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臍帶血含有豐富造血幹細胞,可以分化成各種血球細胞,是重建血液與免疫系統重要關鍵;臍帶含有間葉幹細胞,可以分化各種組織細胞,還具有調節免疫反應與輔助造血功能,在組織工程及再生醫學應用發展相當被看好

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  • 11月 18 週四 201011:41
  • 全球首創 幹細胞入腦治療中風


蘇格蘭的醫生與英國生技業者再生神經元公司(ReNeuron)合作,展開開創性臨床試驗,把幹細胞注射入病患腦部,測試以此種全球首創方法治療中風殘障者的安全性。
    
數週前美國Geron公司率先利用胚胎幹細胞治療脊髓損傷的病人,開啟幹細胞對腦神經系統的臨床治療.ReNeuron的臨床試驗是利用12周大的胎兒神經幹細胞,藉由基因修飾來治療中風病患.這是全球首例,專家指稱,有理由對它抱持「審慎樂觀」。
主要研究人員格拉斯哥大學神經科學暨心理學研究所專家穆爾說,首位病人是60多歲男性,他的手術治療進展順利且已出院。格拉斯哥大學發言人表示,「他將會接受密切監視長達2年,參與這項臨床實驗的其他全部病患也一樣。」
這項治療程序涉及把ReNeuron的神經幹細胞注射入病患腦部,寄望它們將會修補因中風受損區域,進而改善病患的生理和心理功能。初期試驗的目的主要是測試這項實驗性治療方式對中風病患是否安全。
穆爾說,「我們希望未來它能帶動更大規模研究,判定幹細胞對中風導致殘障病患的效應。」
共有12名病患將在發生缺血性中風後6到24個月內,接受ReNeuron的ReN001細胞治療,並接受長達2年的進展追蹤。
詳細影片請見 http://www.bbc.co.uk/news/health-11763681
Foetal blood stem cells 電子顯微鏡下的病人逐漸增加的高劑量幹細胞之立體圖像
Stem cells used in stroke trial 
The elderly man is the first person in the world to receive this treatment - the start of a regulated trial at Southern General Hospital.
He was given very low doses over the weekend and has since been discharged - and his doctors say he is doing well.
Critics object as brain cells from foetuses were used to create the cells.
The patient received a very low dose of stem cells in an initial trial to assess the safety of the procedure.
Over the next year, up to 12 more patients will be given progressively higher doses - again primarily to assess safety - but doctors will be looking closely to see if the stem cells have begun to repair their brains and if their condition has improved.
Early stages
The company making the stem cells says the trial has ethical approval from the medicine's regulator.
It also points out that foetuses were used in the very early stages of the research and are now no longer used.
Professor Keith Muir, a neuroscientist at Glasgow University and a consultant neurologist at Southern General Hospital, said if the trials went well it would lead to more detailed research.
"We hope that in the future it will lead to larger studies to determine the effectiveness of stem cells on the disabilities that result from strokes," he said.
The first group of patients to receive the treatment will be men over 60 who have shown little or no improvement in their condition over a number of years.
It is an ideal group to assess the safety of the procedure - doctors will be keen to know first of all that the treatment makes them no worse.
But having such a precisely defined group will enable doctors and scientists to compare like with like if they notice any improvement - even in these early stages.
If these trials show promise, doctors plan larger trials on a more varied group of patients. The earliest this could begin is in two years' time.
There will be more focus on assessing the effectiveness, if any, of the stem cell treatment and on which groups it works best.
Patients will be monitored for two years, followed by longer term procedures after that.

