Application of Amniotic Stem Cells on an Acellular Dermal Matrix Scaffold in a Burned Patient: A Case Report

Advances in science have allowed newly created medicinal products based on gene therapy, somatic cell therapy, and tissue engineering to be used in the treatment of human diseases. December 2008 legislation aims to ensure they are both safe for patients and available throughout the European Union. A...

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Bibliographic Details
Published in:Transplantation proceedings 2020-10, Vol.52 (8), p.2563-2569
Main Authors: Kitala, Diana, Łabuś, Wojciech, Klama-Baryła, Agnieszka, Kraut, Małgorzata, Maj, Mariusz, Szapski, Michał
Format: Article
Language:English
Subjects:
Acellular Dermis
Adult
Amnion - cytology
Bandages
Body Surface Area
Burns - surgery
Humans
Male
Skin Transplantation - methods
Stem Cell Transplantation - methods
Tissue Scaffolds
Wound Healing
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Summary:Advances in science have allowed newly created medicinal products based on gene therapy, somatic cell therapy, and tissue engineering to be used in the treatment of human diseases. December 2008 legislation aims to ensure they are both safe for patients and available throughout the European Union. Amniotic stem cells are designated by the European Medicines Agency Committee for Advanced Therapies as an advanced therapy medicinal product; therefore, production must be in accordance with Regulation (EC) No. 1394/2007 of the European Council of 13 November 2007 on advanced therapy medicinal products. This article details preliminary results of innovative amniotic stem cell transplant (supported by an acellular dermal matrix [ADM] produced in-house with Suprathel wound and burn dressing) in a burn patient and compares them with results in a patient treated with allogeneic skin. Amniotic stem cells were applied to a 40-year-old patient with IIb°/III° thermal burns of 36% of total body surface area and III°/IV° of 1%. Wound healing was assessed by histologic examination and the Bates-Jensen scale. Reduction in pain perception was verified by 10-point visual analog scale. Hospitalization time was compared to length of stay for patients treated with standard therapy. The patient was discharged from hospital on the 12th day after surgery with complete wound healing (almost 2 times shorter than the control). The use of amniotic stem cells and ADM may be the optimal method for burn treatment.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2020.01.110