RU2015124156A - Лечение инсульта с использованием изолированных плацентарных клеток - Google Patents
Лечение инсульта с использованием изолированных плацентарных клеток Download PDFInfo
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- RU2015124156A RU2015124156A RU2015124156A RU2015124156A RU2015124156A RU 2015124156 A RU2015124156 A RU 2015124156A RU 2015124156 A RU2015124156 A RU 2015124156A RU 2015124156 A RU2015124156 A RU 2015124156A RU 2015124156 A RU2015124156 A RU 2015124156A
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- placental cells
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Claims (74)
1. Способ лечения индивидуума, имеющего нарушение кровотока в мозге или вокруг него, включающий введение указанному индивидууму эффективного количества изолированных человеческих адгезивных плацентарных клеток, которые представляют собой:
CD10+, CD34-, и CD105+;
CD200+ и HLA-G+;
CD73+, CD105+, и CD200+;
CD200+ и OCT-4+;
CD73+, CD105+ и HLA-G+;
CD73+ и CD105+, и способствуют образованию одного или более эмбриоид-подобных телец в популяции плацентарных клеток, содержащей указанные стволовые клетки, когда указанную популяцию культивируют при условиях, которые обеспечивают образование эмбриоид-подобного тельца; или
OCT-4+ и способствуют образованию одного или более эмбриоид-подобных телец в популяции плацентарных клеток, содержащей стволовые клетки, когда указанную популяцию культивируют при условиях, которые обеспечивают образование эмбриоид-подобных телец; или любое их сочетание.
2. Способ по п. 1, где указанные CD10+, CD34-, CD105+ клетки представляют собой дополнительно CD200+.
3. Способ по п. 2, где указанные CD10+, CD34-, CD105+, CD200+ клетки представляют собой дополнительно CD45- или CD90+.
4. Способ по п. 3, где указанные CD10+, CD34-, CD105+, CD200+ клетки представляют собой дополнительно CD45- и CD90+.
5. Способ по п. 1, где указанное терапевтически эффективное
количество представляет собой число указанных клеток, которое приводит к устранению, обнаруживаемому улучшению, уменьшению тяжести или замедлению развития одного или более симптомов нарушения кровотока в мозге или вокруг него, проявляемых указанным индивидуумом.
6. Способ по п. 5, где указанный симптом представляет собой гемиплегию или гемипарез.
7. Способ по п. 5, где указанный симптом представляет собой мышечную слабость лица; онемение; снижение чувствительности; измененные обоняние, вкус, слух или зрение; потерю обоняния, вкуса, слуха или зрения; полуопущенные веки (птоз); обнаруживаемую слабость глазной мышцы; сниженный рвотный рефлекс; пониженную способность к глотанию; сниженную реакцию зрачка на свет; сниженную чувствительность лица; нарушение равновесия; нистагм; измененную частоту дыхания; измененную частоту сердечных сокращений; слабость грудинно-ключично-сосцевидной мышцы со сниженной возможностью или невозможностью поворота головы в одну сторону; слабость в языке; афазию (невозможность разговора или понимания языка); апраксию (измененные произвольные движения); дефекты поля зрения; дефицит памяти; геминеглект или полупространственное пренебрежение (дефицит внимания к пространству со стороны поля зрения напротив повреждения); дезорганизацию мышления; спутанность; развитие гиперсексуальных жестов; анозогнозию (настойчивое отрицание имеющегося дефицита); затрудненность ходьбы; измененную координацию движений; головокружение; неустойчивость; потерю сознания; головную боль; и/или рвоту, где указанный симптом
вызван нарушением кровотока в мозге или вокруг мозга.
8. Способ по п. 1, где указанные изолированные человеческие адгезивные плацентарные клетки представляют собой CD10+, CD34-, CD105+, CD200+.
9. Способ по п. 8, где указанные изолированные человеческие адгезивные плацентарные клетки представляют собой дополнительно CD45- и CD90+.
10. Способ по п. 1, где указанные изолированные человеческие адгезивные плацентарные клетки представляют собой CD200+ и HLA-G+.
11. Способ по п. 10, где указанные CD200+, HLA-G+ клетки представляют собой дополнительно CD34-, CD38-, CD45-, CD73+ и CD105+.
12. Способ по п. 1, где указанные изолированные человеческие адгезивные плацентарные клетки представляют собой CD73+, CD105+ и HLA-G+.
13. Способ по п. 11, где указанные CD73+, CD105+ и HLA-G+ клетки представляют собой дополнительно CD34-, CD45-, ОСТ-4+ и CD200+.
14. Способ по п. 1, где указанные CD73+, CD105+ и CD200+ клетки представляют собой дополнительно CD34-, CD38-, CD45- и HLA-G+.
15. Способ по п. 1, где указанные CD200+, ОСТ-4+ клетки представляют собой дополнительно CD34-, CD38-, CD45-, CD73+, CD105+ и HLA-G+.
16. Способ по п. 1, где указанные CD73+ и CD105+ клетки представляют собой дополнительно ОСТ-4+, CD34-, CD38- и CD45-.
