PMID- 25791070 OWN - NLM STAT- MEDLINE DCOM- 20160412 LR - 20181202 IS - 1477-2566 (Electronic) IS - 1465-3249 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - Human allogeneic AB0/Rh-identical umbilical cord blood cells in the treatment of juvenile patients with cerebral palsy. PG - 969-78 LID - S1465-3249(15)00074-2 [pii] LID - 10.1016/j.jcyt.2015.02.010 [doi] AB - BACKGROUND AIMS: The term "cerebral palsy" (CP) encompasses many syndromes that emerge from brain damage at early stages of ontogenesis and manifest as the inability to retain a normal body position or perform controlled movements. Existing methods of CP treatment, including various rehabilitation strategies and surgical and pharmacological interventions, are mostly palliative, and there is no specific therapy focused on restoring injured brain function. METHODS: During a post-registration clinical investigation, the safety and efficacy of intravenous infusion of allogeneic human leukocyte antigen (HLA)-unmatched umbilical cord blood (UCB) cells were studied in 80 pediatric patients with cerebral palsy and associated neurological complications. Patients received up to 6 intravenous infusions of AB0/Rh-identical, red blood cell-depleted UCB cells at an average dose of 250 x 10(6) viable cells per infusion. RESULTS: Patients were followed for 3-36 months, and multiple cell infusions did not cause any adverse effects. In contrast, in most patients who received four or more UCB cell infusions, positive dynamics related to significant improvements in neurological status and/or cognitive functions were observed. CONCLUSIONS: The results confirm that multiple intravenous infusions of allogeneic AB0/Rh-identical UCB cells may be a safe and effective procedure and could be included in treatment and rehabilitation programs for juvenile patients with cerebral palsy. CI - Copyright (c) 2015 International Society for Cellular Therapy. Published by Elsevier Inc. All rights reserved. FAU - Romanov, Yury A AU - Romanov YA AD - Laboratory of Human Stem Cells, National Cardiology Research Center, Moscow, Russian Federation. Electronic address: romanov@cardio.ru. FAU - Tarakanov, Oleg P AU - Tarakanov OP AD - Cord Blood Bank "CryoCenter", Moscow, Russian Federation. FAU - Radaev, Sergey M AU - Radaev SM AD - Cord Blood Bank "CryoCenter", Moscow, Russian Federation. FAU - Dugina, Tamara N AU - Dugina TN AD - Cord Blood Bank "CryoCenter", Moscow, Russian Federation. FAU - Ryaskina, Svetlana S AU - Ryaskina SS AD - Cord Blood Bank "CryoCenter", Moscow, Russian Federation. FAU - Darevskaya, Anna N AU - Darevskaya AN AD - Cord Blood Bank "CryoCenter", Moscow, Russian Federation. FAU - Morozova, Yana V AU - Morozova YV AD - Cord Blood Bank "CryoCenter", Moscow, Russian Federation. FAU - Khachatryan, William A AU - Khachatryan WA AD - Polenov Institute of Neurosurgery, Saint-Petersburg, Russian Federation. FAU - Lebedev, Konstantin E AU - Lebedev KE AD - Polenov Institute of Neurosurgery, Saint-Petersburg, Russian Federation. FAU - Zotova, Nelli S AU - Zotova NS AD - Kulakov Federal Center of Obstetrics, Gynecology and Perinatology, Moscow, Russian Federation. FAU - Burkova, Anna S AU - Burkova AS AD - Kulakov Federal Center of Obstetrics, Gynecology and Perinatology, Moscow, Russian Federation. FAU - Sukhikh, Gennady T AU - Sukhikh GT AD - Kulakov Federal Center of Obstetrics, Gynecology and Perinatology, Moscow, Russian Federation. FAU - Smirnov, Vladimir N AU - Smirnov VN AD - Laboratory of Human Stem Cells, National Cardiology Research Center, Moscow, Russian Federation. LA - eng PT - Journal Article DEP - 20150317 PL - England TA - Cytotherapy JT - Cytotherapy JID - 100895309 RN - 0 (ABO Blood-Group System) RN - 0 (HLA Antigens) RN - 0 (Rh-Hr Blood-Group System) SB - IM MH - ABO Blood-Group System/immunology MH - Cell- and Tissue-Based Therapy/*methods MH - Cerebral Palsy/*therapy MH - Child MH - Child, Preschool MH - Cord Blood Stem Cell Transplantation/*methods MH - Female MH - Fetal Blood/*transplantation MH - HLA Antigens/immunology MH - Humans MH - Infant MH - Infusions, Intravenous MH - Male MH - Rh-Hr Blood-Group System/immunology MH - Transplantation, Homologous OTO - NOTNLM OT - brain injury OT - cell therapy OT - cerebral palsy OT - umbilical cord blood EDAT- 2015/03/21 06:00 MHDA- 2016/04/14 06:00 CRDT- 2015/03/21 06:00 PHST- 2014/12/08 00:00 [received] PHST- 2015/01/26 00:00 [revised] PHST- 2015/02/09 00:00 [accepted] PHST- 2015/03/21 06:00 [entrez] PHST- 2015/03/21 06:00 [pubmed] PHST- 2016/04/14 06:00 [medline] AID - S1465-3249(15)00074-2 [pii] AID - 10.1016/j.jcyt.2015.02.010 [doi] PST - ppublish SO - Cytotherapy. 2015 Jul;17(7):969-78. doi: 10.1016/j.jcyt.2015.02.010. Epub 2015 Mar 17.