Cell Therapy of Severe Ischemia in People with Diabetic Foot Ulcers-Do We Have Enough Evidence?

IF 4.1 3区 医学 Q1 GENETICS & HEREDITY
Molecular Diagnosis & Therapy Pub Date : 2023-11-01 Epub Date: 2023-09-22 DOI:10.1007/s40291-023-00667-w
Michal Dubský, Jitka Husáková, Dominika Sojáková, Vladimíra Fejfarová, Edward B Jude
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引用次数: 0

Abstract

This current opinion article critically evaluates the efficacy of autologous cell therapy (ACT) for chronic limb-threatening ischemia (CLTI), especially in people with diabetes who are not candidates for standard revascularization. This treatment approach has been used in 'no-option' CLTI in the last two decades and more than 1700 patients have received ACT worldwide. Here we analyze the level of published evidence of ACT as well as our experience with this treatment method. Many studies have shown that ACT is safe and an effective method for patients with the most severe lower limb ischemia. However, some trials did not show any benefit of ACT, and there is some heterogeneity in the types of injected cells, route of administration and assessed endpoints. Nevertheless, we believe that ACT plays an important role in a comprehensive treatment of patients with diabetic foot and severe ischemia.

糖尿病足溃疡患者严重缺血的细胞治疗我们有足够的证据吗?
这篇最新的观点文章批判性地评估了自体细胞治疗(ACT)对慢性肢体威胁性缺血(CLTI)的疗效,尤其是对不适合进行标准血运重建的糖尿病患者。在过去的二十年里,这种治疗方法已被用于“无选择”CLTI,全球已有1700多名患者接受了ACT治疗。在这里,我们分析了已发表的ACT证据的水平,以及我们使用这种治疗方法的经验。许多研究表明,ACT对最严重的下肢缺血患者是安全有效的方法。然而,一些试验没有显示ACT的任何益处,并且在注射细胞的类型、给药途径和评估的终点方面存在一些异质性。尽管如此,我们相信ACT在糖尿病足和严重缺血患者的综合治疗中发挥着重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.80
自引率
2.50%
发文量
53
审稿时长
>12 weeks
期刊介绍: Molecular Diagnosis & Therapy welcomes current opinion articles on emerging or contentious issues, comprehensive narrative reviews, systematic reviews (as outlined by the PRISMA statement), original research articles (including short communications) and letters to the editor. All manuscripts are subject to peer review by international experts.
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