The announcement from the Glasgow team comes a few weeks after the US firm Geron said it had begun its clinical trials on a patient to develop a treatment for paralysis.
The development of stem cell treatments is still at a research stage and it is likely to be many years before becoming widely available.
But new potential treatments are now beginning to make their way from the scientist's laboratory into the doctor's clinic.
Strokes kill around 67,000 people in the UK every year, according to the Stroke Association.
The charity says it is the third most common cause of death in England and Wales after heart disease and cancer.
The disabilities suffered by patients also have a greater impact than any other chronic disease, it adds.
The trial is being carried out with ReNeuron Group plc which was given approval from the UK Medicines and Healthcare Products Regulatory Agency (MHRA) in January last year.
The company's Chief Executive Officer Michael Hunt said: "The initiation of the clinical trial is a major and hard-won milestone in the development of therapies to address the severely disabling effects of stroke."
 
 
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  • 個人分類:胚胎幹細胞
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  • 10月 26 週二 201010:19
  • 胚胎幹細胞生成免疫細胞 退化性神經疾病新治療

Mount Sinai 研究人員發現腦部的免疫細胞--小神經膠質(microglia)在受精發育成胚胎時期的第七天,就由特定的造血前驅細胞發育而來.因此我們可以利用胚胎幹細胞誘導發育成小神經膠質,來治療因免疫細胞缺陷而導致的退化性腦神經疾病,如阿茲海默症(Alzheimer's Disease) 和多發性硬化症(multiple sclerosis).
Origin of Immune Cells in the Brain Discovered: Could Lead to New Treatments for Degenerative Brain Diseases, Autoimmune Disorders
ScienceDaily (Oct. 23, 2010) — Mount Sinai researchers have discovered that microglia, the immune cells that reside in the brain, have a unique origin and are formed shortly after conception. It was previously thought that microglia originated at the same time as macrophages, which are other immune cells that are thought to develop at birth. This groundbreaking discovery has the potential to lead to future treatments of degenerative brain diseases such as Alzheimer's and autoimmune diseases such as multiple sclerosis.
Microglia are thought to play an important role in the development of many brain diseases, and that defective microglia could lead to the release of inflammatory molecules, which could participate in the development of degenerative brain diseases.
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  • 個人分類:胚胎幹細胞
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  • 10月 25 週一 201009:18
  • 日本用小鼠胚胎幹細胞高效培育小腦神經細胞


日本理化研究所目前發布新聞公報稱,該所研究人員成功誘導小鼠胚胎幹細胞,有選擇性地分化成小腦神經細胞,且實現了較高的分化效率。


公報說,小腦皮質中層內的浦肯雅細胞是掌管精確運動和學習的主要神經細胞,在醫學方面具有相當重要的作用,以往誘導胚胎幹細胞有選擇性地分化成浦肯雅細胞的方法效率低下,只有約0.5%的胚胎幹細胞最終能分化成浦肯雅細胞。
理化研究所發展生物學研究中心的研究小組,改進了此前培育大腦神經細胞的無血清浮游培養法,開發出一種能在試管內再現胚胎發育過程中小腦發育環境的新方法。
在實驗中用這種方法誘導小鼠胚胎幹細胞分化時,約80%的胚胎幹細胞分化成了浦肯雅細胞的祖細胞,這其中又有約30%的祖細胞最後形成了浦肯雅細胞。將如此分化形成的細胞在試管中培育一段時間後,通過電生理學分析,研究人員觀察到這些細胞擁有浦肯雅細胞特有的神經活動,從而證實這些細胞確實具備浦肯雅細胞的功能。
在移植實驗中,研究人員將提純後的浦肯雅細胞的祖細胞,移植入小鼠胚胎的小腦中,移植細胞順利“扎根”在小腦的浦肯雅細胞層中,並正確融入小腦回路。
公報說,脊髓小腦變性症是小腦神經細胞因逐漸萎縮、死亡而數量減少導致的疾病,這項成果為此類疾病的病理研究和開發新療法提供了新途徑。
英國《自然‧神經科學》雜志網絡版13日刊登了這項成果。
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  • 個人分類:胚胎幹細胞
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  • 10月 19 週二 201011:46
  • 啟動PRDM14基因‧普通細胞“變身”幹細胞