17. Способ по п. 1, где указанные OCT-4+ клетки представляют собой дополнительно CD73+, CD105+, CD200+, CD34-, CD38- и CD45-.
18. Способ по п. 1, где указанные изолированные человеческие адгезивные плацентарные клетки содержатся в популяции клеток, по меньшей мере, 80% которой представляют собой изолированные человеческие адгезивные плацентарные клетки.
19. Способ по п. 1, где указанные изолированные человеческие адгезивные плацентарные клетки содержатся в популяции клеток, по меньшей мере, 90% которой представляют собой указанные изолированные человеческие адгезивные плацентарные клетки.
20. Способ лечения индивидуума, имеющего нарушение кровотока в мозге или вокруг мозга, включающий введение указанному индивидууму эффективного количества изолированных человеческих адгезивных плацентарных клеток, где указанные клетки экспрессируют один или более генов на заметно более высоком уровне, чем полученные из костного мозга мезенхимальные стволовые клетки, где указанные один или более генов представляют собой один или более из ACTG2, ADARBl, AMIGO2, ARTS-1, ч B4GALT6, ВСНЕ, C11orf9, CD200, COL4A1, COL4A2, СРА4, DMD, DSC3, DSG2, ELOVL2, F2RL1, FLJ10781, GATA6, GPR126, GPRC5B, ICAM1, IER3, IGFBP7, IL1A, IL6, IL18, KRT18, KRT8, LIPG, LRAP, MATN2, MEST, NFE2L3, NUAK1, PCDH7, PDLIM3, PKP2, RTN1, SERPINB9, ST3GAL6, ST6GALNAC5, SLC12A8, TCF21, TGFB2, VTN, и ZC3H12A, и где указанная полученная из костного мозга стволовая клетка претерпела количество пассажей в культуре, которое является эквивалентным числу пассажей, которые претерпела указанная плацентарная стволовая клетка.
21. Способ по п. 1 или 20, где указанное нарушение кровотока представляет собой инсульт.
22. Способ по п. 21, где указанный инсульт представляет собой ишемический инсульт.
23. Способ по п. 21, где указанный инсульт представляет собой геморрагический инсульт.
24. Способ по п. 1 или 20, где указанное нарушение представляет собой гематому.
25. Способ по п. 24, где указанная гематома представляет собой дуральную гематому, субдуральную гематому или субарахноидальную гематому.
26. Способ по п. 1 или 20, где указанное нарушение представляет собой вазоспазм.
27. Способ по п. 1 или 20, где указанные изолированные плацентарные клетки вводят посредством болюсной инъекции.
28. Способ по п. 1 или 20, где указанные изолированные плацентарные клетки вводят посредством внутривенной инфузии.
29. Способ по п. 1 или 20, где указанные изолированные плацентарные клетки вводят интракраниально.
30. Способ по п. 29, где указанные изолированные плацентарные клетки вводят в область ишемии.
31. Способ по п. 29, где указанные изолированные плацентарные клетки вводят в область, периферическую к ишемии.
32. Способ по п. 1 или 20, где указанные изолированные плацентарные клетки вводят интраперитонеально, внутримышечно, внутрикожно или внутрь глаза.
33. Способ по п. 1 или 20, где указанные изолированные
адгезивные плацентарные клетки вводят посредством хирургической имплантации композиции, содержащей указанные изолированные человеческие адгезивные плацентарные клетки.
34. Способ по п. 33, где указанная композиция представляют собой матрикс или каркас.
35. Способ по п. 34, где указанные матрикс или каркас представляют собой гидрогель.
36. Способ по п. 34, где указанные матрикс или каркас представляет собой децеллюляризованную ткань.
37. Способ по п. 34, где указанные матрикс или каркас представляют собой синтетическую биодеградируемую композицию.
38. Способ по п. 1 или 20, где указанные изолированные плацентарные клетки вводят однократно указанному индивидууму.
39. Способ по п. 1 или 20, где указанные изолированные плацентарные клетки вводят указанному индивидууму множество раз.
40. Способ по п. 1 или 20, где указанное введение включает в себя введение между приблизительно 1×104 и 1×105 изолированных плацентарных клеток на килограмм указанного индивидуума.
41. Способ по п. 1 или 20, где указанное введение включает в себя введение между приблизительно 1×105 и 1×106 изолированных плацентарных клеток на килограмм указанного индивидуума.
42. Способ по п. 1 или 20, где указанное введение включает в себя введение между приблизительно 1×106 и 1×107 изолированных плацентарных клеток на килограмм указанного
индивидуума.
43. Способ по п. 1 или 20, где указанное введение включает в себя введение между приблизительно 1×107 и 1×108 изолированных плацентарных клеток на килограмм указанного индивидуума.
44. Способ по п. 1 или 20, где указанное введение включает в себя введение между приблизительно 5×107 и 3×109 изолированных плацентарных клеток внутривенно.
45. Способ по п. 44, где указанное введение включает в себя введение приблизительно 9×108 изолированных плацентарных клеток.
