a panangiitis of medium and small blood vessels, including both arteries and adjacent veins, especially the distal extremities (the feet and the hands). There is no curative medication or surgery for this disease. In the present study, we transplanted human leukocyte antigen-matched human umbilical cord blood (UCB)-derived mesenchymal stem cells (MSCs) into four men with Buerger's disease who had already received medical treatment and surgical therapies. After the stem cell transplantation, ischemic rest pain suddenly disappeared from their affected extremities. The necrotic skin lesions were healed within 4 weeks. In the follow-up angiography, digital capillaries were increased in number and size. In addition, vascular resistance in the affected extremities, compared with the preoperative examination, was markedly decreased due to improvement of the peripheral circulation. Because an animal model of Buerger's disease is absent and also to understand human results, we transplanted human UCB-derived MSCs to athymic nude mice with hind limb ischemia by femoral artery ligation. Up to 60% of the hind limbs were salvaged in the femoral artery-ligated animals. By in situ hybridization, the human UCB-derived MSCs were detected in the arterial walls of the ischemic hind limb in the treated group. Therefore, it is suggested that human UCB-derived MSC transplantation may be a new and useful therapeutic armament for Buerger's disease and similar ischemic diseases.
Kim
Sung-Whan
SW
Department of Pathology, College of Medicine, The Catholic University, Seoul, Korea.
Han
Hoon
H
Chae
Gue-Tae
GT
Lee
Sung-Hoon
SH
Bo
Sun
S
Yoon
Jung-Hee
JH
Lee
Yong-Soon
YS
Lee
Kwang-Soo
KS
Park
Hwon-Kyum
HK
Kang
Kyung-Sun
KS
D000328:Adult; D000792:Angiography; D000818:Animals; D004195:Disease Models, Animal; D005312:Fetal Blood / Q000166:cytology; D006614:Hindlimb / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D008297:Male; D051379:Mice; D008807:Mice, Inbred BALB C; D008819:Mice, Nude; D008875:Middle Aged; D039902:Multipotent Stem Cells / Q000637:transplantation*; D033581:Stem Cell Transplantation; D013919:Thromboangiitis Obliterans / Q000473:pathology / Q000628:therapy*; D014183:Transplantation, Heterologous