(新加坡18日訊)新加坡科學家發現了人類幹細胞“百變”的秘密,而且只要啟動這個被稱為PRDM14的基因,任何普通細胞都有可能“變身”為幹細胞,成功率比現有技術高三倍。
 
擁有多能性(pluripotency)的胚胎幹細胞(embryonic stem cell),能變成人體裡200多種細胞中的任何一種,自我“繁殖”能力也強,因此一直被視為各種絕症的希望。



不過,由於牽涉道德問題,胚胎幹細胞研究一再受阻,科學家只好另覓良方。


科學人員近年就開始鑽研“培育”多能性幹細胞的可能性,通過“重新編排”(re-programme)改變細胞基因,讓普通細胞也具多能性。


由19名新加坡科學家組成的研究小組就花了3年,從2萬1千組基因中,找到了幹細胞“多能性”的重要鑰匙。這相信是有史至今,最大規模的幹細胞基因研究。


“添置”PRDM14基因  將培育三倍多能性細胞


負責率領小組的是新加坡科技研究局(A*Star)屬下的新加坡基因組研究院和份子與生物細胞研究院。小組的研究報告,剛於最新一期的國際頂尖學術期刊《自然》(Nature)刊登。


參與研究的新加坡基因組研究院高級研究小組組長黃學暉博士受訪時指出,要讓普通細胞具多能性,需啟動的基因有好幾組,PRDM14只是其中之一,但它卻也扮演著重要角色。


小組發現,在改造細胞時如果為細胞“添置”PRDM14基因組,那最終培育出具多能性的細胞,將比平日多出三倍。


此外,他們也發現PRDM14隻在人類的幹細胞中扮演重要角色,對老鼠幹細胞則不重要。這顯示了不同物種間幹細胞的差異,也再次彰顯了以人類細胞進行研究的重要性。


不過,黃博士坦誠,目前還不清楚這項發現能如何應用於醫藥治療。“除了PRDM14,我們目前還在研究很多其他的基因組。當中一些可能對個別病症具重要功能。”


“目前我們很難推算出一個時間表,正如很多重要的治療,從發現到最終的臨床應用是需要時間的。”


黃博士表示,目前一些常見的幹細胞療法用的都是他人捐贈的幹細胞,可是新的研究卻能直接用病人本身的細胞“培育”出幹細胞,彷彿是為病人“量身”制定,相信會更理想。




星洲日報/國際‧2010.10.18
 

Scientists First to Perform Genome-Wide Study of Human Stem Cells


Their research, published in the journal Nature, is the first ever genome-wide study of human stem cells on such a massive scale, and its results are crucial in understanding how stem cells may one day be used to treat debilitating conditions such as Parkinson's disease and traumatic spinal injury.


GIS Senior Group Leader for Stem Cell and Development Biology and Associate Director for Biology Dr Ng Huck Hui, and IMCB Principal Investigator Dr Frederic Bard combined the strengths of their teams to investigate the 21,000 genes in the entire human genome to find those which regulate the two characteristic properties of hESCs -- the capacity to turn into any type of cell in the human body (pluripotency), and the ability to retain that capacity indefinitely. Out of the several key genes they identified, a particular gene known as PRDM14 was discovered to make it easier to turn a type of human cell (fibroblasts) into pluripotent stem cells. The discoveries contribute to a fundamental understanding of the nature of stem cells and helps efforts to improve techniques to turn mature adult cells into hESCs.


In addition, the scientists found that PRDM14 played a key role in hESCs, but not in mouse ESCs. This significant new finding highlights the fundamental differences between stem cells from different species, and highlights the greater need to use human cells in stem cell research.


"Very little is known about the molecular machines that drive stem cell states or the transcriptional profiles of hESCs. Our study helps to build a better understanding of hESCs and this will help in the development of technologies to further the utilities of these cells such as their potential to be used for clinical and therapeutic applications," said Dr Ng. "Dr Bard's scientific expertise was invaluable in helping us crack another piece of the stem cell puzzle. I definitely look forward to collaborating with him on more projects that aim to peel away the mysteries surrounding stem cells" he added.


