Safety analysis in patients with autoimmune disease receiving allogeneic mesenchymal stem cells infusion: a long-term retrospective study

Jun Liang, Huayong Zhang, Wei Kong, Wei Deng, Dandan Wang, Xuebing Feng, Cheng Zhao, Bingzhu Hua, Hong Wang, Lingyun Sun, Jun Liang, Huayong Zhang, Wei Kong, Wei Deng, Dandan Wang, Xuebing Feng, Cheng Zhao, Bingzhu Hua, Hong Wang, Lingyun Sun

Abstract

Objective: The aim of this study was to evaluate the safety of mesenchymal stem cell infusion in patients with autoimmune diseases.

Methods: A total of 404 patients with autoimmune diseases who received mesenchymal stem cell infusion between 2007 and 2016 were included in this study. Adverse events in these patients were collected, mainly including infections and malignancies. Sources of information included hospitalization records and data from outpatient visits and each follow-up.

Results: The mean follow-up period of all patients was 43.4 ± 25.9 months (range 1-109). Majority of stem cells were from the umbilical cord. The most common indications for mesenchymal stem cell infusion were systemic lupus erythematosus, Sjögren's syndrome, and systemic sclerosis. The median age at infusion was 38.7 ± 15.7 years. The 5-year and 8-year survival rates were 90.4% and 88.9%, respectively. Median follow-up of survivors was 45.1 ± 25.7 months. The incidence rate of infections was 29.5% (119/404), and that of serious infections was 12.9% (52/404). Five patients (1.2%) experienced malignancies. Deaths occurred in 45 patients, and transplantation-related mortality was 0.2%. The most common causes of deaths in our study were disease relapse and complications associated with the underlying disease.

Conclusion: Autoimmune disease is an emerging indication for mesenchymal stem cell infusion. Our data shows that mesenchymal stem cell infusion is a safe therapy for patients with autoimmune diseases. The incidences of adverse events, whether infections or malignancies, are acceptable in these patients.

Trial registration: ClinaicalTrials.gov, NCT00698191 . Registered 17 June 2008-Retrospectively registered.

Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the ethical committee of the Drum Tower Hospital (No: 2006006, 2008017, 2009004).

Consent for publication

Not applicable.

Competing interests

The authors have not been influenced by any financial or personal relationship with people or organizations in preparation of this report.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
The frequency of infectious events in all patients post 1 month of MSCI. The numbers in the columns indicate the number of patients experienced infections
Fig. 2
Fig. 2
Cumulative deaths of 404 patients during the whole follow-up. The majority of deaths developed during the first 3 years after MSCI. year 1: the first year after MSCI; year 2: the second year after MSCI, and so forth. The numbers in each district represented the total deaths occurred in the different years
Fig. 3
Fig. 3
Overall survival rate of 404 patients within 9-year follow-up. The 5-year and 8-year survival rates 90.4% and 88.9%, respectively
Fig. 4
Fig. 4
Survival rate of patients with different underlying diseases within 9-year follow-up. At 5-year follow up, survival rates for different diseases were ordered from highest priority to lowest as follows: RA, SLE, SS, SSc, and PM/DM

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