Beta
39279

Autologous haematopoietic stem cell transplantation in end stage liver disease

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Tropical Medicine

Advisors

Salama, Husni M. , Hasan, Eiman M. , Zekri, Abdel-Rahman

Authors

Qabil, Sherin Abdel-Alim Muhammad

Accessioned

2017-04-26 12:34:26

Available

2017-04-26 12:34:26

type

M.Sc. Thesis

Abstract

Hepatic cirrhosis is the end-stage of chronic liverdiseases. Liver transplantation has been the most effective treatment forthese patients. Since liver transplantation is critically limited by theshortage of available donor livers searching for an effective alternativetherapy has attracted great interest in preclinical studies. Thetransplantation of autologous bone marrow-derived stem cells holds greatpotential for treating hepatic cirrhosis. We report thirty patients with end stage liver disease thatunderwent autologous bone marrow stem cells (BMSCs) transplantationin the portal vein. Subjects were patients with LC with abnormal liverfunctions. G-CSF was administered to suitable patients to mobilize theirhaematopoietic stem cells (HSCs) from the bone marrow into theperipheral circulation for three days (group 1) and five days (group 2).BMSCs were aspirated and separated then injected. After stem celltherapy, liver function was monitored for nine months. There was significant improvement as regards serumalbumin and non-significant improvement as regards bilirubin levels,INR, Prothrombin concentration, AST and ALT folds level. Safety of theprocedure was evidenced by the low incidence of complicationsencountered: serum creatinine of all patients was within the normal range. Bone marrow stem cell therapy may be considered anovel treatment for patients with decompensated LC.

Issued

1 Jan 2009

DOI

http://dx.doi.org/10.21473/iknito-space/33223

Details

Type

Thesis

Created At

31 Jan 2023