Dr Alan Colman, Executive Director of the Singapore Stem Cell Consortium, said, "Huck Hui Ng and his colleagues continue to keep Singapore at the top table of countries plundering the secrets of human embryonic stem cell regulation. This time they have deployed the first genome-wide functional screen to identify factors that maintain 'stemness' in these cells and yet again reveal major differences between mouse and human embryonic stem cells in the control of this important property."


Senior Scientist at the Developmental & Stem Cell Biology Program, The Hospital for Sick Children, Dr Janet Rossant added, "The unprecedented scale of this screen has added considerable new information to our understanding of pluripotency and will help efforts to improve reprogramming of adult cells."


Professor Lee Eng Hin, Executive Director of the Biomedical Research Council, A*STAR, applauded the discovery and said, "This is an examplar of a great cross institutional collaboration. The combined strength of stem cell and genomics experts has led to a great piece of world-class work. I hope to see more of such valuable partnerships in the future."



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  • 個人分類:胚胎幹細胞
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  • 10月 19 週二 201011:18
  • 漸凍人 幹細胞治療進入臨床試驗

John Conley將在星期三(10/18)成為美國Emory大學第七位利用幹細胞移植的漸凍人(Amyotrophic Lateral Sclerosis:ALS)臨床試驗者.
Conley在2009/09被診斷出[肌萎縮性側索硬化症],俗稱漸凍人(ALS),當時非常震驚與恐懼.在歷經數個月後,Conley願意接受Emory大學醫學中心的幹細胞臨床試驗治療,希望就此可結束13個月癱瘓的生涯.
Emory大學醫學中心的移植醫師Dr. Jonathan Glass將胚胎幹細胞在體外培養成神經細胞,再移植到病患的脊髓當中,最終的目標希望可以延長與減緩病患神經癱瘓的發生.
這項手術內容請看http://www.myfoxatlanta.com/dpp/news/health-watch-stem-cell-trial-101810
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  • 個人分類:胚胎幹細胞
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  • 10月 12 週二 201009:58
  • 美開始以胚胎幹細胞醫療病人 脊髓損傷患者有望


   更新日期:2010/10/12 01:19  


stem cell differentation


(路透華盛頓11日電)美國醫生已開始利用人類胚胎幹細胞治療1名脊髓受傷的病患,使這種富有爭議的療法首次應用在人類身上。


這名病患8日在亞特蘭大的謝爾德脊髓和腦部受傷復健中心,開始接受杰龍公司發展出來的GRNOPC1人類胚胎幹細胞治療。研究結果發現,如在脊髓受傷7天後注射GRNOPC1,能使患者的運動機能大為改善。


GRNOPC1含有寡樹突先驅細胞,能夠變成會製造髓鞘的寡樹突細胞,而神經細胞是靠著包覆其外層的髓鞘傳導訊息。身體一旦因受傷而失去這些細胞,可能陷於癱瘓。如果GRNOPC1確有效用,先驅細胞將能在脊髓受損部位製造新的寡樹突細胞,並可能讓身體恢復運動機能。


參與人體試驗的患者必須是在最近2周內受傷,並在受傷之後7天至14天內接受GRNOPC1注射。


Geron公司去年1月獲聯邦食品藥物管理局(FDA)批准,對GRNOPC1展開人體實驗。6周後,歐巴馬總統准許聯邦資助人類胚胎幹細胞研究。


Geron公司打算在美國各地接受8到10名患者進行初期試驗。這種研究將持續大約2年,每個病患接受研究1年。如證明新療法安全無虞,將展開持續更久的更大規模研究,以檢驗其效能。


Stem Cell Research Makes First Human Test


Written By Elizabeth Price on 13 October 2010.     



A California company announced this week it had begun tests on an embryonic stem-cell treatment for a patient with a severely injured spinal chord, the first such treatment test on a human.