46. Способ по п. 44, где указанное введение включает в себя введение приблизительно 1,8×109 изолированных плацентарных клеток.
47. Способ по п. 1 или 20, где введение включает в себя введение между приблизительно 5×107 и 1×108 изолированных плацентарных клеток интракраниально.
48. Способ по п. 47, где указанное введение включает в себя введение приблизительно 9×107 изолированных плацентарных клеток.
49. Способ по п. 1 или 20, включающий в себя введение второго терапевтического средства указанному индивидууму.
50. Способ по п. 49, где указанное второе терапевтическое средство представляет собой нейропротекторное средство.
51. Способ по п. 50, где указанное второе терапевтическое средство представляет NXY-059 (дисульфонильное производное фенилбутилнитрона).
52. Способ по п. 49, где указанное второе терапевтическое
средство представляет собой тромболитическое средство.
53. Способ по п. 52, где указанное тромболитическое средство представляет собой тканевой активатор плазминогена (tPA).
54. Способ по п. 1 или 20, где указанные изолированные плацентарные клетки вводят указанному индивидууму в пределах 48 часов развития одного или более симптомов нарушения кровотока в мозге или вокруг мозга у указанного индивидуума.
55. Способ по п. 1 или 20, где указанные изолированные плацентарные клетки вводят указанному индивидууму в пределах 24 часов развития одного или более симптомов нарушения кровотока в мозге или вокруг мозга у указанного индивидуума.
56. Способ по п. 1 или 20, где указанные изолированные плацентарные клетки вводят указанному индивидууму в пределах 12 часов развития одного или более симптомов нарушения кровотока в мозге или вокруг мозга у указанного индивидуума.
57. Способ по п. 1 или 20, где указанные изолированные плацентарные клетки вводят указанному индивидууму в пределах 3 часов развития одного или более симптомов нарушения кровотока в мозге или вокруг мозга у указанного индивидуума.
58. Способ по п. 1 или 20, где указанные изолированные плацентарные клетки криокогсервировали перед указанным введением.
59. Способ по п. 1 или 20, где указанные изолированные человеческие адгезивные плацентарные клетки получают из банка плацентарных стволовых клеток.
60. Способ по п. 21, где указанные изолированные человеческие адгезивные плацентарные клетки экспрессируют
указанные один или более генов, когда их культивируют в течение приблизительно от 3 до приблизительно 35 удвоений популяции в среде, содержащей 60% DMEM-LG и 40% MCDB-201; 2% зародышевой телячьей сыворотки; 1× инсулин-трансферрин-селен (ITS); 1× линолевая кислота-альбумин бычьей сыворотки (LA-BSA); 10-9 M дексаметазона; 10-4 M аскорбиновой кислоты 2-фосфат; эпидермальный фактор роста 10 нг/мл; и тромбоцитарный фактор роста (PDGF-BB) 10 нг/мл.
61. Способ по п. 21, где указанные изолированные человеческие адгезивные плацентарные клетки экспрессируют указанные один или более генов при культивировании в течение от приблизительно 3 до приблизительно 35 удвоений популяции в среде, содержащей 60% DMEM-LG (Gibco) и 40% MCDB-201 (Sigma); 2% фетальной телячьей сыворотки (Hyclone Labs.); 1× инсулин-трансферрин-селен (ITS); 1× линолевая кислота-альбумин бычьей сыворотки (LA-BSA); 10-9 M дексаметазона (Sigma); 10-4 M аскорбиновой кислоты 2-фосфат (Sigma); эпидермальный фактор роста 10 нг/мл (R&D Systems); и тромбоцитарный фактор роста (PDGF-BB) 10 нг/мл (R&D Systems).
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| US7311905B2 (en) * | 2002-02-13 | 2007-12-25 | Anthrogenesis Corporation | Embryonic-like stem cells derived from post-partum mammalian placenta, and uses and methods of treatment using said cells |
| KR100915483B1 (ko) | 2000-12-06 | 2009-09-03 | 로버트 제이 하리리 | 태반 줄기 세포의 회수 방법 |
| US20080152629A1 (en) * | 2000-12-06 | 2008-06-26 | James Edinger | Placental stem cell populations |
| KR101012952B1 (ko) | 2001-02-14 | 2011-02-08 | 안트로제네시스 코포레이션 | 산후 포유류의 태반, 이의 용도 및 태반 줄기세포 |
| EP2301343A1 (en) * | 2002-02-13 | 2011-03-30 | Anthrogenesis Corporation | Embryonic-like stem cells derived from post-partum mammalian placenta and uses and methods of treatment using said cells |
| US7498171B2 (en) * | 2002-04-12 | 2009-03-03 | Anthrogenesis Corporation | Modulation of stem and progenitor cell differentiation, assays, and uses thereof |
| EP1571910A4 (en) * | 2002-11-26 | 2009-10-28 | Anthrogenesis Corp | CYTOTHERAPEUTIC AGENTS, CYTOTHERAPEUTIC UNITS AND METHODS OF TREATMENT IN WHICH THEY INTERVENE |
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