Mesenchymal stromal cells for steroid-refractory acute graft-versus-host disease: a report of two cases

Int J Hematol. 2010 Jul;92(1):204-7. doi: 10.1007/s12185-010-0606-9. Epub 2010 Jun 1.

Abstract

Severe graft-versus-host disease (GVHD) is a lethal complication of allogeneic hematopoietic stem cell transplantation (HSCT). However, there have been only a few limited therapeutic options for the treatment of GVHD. Here we have reported two cases of the patients with acute steroid-refractory GVHD who underwent allogeneic HSCT. These patients received infusions of third-party clonal mesenchymal stem cells (cMSCs), which were isolated by a subfractionation culturing method (SCM) developed recently by our group, and showed marked improvement of the disease. MSCs represent a new potential therapeutic option in the treatment of steroid-refractory acute GVHD. They showed safety and improved clinical findings of the acute GVHD patients. However, further investigations are needed to understand the accurate mechanisms of MSCs and larger well-designed human clinical trials are necessary to prove further the safety and efficacy of the cMSCs for the treatment of acute GVHD patients.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Drug Resistance
  • Female
  • Graft vs Host Disease / drug therapy
  • Graft vs Host Disease / therapy*
  • Hematopoietic Stem Cell Transplantation / methods*
  • Humans
  • Male
  • Mesenchymal Stem Cell Transplantation / methods*
  • Middle Aged
  • Steroids / pharmacology
  • Steroids / therapeutic use
  • Stromal Cells
  • Treatment Outcome

Substances

  • Steroids