期刊
CYTOTHERAPY
卷 16, 期 2, 页码 258-265出版社
INFORMA HEALTHCARE
DOI: 10.1016/j.jcyt.2013.10.004
关键词
bone marrow; hyperbaric oxygen therapy; mononuclear cells; type 2 diabetes mellitus
类别
资金
- Major Research Project Fund of Fujian Province [2009Y4001]
- Technology Innovation Platform Project Fund of Fujian Province [2008J1006, 2010Y2006]
- Natural Science Foundation of Fujian Province [2012J01408]
- PLA Clinical Innovation Major Project Fund [2010gxjs026]
- Major Project of Nanjing Junqu [2008Z030]
Background aims. The use of bone marrow mononuclear cells (BM-MNCs) has achieved great outcomes in clinical practice. We aim to evaluate the efficacy and safety of autologous BM-/MNC infusion and hyperbaric oxygen therapy (HOT) in type 2 diabetes mellitus. Methods. This single-center, randomized, open-label, controlled clinical trial with a factorial design included two phases. The patients received standard medical therapy in the run-in phase; in the treatment phase, patients with glycated hemoglobin of 7.5-9.5% were randomly assigned into four groups and underwent BM-MNC infusion along with HOT (BM-MNC+HOT group), BM-MNC infusion (BM-MNC group), HOT (HOT group) and standard medical therapy (control group), respectively. The area under the curve of C-peptide was recorded as a primary end point. Our research is registered at ClinicalTrials.gov (NCT00767260). Results. A total of 80 patients completed the follow-up. At 12 months after treatment, the area under the curve of C-peptide (ng/mL per 180 min) of the BM-MNC+HOT group and the BM-MNC group were significantly improved (34.0% and 43.8% from the baseline, respectively). The changes were both significant compared with that in the control group, but no remarkable change was observed in the HOT group. Treatment-related adverse events were mild, including transient abdominal pain (n = 5) and punctual hemorrhage (n = 3). Conclusions. BM-MNC infusion for type 2 diabetes mellitus improves islet function and metabolic control, with mild adverse effects. HOT does not synergize with BM-MNC infusion.
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