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Master's Dissertation
DOI
https://doi.org/10.11606/D.74.2018.tde-25052018-144345
Document
Author
Full name
Jessica Rodrigues Orlandin
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
Pirassununga, 2018
Supervisor
Committee
Ambrósio, Carlos Eduardo (President)
Feitosa, Matheus Levi Tajra
Freitas, Silvio Henrique de
Mattos, Luiz Henrique Lima de
Title in Portuguese
Tratamento de doença de disco intervertebral crônica em cães utilizando células-tronco derivadas da membrana amniótica
Keywords in Portuguese
Âmnio
Discopatia
Lesão medular
Terapia celular
Abstract in Portuguese
As doenças de disco intervertebrais (DDIV) representam a maior parte de atendimentos neurológicos e são responsáveis pela maioria dos casos de paralisia em cães. Os tratamentos utilizados atualmente não demonstram resultados satisfatórios em pacientes com manifestações neurológicas mais graves. A fim de promover recuperação nervosa e motora, além de melhora na qualidade de vida, o presente trabalho objetivou criar um protocolo, através de um ensaio duplo cego, associando cirurgia descompressiva e transplante alogênico de células-tronco (CT) derivadas da membrana amniótica em cães com DDIV crônica. As mesmas células já foram caracterizadas anteriormente como mesenquimais fetais e apresentaram-se seguras para aplicação. Foram selecionados oito cães, onde quatro já passaram por cirurgia e receberam três aplicações epidurais de células-tronco. Os outros quatro animais foram submetidos à cirurgia descompressiva e divididos aleatoriamente (teste duplo cego) em dois grupos: "cirurgia + placebo", o qual recebeu apenas solução fisiológica; e "cirurgia + CT", que recebeu a terapia celular. Durante o procedimento cirúrgico, foi realizado a aplicação por gotejamento sobre a lesão, e após quinze e quarenta e cinco dias foram realizadas outras duas aplicações, via epidural. Os animais passaram por acompanhamento quinzenal e foram reavaliados três meses após o procedimento cirúrgico, através de exames funcionais e ressonância magnética. Alguns animais apresentaram melhora neurológica significativa, como a recuperação da nocicepção e capacidade de se manter em estação. Apesar da necessidade de mais estudos, até o presente momento, a terapia celular apresentou-se factível e sem efeitos prejudiciais aos animais.
Title in English
Treatment of chronic intervertebral disc diseases in dogs using amniotic membrane-derived stem cells
Keywords in English
Amnion
Cell therapy
Discopathy
Spinal cord injury
Abstract in English
Intervertebral disc (IVD) diseases represent the majority of neurological attendance and are responsible for the most cases of paralysis in dogs. Treatments currently used do not show satisfactory results in patients with more severe neurological manifestations. In order to promote nerve and motor recovery, as well as improve quality of life, the present study aims to create a protocol, using double-blind test method, associating spinal decompression surgery and allogeneic transplantation of amniotic membrane-derived stem cells (AMSCs) in dogs with chronic IVD diseases. Those were previously characterized as fetal mesenchymal cells and were safe for application. Eight dogs were selected, where four have already gone through surgery and received 3 epidural applications of stem cells. The other four animals were submitted to spinal decompression surgery and randomly divided into two groups (double blind test): "surgery + placebo", which received only physiological solution; and "surgery + AMSCs", which receive cell therapy. During the surgical procedure, a drip application was performed on the lesion and after fifteen and forty five days another two applications were made via epidural. Animals were monitored biweekly and were reassessed three months after surgery, by functional tests and magnetic resonance exams. Some animals presented significant neurological improvement, such as the recovery of nociception and ability to remain on station. Despites the need further studies, until the present moment, cell therapy has been feasible and has no harmful effects on animals.
 
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ME9149882COR.pdf (2.43 Mbytes)
Publishing Date
2018-05-30
 
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