Use of autologous mesenchymal stem cells in the combined treatment of symptomatic epilepsy
https://doi.org/10.17749/2077-8333.2019.11.2.176-186
Abstract
This article presents the results of the clinical application of the method of transplantation of autologous bone marrow stem cells in the treatment of a patient with pharmacoresistant epilepsy, the effectiveness of combination therapy, including antiepileptic drugs and autologous bone marrow stem cells and assess the feasibility, tolerability of this kind of local treatment. The encouraging results of the effectiveness of the proposed method of treatment of pharmacoresistant epilepsy on the clinical case of one patient have been obtained, which requires further study of the clinical application of the AMSC CM transplantation method on a more significant number of clinical cases in larger clinical trials.
About the Authors
F. P. KhlebokazovBelarus
FedorP. Khlebokazov- MD, PhD, Leading Researcher.
Dolginovsky tract, 152, Minsk 220053
T. V. Dokukina
Belarus
Tat’yana V. Dokukina - MD, PhD, Deputy Director for Research.
Dolginovsky tract, 152, Minsk 220053
N. Yu. Paramonova
Belarus
Natal’ya Yu. Paramonova - MD, Expert in Radionuclide Diagnostics, Practical Center of Oncology and Medical Radiology.
Agro-town Lesnoy, Minsk region 223040
S. I. Gotto
Belarus
Svetlana I. Gotto - MD, Head of the PET and CT Unit, Expert in Radionuclide Diagnostics, Practical Center of Oncology and Medical Radiology.
Agro-town Lesnoy, Minsk region 223040
I. I. Khvostova
Belarus
Irina I. Khvostova - MD, PhD, Deputy Director for Medicine (Psychiatry).
Dolginovsky tract, 152, Minsk 220053
N. N. Misyuk
Belarus
Nikolai N. Misyuk- MD, PhD, Chief Researcher.
Dolginovsky tract, 152, Minsk 220053
A. I. Martynenko
Belarus
Aleksandr I. Martynenko - MD, Psychiatrist & Psychologist.
Dolginovsky tract, 152, Minsk 220053Е. L. Slobina
Russian Federation
Elena L. Slobina - MD, PhD, Senior Researcher.
86 Profsoyuznaya Str., Moscow 117997I. V. Shamruk
Belarus
Irina V. Shamruk- MD, Neurologist.
Dolginovsky tract, 152, Minsk 220053
References
1. Kissin M.Ya. Clinical epileptology. Moscow. (in Russ.). 2009; 256 s.
2. Shershever A.S. Surgical treatment of epilepsy (in Russ.). Ekaterinburg. 2005; 144 s.
3. Vermel’ A.E. Stem cells: general characteristics and prospects for use in clinical practice. Klinicheskaya meditsina (in Russ.). 2004; 1 (5): 11.
4. Kvacheva Z.B., Votyakov V.I., Titov L.P. et al. Stem cells. Prospects for their use in medicine. Meditsinskiizhurnal. (in Russ.). 2005; 4: 4-6.
5. Klimovich V.B. Immunomodulating activity of mesenchymal stromal (stem) cells. Meditsinskaya immunologiya. (in Russ.). 2014; 16 (2): 107-126.
6. Chu K., Kim M., Jung K.H. et al. Human neural stem cell transplantation reduces spontaneous recurrent seizures following pilocarpine-induced status epilepticus in adult rats. Brain Res. 2004; 1023 (2): 213-221. DOI: 10.1016/j.brainres.2004.07.045.
7. Leal M.M., Costa-Ferro Z.S., Souza B.S., Azevedo C.M., Carvalho T.M., Kaneto C.M., et al. Early transplantation of bone marrow mononuclear cells promotes neuroprotection and modulation of inflammation after status epilepticus in mice by paracrine mechanisms. Neurochem Res. 2014; 39: 259-68. DOI: 10.1007/s11064-013-1217-7.
8. A method of treating a patient with pharmacoresistant symptomatic epilepsy / Potapnev M.P., Dokukina T.V., Kosmacheva S.M., Khleboka-zov F.P., Makhrov M.V., Ignatenko S.I., Misyuk N.N., Korolevich P.P., Slobina E.L., Marchuk S.A., Dokukina V.V., Shamruk I.V. Patent for invention BLR 22169 04.01.2014. (in Russ.).
9. Dokukina T.V., Potapnev M.P., Kosmacheva S.M., Hlebokazov F.P., Slobina E.L., Golubeva T.S., Misjuk N. N., Mahrov M.V., Shamruk I.V., Korolevich P.P., Martynenko A.I., Bychenko I.V., Bud’ko T.O. Cell-therapy of epilepsia. Clinical and immunological aspects. Epilepsia i paroksizmal'nye sostoania / Epilepsy and Paroxysmal Conditions. (in Russ.). 2018; 10 (1): 35-51. DOI: 10.17749/2077-8333.2018.10.1.035-051.
10. Hlebokazov F., Dakukina T., Makhrov M., Korolevich P., Misyuk N., Dakukina V., Shamruk I., Slobina E., Marchuk S., Ihnatsenko S., Kosmacheva S., Potapnev M., Goncharova N., Shakhbazau A. Treatment of refractory epilepsy patients with autologous mesenchymal stem cells reduces seizure frequency: an open label study. Advances in Medical Sciences. 2017; 62 (2): 273-279. DOI: 10.1016/j.advms.2016.12.004.
11. Kosmacheva S.M., Khlebokazov F.P., Dokukina T.V., Ignatenko S.I., Shamruk I.V., Slobina E.L., Goncharova N.V., Severin I.N., Potapnev M.P. Cell therapy for symptomatic epilepsy using autologous mesenchymal stem cells. Vestnikgematologii. (in Russ.). 2017; 13 (3): 44-45.
Review
For citations:
Khlebokazov F.P., Dokukina T.V., Paramonova N.Yu., Gotto S.I., Khvostova I.I., Misyuk N.N., Martynenko A.I., Slobina Е.L., Shamruk I.V. Use of autologous mesenchymal stem cells in the combined treatment of symptomatic epilepsy. Epilepsy and paroxysmal conditions. 2019;11(2):176-186. (In Russ.) https://doi.org/10.17749/2077-8333.2019.11.2.176-186

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.