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Inicio Revista Española de Cirugía Ortopédica y Traumatología Diseño de un programa de investigación sobre utilización de terapia celular y...
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Vol. 54. Issue S1.
Proteína osteogénica tipo 1
Pages 11-18 (May 2010)
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Vol. 54. Issue S1.
Proteína osteogénica tipo 1
Pages 11-18 (May 2010)
Proteína Osteogénica Tipo 1
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Diseño de un programa de investigación sobre utilización de terapia celular y BMP en artrodesis lumbar
Design of a research program on the use of cell therapy and BMP in lumbar arthrodesis
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2143
E. Gueradoa,b,c,
Corresponding author
eguerado@hcs.es

Autor para correspondencia.
, A.M. Cervána, J.A. Ortegaa, M. Rodríguez-Soleraa, J.A. Andradesc,d, P. Zamorab,c, M.D. Cuenca-Lópezc,d, I. Pratse, M.C. Hernándeze, J. Becerrac,d
a Departamento de Cirugía Ortopédica y Traumatología, Hospital Universitario Costa del Sol, Marbella, Málaga, España
b Departamento de Cirugía, Facultad de Medicina, Universidad de Málaga, Málaga, España
c Centro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), Málaga, España
d Laboratorio de Medicina Regenerativa y Regeneración Tisular (LABRET), Departamento de Biología Celular, Genética y Fisiología, Universidad de Málaga, Málaga, España
e Centro Regional de Transfusión Sanguínea y Banco de Tejidos, Málaga, España
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Resumen

Presentamos los resultados en raquis utilizando proteínas morfogénicas de hueso (BMP-7) y células troncales pluripotenciales capacitadas a la línea osteogénica. En el ensayo clínico aleatorizado y controlado, los resultados mostraron que la BMP-7 consiguió una formación de hueso similar al autoinjerto. Igualmente, en otra cohorte prospectiva y controlada, se apreció una formación de hueso cuando se utilizó BMP-7 con aloinjerto mayor que con aloinjerto solo. En ningún paciente se observaron efectos secundarios. Los estudios experimentales mostraron resultados prometedores con la terapia celular. Se discuten las bases actuales de la terapia celular.

Palabras clave:
Proteínas morfogénicas
Terapia celular
Células troncales
Artrodesis vertebral
Ensayo clínico
Estudio de cohortes
Abstract

We report the spinal results of the use of bone morphogenetic protein (BMP-7) and pluripotent stem cells differentiated to the osteogenic lineage. The results of this randomized, controlled clinical trial show that BMP-7 achieved similar bone formation to the use of autograft. Equally, in another controlled prospective cohort, greater bone formation was found when BMP-7 was used with allograft compared with allograft alone. No adverse effects were found. Experimental studies of cell therapy show promising results. The current foundations of cell therapy are discussed.

Keywords:
Morphogenetic proteins
Cell therapy
Stem cells
Vertebral arthrodesis
Clinical trial
Cohort study
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Copyright © 2010. Sociedad Española de Cirugia Ortopédica y Traumatología (SECOT)
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