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  4. Improvement of renal function after human umbilical cord mesenchymal stem cell treatment on chronic renal failure and thoracic spinal cord entrapment: a case report

Improvement of renal function after human umbilical cord mesenchymal stem cell treatment on chronic renal failure and thoracic spinal cord entrapment: a case report

Journal of Medical Case Reports, 2017 · DOI: 10.1186/s13256-017-1489-7 · Published: November 27, 2017

Spinal Cord InjuryUrologyRegenerative Medicine

Simple Explanation

This case report describes how stem cell treatment improved kidney function and spinal cord issues in a 62-year-old woman. The patient had chronic renal failure and thoracic spinal cord entrapment, leading to paraplegia. The patient received human umbilical cord mesenchymal stem cells (hUC-MSCs) via intrathecal and intravenous routes. After treatment, she regained some movement in her legs and her kidney function improved, indicated by decreased creatinine levels and the resumption of urination. The study suggests that hUC-MSC implantation can significantly improve spinal cord entrapment and kidney failure. However, the study emphasizes the importance of addressing the major histocompatibility in allogeneic implantation in future research.

Study Duration
8 Months
Participants
A 62-year-old Indonesian woman
Evidence Level
Level 4, Case Report

Key Findings

  • 1
    After hUC-MSC treatment, the patient could move her toes three weeks after the first intrathecal and intravenous implantation.
  • 2
    The patient's creatinine level decreased from 11 mg/dl to 9 mg/dl three weeks after the first hUC-MSC treatment and eventually to 2 mg/dl after 8 months.
  • 3
    After 8 months of hUC-MSC treatment, the patient could raise her legs and had normal urination, which had been absent for 2 years prior to treatment.

Research Summary

This case report details the successful use of human umbilical cord mesenchymal stem cells (hUC-MSCs) to treat a 62-year-old woman with chronic renal failure and thoracic spinal cord entrapment. The patient received intrathecal and intravenous implantations of hUC-MSCs, resulting in improved motor function, decreased creatinine levels, and the return of urination. The findings suggest that hUC-MSC implantation is a promising treatment for spinal cord entrapment and kidney failure, although further research is needed to address histocompatibility issues.

Practical Implications

Clinical Application

hUC-MSCs may offer a novel therapeutic approach for patients suffering from chronic renal failure and spinal cord injuries, especially those unresponsive to conventional treatments.

Regenerative Medicine Advancement

This case supports the ongoing research into stem cell therapies and their potential to regenerate damaged tissues and improve organ function.

Further Research

The study highlights the need for further studies focusing on optimizing hUC-MSC implantation protocols and addressing potential immunological issues for broader clinical applications.

Study Limitations

  • 1
    Single case report limits generalizability
  • 2
    Lack of control group
  • 3
    Potential for placebo effect

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