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The Effect of Stem Cell Transplantation Therapy for Post Viral Chronic Liver Cell Failure on Associated Type II Diabetes Mellitus: A Pilot Study

Author(s):

Tamer Haydara, Mostafa Gabr, Mohamed Abofreikha, Abeer Bahnasy, Hosny Salama, Mohammed Elhendawy, Mahmoud Elkadeem and Sherief Abd-Elsalam*   Pages 1 - 14 ( 14 )

Abstract:


Background: It was observed that type II diabetes mellitus associated with chronic liver failure improved after stem cell transplantation. However, there were no adequate studies regarding this issue. The aim of this study was to evaluate the effect of stem cell transplantation on associated type II diabetes mellitus and on the liver function tests.

Methods: This pilot study included 30 patients of post-hepatitis chronic liver failure who were classified in two groups: Group I, included patients with chronic liver cell failure associated with type 2 diabetes. Group II included patients without type II diabetes. Autologous CD34+ and CD133+ stem cells were percutaneously infused into the portal vein. Responders (as regard improvement of diabetes as well as improvement of liver condition) and non-responders were determined. Patients were followed up for one, three and six months after the intervention evaluating their three-hour glucose tolerance test, C- peptide (Fasting and postprandial), Child-Pugh score and performance score one month, three months, and six months after stem cell therapy.

Results: Both synthetic and excretory functions of liver were improved in 10 patients (66.66 %) of group I and 12 patients (80 %) of group II. Significant improvement in Oral Glucose Tolerance Test in the responders of both groups was well defined from the 3rd month after and this was comparable to changes in liver function tests and Child Pugh scoring.

Conclusions: Successful stem cell therapy in chronic liver cell failure patients can improve but not cure the associating type 2 diabetes by improving insulin resistance.

Keywords:

Liver Failure, Cirrhosis, Diabetes, Stem Cell Therapy, HCV, Transplantation

Affiliation:

Department of Internal Medicine, faculty of Medicine, Tanta University, Tanta, Department of Internal Medicine, faculty of Medicine, Tanta University, Tanta, Department of Internal Medicine, faculty of Medicine, Tanta University, Tanta, Department of Pathology, faculty of Medicine, Cairo University, Cairo, Department of Tropical Medicine, faculty of Medicine, Cairo University, Cairo, Department of Tropical Medicine and Infectious diseases, faculty of Medicine, Tanta University, Tanta, Department of Tropical Medicine and Infectious diseases, faculty of Medicine, Tanta University, Tanta, Department of Tropical Medicine and Infectious diseases, faculty of Medicine, Tanta University, Tanta



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