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Stem cells in the treatment of chronic spinal cord injury: evaluation of somatosensitive evoked potentials in 39 patients
Study design: A prospective, non-randomized clinical series trial. Objective: To evaluate the effect of autogenous undifferentiated stem cell infusion for the treatment of patients with chronic spinal cord injury (SCI) on somatosensory evoked potentials (SSEPs). Setting: A public tertiary hospital i...
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Published in: | Spinal cord 2009-10, Vol.47 (10), p.733-738 |
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container_title | Spinal cord |
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creator | Cristante, A F Barros-Filho, T E P Tatsui, N Mendrone, A Caldas, J G Camargo, A Alexandre, A J Teixeira, W G Oliveira, R P Marcon, R M |
description | Study design:
A prospective, non-randomized clinical series trial.
Objective:
To evaluate the effect of autogenous undifferentiated stem cell infusion for the treatment of patients with chronic spinal cord injury (SCI) on somatosensory evoked potentials (SSEPs).
Setting:
A public tertiary hospital in São Paulo, Brazil.
Methods:
Thirty-nine consecutive patients with diagnosed complete cervical and thoracic SCI for at least 2 years and with no cortical response in the SSEP study of the lower limbs were included in the trial. The trial patients underwent peripheral blood stem cell mobilization and collection. The stem cell concentrate was cryopreserved and reinfused through arteriography into the donor patient. The patients were followed up for 2.5 years and submitted to SSEP studies to evaluate the improvement in SSEPs after undifferentiated cell infusion.
Results:
Twenty-six (66.7%) patients showed recovery of somatosensory evoked response to peripheral stimuli after 2.5 years of follow-up.
Conclusion:
The 2.5-year trial protocol proved to be safe and improved SSEPs in patients with complete SCI.
Sponsorship:
None. |
doi_str_mv | 10.1038/sc.2009.24 |
format | article |
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A prospective, non-randomized clinical series trial.
Objective:
To evaluate the effect of autogenous undifferentiated stem cell infusion for the treatment of patients with chronic spinal cord injury (SCI) on somatosensory evoked potentials (SSEPs).
Setting:
A public tertiary hospital in São Paulo, Brazil.
Methods:
Thirty-nine consecutive patients with diagnosed complete cervical and thoracic SCI for at least 2 years and with no cortical response in the SSEP study of the lower limbs were included in the trial. The trial patients underwent peripheral blood stem cell mobilization and collection. The stem cell concentrate was cryopreserved and reinfused through arteriography into the donor patient. The patients were followed up for 2.5 years and submitted to SSEP studies to evaluate the improvement in SSEPs after undifferentiated cell infusion.
Results:
Twenty-six (66.7%) patients showed recovery of somatosensory evoked response to peripheral stimuli after 2.5 years of follow-up.
Conclusion:
The 2.5-year trial protocol proved to be safe and improved SSEPs in patients with complete SCI.
Sponsorship:
None.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sc.2009.24</identifier><identifier>PMID: 19333245</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Afferent Pathways - physiology ; Anatomy ; Biological and medical sciences ; Biomarkers ; Biomedical and Life Sciences ; Biomedicine ; Cell Separation - methods ; Cerebrospinal fluid. Meninges. Spinal cord ; Electrodiagnosis - methods ; Electrophysiology ; Evoked Potentials, Somatosensory - physiology ; Female ; Human Physiology ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Nerve Regeneration - physiology ; Nervous system (semeiology, syndromes) ; Neurochemistry ; Neurology ; Neuropsychology ; Neurosciences ; original-article ; Peripheral Blood Stem Cell Transplantation - methods ; Prospective Studies ; Recovery of Function - physiology ; Somatosensory Cortex - physiology ; Spinal Cord Injuries - diagnosis ; Spinal Cord Injuries - physiopathology ; Spinal Cord Injuries - surgery ; Stem Cells - cytology ; Stem Cells - physiology ; Traumas. Diseases due to physical agents ; Treatment Outcome</subject><ispartof>Spinal cord, 2009-10, Vol.47 (10), p.733-738</ispartof><rights>Springer Nature Limited 2009</rights><rights>2009 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Oct 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-e6c5ac3c24ba70832bebe8a6b776f27b6fc410fcdd86466f3b285b0bb19920663</citedby><cites>FETCH-LOGICAL-c504t-e6c5ac3c24ba70832bebe8a6b776f27b6fc410fcdd86466f3b285b0bb19920663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21942411$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19333245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cristante, A F</creatorcontrib><creatorcontrib>Barros-Filho, T E P</creatorcontrib><creatorcontrib>Tatsui, N</creatorcontrib><creatorcontrib>Mendrone, A</creatorcontrib><creatorcontrib>Caldas, J G</creatorcontrib><creatorcontrib>Camargo, A</creatorcontrib><creatorcontrib>Alexandre, A</creatorcontrib><creatorcontrib>J Teixeira, W G</creatorcontrib><creatorcontrib>Oliveira, R P</creatorcontrib><creatorcontrib>Marcon, R M</creatorcontrib><title>Stem cells in the treatment of chronic spinal cord injury: evaluation of somatosensitive evoked potentials in 39 patients</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design:
A prospective, non-randomized clinical series trial.
Objective:
To evaluate the effect of autogenous undifferentiated stem cell infusion for the treatment of patients with chronic spinal cord injury (SCI) on somatosensory evoked potentials (SSEPs).
Setting:
A public tertiary hospital in São Paulo, Brazil.