Geron said it enrolled one patient in the preliminary stage study, which will examine how safe such treatments are and how it is tolerated by the patient. To be eligible for the test, the patient must have been injured as recently as the past two weeks. 


“We are pleased to have our patients participating in this exciting research,” said Dr. Donald Peck Leslie, medical director at Shepherd Center, a research center in Atlanta that treats spinal chord and brain injuries. “Our medical staff will evaluate the patients’ progress as part of this study. We look forward to participating in clinical trials that may help people with spinal cord injury.”


The announcement is considered a milestone in stem-cell technology, but the treatment has a long way to go before it will be approved for wide-spread use. If researchers make it through early tests, they will still need to conduct years of more evaluations to determine the treatments complete effectiveness.


“This clinical trial represents another step forward in Shepherd Center’s involvement in an attempt to find a cure for paralysis in people with spinal cord injury,” said Dr. David Apple, principal investigator of the trial at the Shepherd Center.


People who oppose embryonic stem cell research say it equates to an abortion, since the technology involves destroying embryos. Supporters of the field, however, say embryonic stem cells offer the best hope for medical breakthroughs.



http://www.internetbits.com/stem-cell-research-makes-first-human-test/54641/ 




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  • 個人分類:胚胎幹細胞
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  • 10月 12 週二 201009:56
  • 幹細胞面面觀

胚胎幹細胞研究今天邁入里程碑,因為這項創新又具爭議性的研究,已走出實驗室、來到臨床實驗。









研究人員希望能利用幹細胞,來填補因疾病、意外、戰爭或一般磨耗而受損的組織。鼓吹這項研究的人士表示,研究針對的目標包括阿茲海默症(Alzheimer's)、糖尿病等多種疾病。


胚胎幹細胞(embryonic stem cell)因具「全能性」,是目前為止用途最廣的幹細胞。「全能性」即是有能力分化成任何細胞種類。


它們來自受精卵,且研究人員通常讓它們長個3到5天再進行收成,然後放在自我複製的「行列」來進行研究。


然而,此法遭到宗教保守人士的大力抨擊。他們主張,人的生命從受孕那一刻就開始,因此破壞胚胎等同謀殺。


史上首次的胚胎幹細胞臨床研究,將由美國生物技術業者杰龍公司(Geron Corp)負責。參與這項研究的病患,正在喬治亞州亞特蘭大的醫院接受脊髓和腦損傷復健。杰龍表示,第一階段將評估安全性和容忍性。


幹細胞另一來源為成體幹細胞(adult stem cell)。儘管還未成熟,成體幹細胞通常被編列來分化成特定細胞種類。通常來說,成體幹細胞得到的媒體關注,遠低於胚胎幹細胞。


然而,近年來,研究人員發現成體幹細胞用途較原先以為的還要廣,且存於更廣泛的組織之中,包括大腦、骨髓、週邊血、血管、骨骼肌、皮膚和肝臟。


一份2007年的研究指出,皮膚取得的幹細胞「重新編列」之後,他們已發現一個創造多能幹細胞的方法。且在2008年1月,先進細胞科技公司(ACT)的藍札(Robert Lanza)所率領的團隊,宣布他們已成功找出一個不破壞胚胎,就能創造人類胚胎幹細胞的方法,為史上首次。



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  • 個人分類:胚胎幹細胞
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  • 10月 05 週二 201013:04
  • 科學家發現越早越準確方式 檢測胚胎細胞



 Health & Science Today 

 

美國史丹福大學有高達百分之九十三的準確率能提早預測受精卵是否可成功發育成囊胚(Blastocyst).這項發現已發表在Nature Biotechnology. 

 

囊胚是一個受精卵不斷分裂成70-100個細胞的胚胎組織,一旦成功著床就可發育成寶寶個體.提早預測胚胎的發育情形可運用在體外授精,幫助科學家選擇良好的胚胎,進行體內的著床,提高不孕婦女的受孕機會.

