Autologous CD34+ and CD133+ stem cells transplantation in patients with end stage liver disease

Hosny Salama1, Abdel-Rahman N Zekri, Abeer A Bahnassy

  • 1Tropical Medicine Department, El-Kasr Al-Aini School of Medicine, Kasr Al-Aini st., Kasr Al-Aini, 11977 Cairo, Egypt.

Insights

Autologous stem cell infusion using CD34(+) and CD133(+) cells shows promise for end-stage liver disease. This supportive therapy improved liver enzymes and function in over half of treated patients with good tolerability.

Area of Science:

  • Regenerative Medicine
  • Hepatology
  • Stem Cell Therapy

Background:

  • End-stage liver disease (ESLD) presents a significant therapeutic challenge.
  • Current treatments for ESLD are limited and often involve transplantation.
  • Exploring novel regenerative approaches is crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate the efficacy of autologous CD34(+) and CD133(+) stem cell infusion in patients with ESLD.
  • To assess the safety and tolerability of this stem cell therapy.
  • To determine if stem cell infusion can serve as a supportive treatment modality.

Main Methods:

  • A randomized controlled trial involving 140 patients with ESLD.
  • Group 1 (n=90): Received granulocyte colony-stimulating factor followed by autologous CD34(+) and CD133(+) stem cell infusion into the portal vein.
  • Group 2 (n=50): Received standard liver treatment as a control group.

Main Results:

  • 54.5% of patients in the stem cell group showed near normalization of liver enzymes and improved synthetic function.
  • 13.6% of the infused group experienced stable disease.
  • No improvement was observed in the control group, and no adverse effects were reported.

Conclusions:

  • Autologous CD34(+) and CD133(+) stem cell infusion is a well-tolerated supportive therapy for ESLD.
  • This approach demonstrates potential for improving liver function in patients with advanced liver disease.
  • Further research may validate stem cell therapy as a viable option for ESLD management.
Abstract