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2017 ; 8
(18
): 30511-30523
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Serious adverse events of cell therapy for respiratory diseases: a systematic
review and meta-analysis
#MMPMID28430622
Zhao R
; Su Z
; Wu J
; Ji HL
Oncotarget
2017[May]; 8
(18
): 30511-30523
PMID28430622
show ga
BACKGROUND: Cell therapy holds the most promising for acute and chronic
deleterious respiratory diseases. However, the safety and tolerance for lung
disorders are controversy. METHODS: We undertook a systematic review and
meta-analyses of all 23 clinical studies of cell therapy. The outcomes were odds
ratio (OR), risk difference (RD), Peto OR, relative risk, and mean difference of
serious adverse events. RESULTS: 342 systemic infusions and 57 bronchial
instillations (204 recipients) of cells were analyzed for acute respiratory
distress syndrome (ARDS), bronchopulmonary dysplasia, pulmonary arterial
hypertension, silicosis, sarcoidosis, extensively drug-resistant tuberculosis,
chronic obstructive pulmonary diseases (COPD), and idiopathic pulmonary fibrosis.
The frequency of death in adults from any causes was 71 and 177 per 1,000 for
cell therapy and controls, respectively, with an OR of 0.31 (95% CI: 0.03, 3.76)
and RD of -0.22 (95% CI: -0.53, 0.09). No significant difference was found for
ARDS and COPD. The frequency of deaths and non-fatal serious adverse events of 17
open studies were similar to those of randomized controlled trials. Moreover,
serious adverse events of allogenic cells were greater than autologous
preparations, as shown by frequency, OR and RD. CONCLUSIONS: We conclude that
either infusion or instillation of mesenchymal stem stromal or progenitor cells
are well tolerated without serious adverse events causally related to cell
treatment. Cell therapy has not been associated with significant changes in
spirometry, immune function, cardiovascular activity, and the quality of life.
|Cell- and Tissue-Based Therapy/*adverse effects/methods
[MESH]