PMID- 23257028 OWN - NLM STAT- MEDLINE DCOM- 20140110 LR - 20211203 IS - 1001-9391 (Print) IS - 1001-9391 (Linking) VI - 30 IP - 11 DP - 2012 Nov TI - [Effects of human umbilical cord mesenchymal stem cells in the treatment of paraquat-induced lung injury]. PG - 811-5 AB - OBJECTIVE: To evaluate the clinical effect and safety of human umbilical cord mesenchymal stem cells (HUCMSCs) in the treatment of lung injury caused by acute paraquat poisoning. METHODS: Thirteen patients with lung injury caused by acute paraquat poisoning, who were admitted to Guangzhou No. 12 People's Hospital from December 2008 to December 2012, were divided into HUCMSC group (n = 5) and control group (n = 8). All patients received conventional treatment, while the HUCMSC group was treated with HUCMSCs as an addition. Sequential Organ Failure Assessment (SOFA) system, which was created by the Infection Section of European Society of Intensive Care Medicine, and Acute Physiology and Chronic Health Evaluation II were used to acquire the SOFA scores of patients. The lung injury was evaluated with lung injury score (LIS). The two groups were compared with respect to maximum SOFA scores at 1, 3, 5, 7, 14, and 15 days after paraquat poisoning. RESULTS: The HUCMSC group showed significantly lower maximum SOFA scores than the control group at 15d after poisoning (1.80 +/- 2.05 vs 13.50 +/- 7.59, P < 0.05). The LISs of the HUCMSC group after treatment (0.45 +/- 0.27) were significantly lower than those of the HUCMSC group before treatment (1.15 +/- 0.34) and those of the control group after treatment (2.94 +/- 1.20) (P < 0.01). In the HUCMSC group, all patients survived, and they complained no discomfort and showed normal liver, kidney, and lung functions in reexamination; one patient showed incompletely absorbed shadow in the posterior segment of the left lower lobe of the lung during lung CT scan, and no abnormal findings were seen in other patients. In the control group, one patient survived, and others died. No adverse reactions, such as chill and fever, were presented in the HUCMSC group. CONCLUSION: HUCMSCs show promise for clinical application in the treatment of lung injury caused by acute paraquat poisoning. FAU - Liu, Wei-wei AU - Liu WW AD - Guangzhou 12th Municipal People's Hospital, Guangzhou 510620, China. FAU - Yu, Wei AU - Yu W FAU - Chen, Jia-yu AU - Chen JY FAU - Ye, Geng-xin AU - Ye GX FAU - Liu, Yi-ming AU - Liu YM FAU - Chen, Lin-zhen AU - Chen LZ FAU - Chen, Yun-xian AU - Chen YX FAU - Zhang, Cheng AU - Zhang C FAU - Zhong, Xue-yun AU - Zhong XY LA - chi PT - Controlled Clinical Trial PT - Journal Article PL - China TA - Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi JT - Zhonghua lao dong wei sheng zhi ye bing za zhi = Zhonghua laodong weisheng zhiyebing zazhi = Chinese journal of industrial hygiene and occupational diseases JID - 8410840 RN - PLG39H7695 (Paraquat) RN - Paraquat lung SB - IM MH - Acute Lung Injury MH - Adolescent MH - Adult MH - Female MH - Humans MH - Lung Injury/chemically induced/therapy MH - Male MH - *Mesenchymal Stem Cell Transplantation MH - Paraquat/poisoning MH - Pulmonary Edema/*therapy MH - Treatment Outcome MH - Umbilical Cord/cytology MH - Young Adult EDAT- 2012/12/22 06:00 MHDA- 2014/01/11 06:00 CRDT- 2012/12/22 06:00 PHST- 2012/12/22 06:00 [entrez] PHST- 2012/12/22 06:00 [pubmed] PHST- 2014/01/11 06:00 [medline] PST - ppublish SO - Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2012 Nov;30(11):811-5.