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Objective

Knee osteoarthritis (OA) is a common skeletal impairment that can cause many limitations in normal life activities. Stem cell therapy has been studied for decades for its regenerative potency in various diseases. We investigated the safety and efficacy of intra-articular injection of placental mesenchymal stem cells (MSCs) in knee OA healing.

Methods

In this double-blind, placebo-controlled clinical trial, 20 patients with symptomatic knee OA were randomly divided into two groups to receive intra-articular injection of either 0.5–0.6?×?108 allogenic placenta-derived MSCs or normal saline. The visual analogue scale, Knee OA Outcome Score (KOOS) questionnaire, knee flexion range of motion (ROM) and magnetic resonance arthrography were evaluated for 24 weeks post-treatment. Blood laboratory tests were performed before and 2 weeks after treatment.

Results

Four patients in the MSC group showed mild effusion and increased local pain, which resolved safely within 48–72 h. In 2 weeks post-injection there was no serious adverse effect and all of the laboratory test results were unchanged. Early after treatment, there was a significant knee ROM improvement and pain reduction (effect size, 1.4). Significant improvements were seen in quality of life, activity of daily living, sport/recreational activity and decreased OA symptoms in the MSC-injected group until 8 weeks (P < 0.05). These clinical improvements were also noted in 24 weeks post-treatment but were not statistically significant. Chondral thickness was improved in about 10% of the total knee joint area in the intervention group in 24 weeks (effect size, 0.3). There was no significant healing in the medial/lateral meniscus or anterior cruciate ligament. There was no internal organ impairment at 24 weeks follow-up.

Conclusion

Single intra-articular allogenic placental MSC injection in knee OA is safe and can result in clinical improvements in 24 weeks follow-up. Trial registration number: IRCT2015101823298N.  相似文献   
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【目的】为明确新疆棉田棉蚜 Aphis gossypii 捕食性天敌之间的集团内捕食效应及其对蚜虫数量的控制作用。【方法】本研究以优势天敌昆虫大草蛉 Chrysopa pallens 和七星瓢虫 Coccinella septempunctata 为对象,以棉蚜为猎物,在温室中利用盆栽棉花,首先观察了2种天敌昆虫之间各虫态及虫龄配对的19个处理在无蚜植株上共存24 h后的存活数,然后观察了2种天敌昆虫配对处理下棉苗上棉蚜数量随时间的变化趋势。【结果】在无蚜棉株上2种捕食性天敌昆虫共存24 h后的存活结果表明:(1)在发育阶段相同的配对组合中,若是成虫则均存活,若是1龄幼虫则大草蛉存活较多,若是末龄幼虫则七星瓢虫存活较多;(2)在有卵的组配中,除七星瓢虫卵不被大草蛉成虫所捕食外,其他5个组配处理中卵均被捕食;(3)在有蛹的配对组合中,除七星瓢虫蛹被大草蛉末龄幼虫捕食外,其他处理下蛹均不被捕食;(4)在成虫与幼虫的配对组合中,七星瓢虫成虫捕食较多的大草蛉1龄幼虫,但不捕食大草蛉末龄幼虫,而大草蛉成虫与七星瓢虫1龄或末龄幼虫之间不发生捕食;(5)在不同龄期幼虫的配对组合中,大草蛉末龄幼虫捕食七星瓢虫1龄幼虫,而七星瓢虫末龄幼虫捕食大草蛉1龄幼虫。在有蚜植株上2种捕食性天敌共存对棉蚜数量具有不同的控制作用:(1)2种捕食昆虫的幼虫各自单独存在(对照)下,蚜虫密度随时间而降低;(2)大草蛉幼虫与七星瓢虫幼虫或成虫配对处理下,棉蚜密度随时间而增大;(3)大草蛉成虫与七星瓢虫幼虫或成虫配对处理下,棉蚜密度随时间而减小。【结论】研究结果说明,大草蛉与七星瓢虫之间存在集团内捕食,但2种天敌共存对棉蚜的控制作用取决于大草蛉虫态, 若大草蛉为幼虫,可使蚜虫密度增大,若为成虫,则使蚜虫密度减小。  相似文献   
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Recent advances in immunotherapeutic modalities have profoundly changed the prospect of cancer treatment. These modalities mainly focus on modulating the immune response toward tumor cells by using monoclonal antibodies, cancer vaccines, adoptive cell transfer or combination of these methods. In the last few years, Iranian scientists have conducted several projects in these arenas. Here, we provide an overview of these studies and analyze the quality and trend of publications in each sub-specialty of the field. In addition, the contribution of different universities and scientific institutes is assessed. This study may benefit scientific community and policymakers to plan future cancer immunotherapies in Iran and other countries.  相似文献   
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