Methods:
Thirty-nine consecutive patients with diagnosed complete cervical and thoracic SCI for at least 2 years and with no cortical response in the SSEP study of the lower limbs were included in the trial. The trial patients underwent peripheral blood stem cell mobilization and collection. The stem cell concentrate was cryopreserved and reinfused through arteriography into the donor patient. The patients were followed up for 2.5 years and submitted to SSEP studies to evaluate the improvement in SSEPs after undifferentiated cell infusion.
Results:
Twenty-six (66.7%) patients showed recovery of somatosensory evoked response to peripheral stimuli after 2.5 years of follow-up.
Conclusion:
The 2.5-year trial protocol proved to be safe and improved SSEPs in patients with complete SCI.
Sponsorship:
None.</description><subject>Afferent Pathways - physiology</subject><subject>Anatomy</subject><subject>Biological and medical sciences</subject><subject>Biomarkers</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cell Separation - methods</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Electrodiagnosis - methods</subject><subject>Electrophysiology</subject><subject>Evoked Potentials, Somatosensory - physiology</subject><subject>Female</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nerve Regeneration - physiology</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurochemistry</subject><subject>Neurology</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>original-article</subject><subject>Peripheral Blood Stem Cell Transplantation - methods</subject><subject>Prospective Studies</subject><subject>Recovery of Function - physiology</subject><subject>Somatosensory Cortex - physiology</subject><subject>Spinal Cord Injuries - diagnosis</subject><subject>Spinal Cord Injuries - physiopathology</subject><subject>Spinal Cord Injuries - surgery</subject><subject>Stem Cells - cytology</subject><subject>Stem Cells - physiology</subject><subject>Traumas. 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Meninges. Spinal cord</topic><topic>Electrodiagnosis - methods</topic><topic>Electrophysiology</topic><topic>Evoked Potentials, Somatosensory - physiology</topic><topic>Female</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nerve Regeneration - physiology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurochemistry</topic><topic>Neurology</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>original-article</topic><topic>Peripheral Blood Stem Cell Transplantation - methods</topic><topic>Prospective Studies</topic><topic>Recovery of Function - physiology</topic><topic>Somatosensory Cortex - physiology</topic><topic>Spinal Cord Injuries - diagnosis</topic><topic>Spinal Cord Injuries - physiopathology</topic><topic>Spinal Cord Injuries - surgery</topic><topic>Stem Cells - cytology</topic><topic>Stem Cells - physiology</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cristante, A F</creatorcontrib><creatorcontrib>Barros-Filho, T E P</creatorcontrib><creatorcontrib>Tatsui, N</creatorcontrib><creatorcontrib>Mendrone, A</creatorcontrib><creatorcontrib>Caldas, J G</creatorcontrib><creatorcontrib>Camargo, A</creatorcontrib><creatorcontrib>Alexandre, A</creatorcontrib><creatorcontrib>J Teixeira, W G</creatorcontrib><creatorcontrib>Oliveira, R P</creatorcontrib><creatorcontrib>Marcon, R M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest Biological Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cristante, A F</au><au>Barros-Filho, T E P</au><au>Tatsui, N</au><au>Mendrone, A</au><au>Caldas, J G</au><au>Camargo, A</au><au>Alexandre, A</au><au>J Teixeira, W G</au><au>Oliveira, R P</au><au>Marcon, R M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stem cells in the treatment of chronic spinal cord injury: evaluation of somatosensitive evoked potentials in 39 patients</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>47</volume><issue>10</issue><spage>733</spage><epage>738</epage><pages>733-738</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>SPCOFM</coden><abstract>Study design:
A prospective, non-randomized clinical series trial.
Objective:
To evaluate the effect of autogenous undifferentiated stem cell infusion for the treatment of patients with chronic spinal cord injury (SCI) on somatosensory evoked potentials (SSEPs).
Setting:
A public tertiary hospital in São Paulo, Brazil.
Methods:
Thirty-nine consecutive patients with diagnosed complete cervical and thoracic SCI for at least 2 years and with no cortical response in the SSEP study of the lower limbs were included in the trial. The trial patients underwent peripheral blood stem cell mobilization and collection. The stem cell concentrate was cryopreserved and reinfused through arteriography into the donor patient. The patients were followed up for 2.5 years and submitted to SSEP studies to evaluate the improvement in SSEPs after undifferentiated cell infusion.
Results:
Twenty-six (66.7%) patients showed recovery of somatosensory evoked response to peripheral stimuli after 2.5 years of follow-up.
Conclusion:
The 2.5-year trial protocol proved to be safe and improved SSEPs in patients with complete SCI.
Sponsorship:
None.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>19333245</pmid><doi>10.1038/sc.2009.24</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Afferent Pathways - physiology Anatomy Biological and medical sciences Biomarkers Biomedical and Life Sciences Biomedicine Cell Separation - methods Cerebrospinal fluid. Meninges. Spinal cord Electrodiagnosis - methods Electrophysiology Evoked Potentials, Somatosensory - physiology Female Human Physiology Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Nerve Regeneration - physiology Nervous system (semeiology, syndromes) Neurochemistry Neurology Neuropsychology Neurosciences original-article Peripheral Blood Stem Cell Transplantation - methods Prospective Studies Recovery of Function - physiology Somatosensory Cortex - physiology Spinal Cord Injuries - diagnosis Spinal Cord Injuries - physiopathology Spinal Cord Injuries - surgery Stem Cells - cytology Stem Cells - physiology Traumas. Diseases due to physical agents Treatment Outcome |
title | Stem cells in the treatment of chronic spinal cord injury: evaluation of somatosensitive evoked potentials in 39 patients |
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