PMID- 27219884 OWN - NLM STAT- MEDLINE DCOM- 20170303 LR - 20220311 IS - 1439-3646 (Electronic) IS - 0947-7349 (Linking) VI - 124 IP - 8 DP - 2016 Sep TI - Clinical Evaluation of Human Umbilical Cord Mesenchymal Stem Cell Transplantation After Angioplasty for Diabetic Foot. PG - 497-503 AB - Aims: The multilineage differentiation potential of human umbilical cord mesenchymal stem cells (HUCMSCs) holds therapeutic promise for non-healing ulcers and tissue regeneration. The present study evaluated the effects of HUCMSC transplantation after angioplasty for treatment of diabetic foot. Methods: Included in the study were 53 patients (72 limbs) with severe symptoms of Fontaine II-IV diabetic foot accompanied by varying degrees of lower extremity arterial disease. The patients were randomly apportioned to a control group (25 patients; 38 limbs) or an experimental group (28 patients; 34 limbs). Patients of both groups received interventional treatment with angioplasty; those in the experimental group also received HUCMSCs by endovascular infusion and injection around the foot ulcer. Results: Within the 3-month follow-up, relative to patients in the control group, those in the experimental group experienced significantly greater and more stable improvements in skin temperature, ankle-brachial pressure index, transcutaneous oxygen tension, and claudication distance. Notably, 3 months after treatment a significant increase in neovessels, accompanied by complete or gradual ulcer healing, was shown in the experimental group. In addition, no serious complications or adverse reactions were associated with the treatment. Conclusion: Therefore, our results indicate that HUCMSC transplantation after angioplasty is a safe and effective clinical therapy for severe diabetic foot. CI - (c) Georg Thieme Verlag KG Stuttgart . New York. FAU - Qin, H L AU - Qin HL AD - Department of Radiology, Affiliated Anhui Provincial Hospital, Anhui Medical University, Hefei, China. FAU - Zhu, X H AU - Zhu XH AD - Department of Radiology, Affiliated Anhui Provincial Hospital, Anhui Medical University, Hefei, China. FAU - Zhang, B AU - Zhang B AD - Department of Ultrasound in Medicine, East Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Zhou, L AU - Zhou L AD - Department of Radiology, Affiliated Anhui Provincial Hospital, Anhui Medical University, Hefei, China. FAU - Wang, W Y AU - Wang WY AD - Department of Radiology, Affiliated Anhui Provincial Hospital, Anhui Medical University, Hefei, China. LA - eng PT - Clinical Trial PT - Journal Article DEP - 20160524 PL - Germany TA - Exp Clin Endocrinol Diabetes JT - Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association JID - 9505926 SB - IM MH - Aged MH - Aged, 80 and over MH - Allografts MH - *Angioplasty MH - Diabetic Foot/*therapy MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - *Mesenchymal Stem Cell Transplantation MH - *Mesenchymal Stem Cells MH - Middle Aged MH - *Umbilical Cord EDAT- 2016/05/25 06:00 MHDA- 2017/03/04 06:00 CRDT- 2016/05/25 06:00 PHST- 2016/05/25 06:00 [pubmed] PHST- 2017/03/04 06:00 [medline] PHST- 2016/05/25 06:00 [entrez] AID - 10.1055/s-0042-103684 [doi] PST - ppublish SO - Exp Clin Endocrinol Diabetes. 2016 Sep;124(8):497-503. doi: 10.1055/s-0042-103684. Epub 2016 May 24.