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Stem Cell-based Therapies in Inflammatory Bowel Disease: Promises and Pitfalls

Overview
Publisher Sage Publications
Specialty Gastroenterology
Date 2016 Jul 2
PMID 27366222
Citations 17
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Abstract

Inflammatory bowel disease (IBD) is a chronic, often relapsing, condition that deeply impacts the quality of life for many patients. Although there have been significant advances in medical treatments, a large proportion of patients become refractory to available therapeutic options. Stem-cell therapy through hematopoietic stem cells (HSCs) or mesenchymal stem (stromal) cells (MSCs) is a promising therapeutic option for severe refractory cases especially when surgery is not feasible. In HSC transplantation, the objective is to destroy the 'autoreactive' immune cells responsible for disease chronicity, and to re-establish gut tolerance to gut microbes. In perianal Crohn's disease (CD), the objective is to deposit MSCs locally in fistulizing tracts to down-regulate the local immune response and induce wound healing. Results from upcoming and ongoing clinical trials will set the path of these novel therapeutic options that have the capability to successfully treat severe refractory Crohn's patients.

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References
1.
Hommes D, Colombel J, Emery P, Greco M, Sandborn W . Changing Crohn's disease management: need for new goals and indices to prevent disability and improve quality of life. J Crohns Colitis. 2012; 6 Suppl 2:S224-34. DOI: 10.1016/S1873-9946(12)60502-9. View

2.
Duijvestein M, Vos A, Roelofs H, Wildenberg M, Wendrich B, Verspaget H . Autologous bone marrow-derived mesenchymal stromal cell treatment for refractory luminal Crohn's disease: results of a phase I study. Gut. 2010; 59(12):1662-9. DOI: 10.1136/gut.2010.215152. View

3.
Lowenthal R, Cohen M, Atkinson K, BIGGS J . Apparent cure of rheumatoid arthritis by bone marrow transplantation. J Rheumatol. 1993; 20(1):137-40. View

4.
Bartholomew A, Sturgeon C, Siatskas M, Ferrer K, McIntosh K, Patil S . Mesenchymal stem cells suppress lymphocyte proliferation in vitro and prolong skin graft survival in vivo. Exp Hematol. 2002; 30(1):42-8. DOI: 10.1016/s0301-472x(01)00769-x. View

5.
Oyama Y, Craig R, Traynor A, Quigley K, Statkute L, Halverson A . Autologous hematopoietic stem cell transplantation in patients with refractory Crohn's disease. Gastroenterology. 2005; 128(3):552-63. DOI: 10.1053/j.gastro.2004.11.051. View