 

今年剛出爐的諾貝爾醫學獎頒給試管嬰兒之父,長久發展的體外授精的技術終於受到高度的肯定,但是體外授精的胚胎仍常面臨到發育不良或帶有基因缺陷等問題而影響日後的受孕,因此提早診斷胚胎的發育變是重要的議題.

 

相關影片提供在http://www.jsonline.com/blogs/news/104305354.html, 顯示科學家正取出受精三天的胚胎,檢測基因是否有異常的情形. 


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  • 10月 05 週二 201008:43
  • 試管嬰兒之父 獲諾貝爾醫學獎

 更新日期:2010/10/05 04:11









〔編譯魏國金、記者湯佳玲/綜合報導〕試管嬰兒之父、英國生理學家羅伯特.艾德華斯,四日以發展試管受精技術,致使全球數百萬不孕症夫婦得享天倫之樂的貢獻,而獲頒二○一○年諾貝爾醫學獎。


四百萬嬰兒 因他降臨 


瑞典卡洛林斯卡研究院讚揚八十五歲的艾德華斯的試管受精(IVF)技術,「是現代醫學發展的里程碑」。一九七八年第一位試管嬰兒露薏絲.布朗在英國誕生以來,迄今已有四百萬名嬰兒拜IVF治療之賜而出生。如今一對不孕症伴侶在接受IVF療程後,歡喜得子的機率是五比一,與健康伴侶自然受孕的機率相同。 


艾德華斯於一九五○年代開始研究IVF,一九六八年他與婦產科醫師史戴普托共同發展出讓卵細胞體外受精的方法,一九七二年他們開始從事將胚胎放回母親子宮的技術,但因不當的荷爾蒙治療,許多孕婦被迫墮胎。一九七七年他們嘗試使用精準時間而不用荷爾蒙治療的新程序,翌年七月二十五日,第一名試管嬰兒布朗誕生。


艾德華斯說︰「露薏絲的出生意義深遠,我們必須對抗許多反對人士,但我們認定我們的理念可行,而且它們奏效!」布朗與艾德華斯一直保持聯絡,二○○七年以自然受孕的方式產下一子的布朗曾說︰「艾德華斯就像是我的祖父。」 


台北榮總婦產部生殖內分泌科主任張昇平表示,雖是遲來的肯定,但艾德華斯的得獎是「實至名歸」。 


張昇平表示,第一個試管嬰兒誕生,代表胚胎體外培育成為可能,並帶動了生殖醫學、分子醫學、內分泌醫學和胚胎幹細胞培養的進一步發展。 


張昇平也指出,第一個試管嬰兒的技術還有很多限制,如胚胎必須在第二天就植入母體。現今的胚胎可以在第五天再植入母體,醫師則可以在第三天檢查著床前的染色體,並透過胚胎幹細胞的技術,植入正常基因,避免遺傳性疾病。 


台大醫院婦產部主治醫師陳信孚認為,艾德華斯得獎有三個啟示,首先是「基本功夫要扎實」,因此他才能從中確認「信念」,相信體外受精培育胚胎、做成試管嬰兒是可行的,加上「堅持」,才能在試了八十多次後,最終成功。 


張昇平和陳信孚都與艾德華斯有數面之緣。張昇平覺得艾德華斯文質彬彬,很客氣,陳信孚說艾德華斯人很和藹,講話清晰有條理。 


有十一名孫兒的艾德華斯因身體孱弱,無法受訪。他獲贈一千萬瑞典克朗(台幣四千六百萬餘元)的獎金。



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  • 9月 30 週四 201014:36
  • 美上訴法院准許贊助幹細胞研究經費



 

陳淑娟/整理  法新社華盛頓28日電:美國上訴法院今天判定,聯邦政府可繼續為幹細胞研究提供經費。在政府和活躍人士為此一經費是否合法而爭執的情況下,這項判決推翻了下層法院的禁令。
 
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