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Allogeneic Human Mesenchymal Stem Cell Infusions for Aging Frailty.

Samuel Golpanian1,2, Darcy L DiFede3, Aisha Khan1

  • 1The Interdisciplinary Stem Cell Institute.

The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
|April 27, 2017
PubMed
Summary

Allogeneic human mesenchymal stem cells (allo-hMSCs) show promise for treating frailty. This study found allo-hMSC therapy safe and effective, improving physical function and reducing inflammation in older adults.

Keywords:
Cell-based therapyInflammationPhysical functionRegenerative medicine

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Area of Science:

  • Gerontology
  • Regenerative Medicine
  • Clinical Immunology

Background:

  • Aging frailty is linked to diminished stem cell repair capacity.
  • Restoring regenerative function may offer therapeutic benefits for frailty.

Purpose of the Study:

  • To assess the safety and potential efficacy of intravenous allogeneic human mesenchymal stem cell (allo-hMSC) therapy.
  • To evaluate allo-hMSC treatment in patients experiencing aging frailty.

Main Methods:

  • A nonrandomized, dose-escalation Phase 1 study.
  • Patients received single intravenous infusions of 20, 100, or 200 million allo-hMSCs.
  • Safety assessed by treatment-emergent serious adverse events; efficacy by functional tests and inflammatory biomarkers.

Main Results:

  • No serious adverse events or significant immune reactions observed within 6 months.
  • Significant improvements in 6-minute walk distance (p = .001) and decreased TNF-α levels (p < .0001) were noted.
  • The 100-million cell dose demonstrated optimal improvements in physical function and quality of life (SF-36).

Conclusions:

  • Intravenous allo-hMSC therapy is safe and well-tolerated in aging frailty patients.
  • Observed improvements in functional and immunologic markers support further clinical investigation.
  • Cell-based therapy warrants continued development for treating frailty.