ABSTRACT
BACKGROUNDS: We conducted a pilot study of the infusion of intravenous autologous cord blood (CB) in children with cerebral palsy (CP) to assess the safety and feasibility of the procedure as well as its potential efficacy in countering neurological impairment. METHODS: Patients diagnosed with CP were enrolled in this study if their parents had elected to bank their CB at birth. Cryopreserved CB units were thawed and infused intravenously over 10~20 minutes. We assessed potential efficacy over 6 months by brain magnetic resonance imaging (MRI)-diffusion tensor imaging (DTI), brain perfusion single-photon emission computed tomography (SPECT), and various evaluation tools for motor and cognitive functions. RESULTS: Twenty patients received autologous CB infusion and were evaluated. The types of CP were as follows: 11 quadriplegics, 6 hemiplegics, and 3 diplegics. Infusion was generally well-tolerated, although 5 patients experienced temporary nausea, hemoglobinuria, or urticaria during intravenous infusion. Diverse neurological domains improved in 5 patients (25%) as assessed with developmental evaluation tools as well as by fractional anisotropy values in brain MRI-DTI. The neurologic improvement occurred significantly in patients with diplegia or hemiplegia rather than quadriplegia. CONCLUSIONS: Autologous CB infusion is safe and feasible, and has yielded potential benefits in children with CP.
Subject(s)
Blood Transfusion/methods , Cerebral Palsy/therapy , Cognition Disorders/prevention & control , Fetal Blood/transplantation , Psychomotor Disorders/prevention & control , Brain/diagnostic imaging , Cerebral Palsy/complications , Cerebral Palsy/diagnostic imaging , Child , Child, Preschool , Cognition Disorders/diagnostic imaging , Cognition Disorders/etiology , Diffusion Tensor Imaging , Feasibility Studies , Female , Humans , Infusions, Intravenous , Magnetic Resonance Imaging , Male , Neurologic Examination , Pilot Projects , Psychomotor Disorders/diagnostic imaging , Psychomotor Disorders/etiology , Radiography , Transfusion Reaction , Transplantation, Autologous/adverse effectsABSTRACT
Human longevity can be explained by a variety of factors, among them, nutritional factor would play an important role. In our study of Korean centenarians for their longevity, the apparent nutritional imbalance in the traditional semi-vegetarian diet raised a special attention, especially on vitamin B(12) status, supplied by animal foods. Interestingly, we found that the prevalence of vitamin B(12) deficient Korean centenarians was not higher compared with those from Western nations with animal-oriented traditional foods. We assumed that there might be some unveiled sources for vitamin B(12) in the Korean traditional foods. Screening of vitamin B(12) contents has revealed that some traditional soybean-fermented foods, such as Doenjang and Chunggukjang, and seaweeds contain considerable amounts of vitamin B(12). Taken together, it can be summarized that the traditional foods, especially of fermentation, might be evaluated for compensation of the nutritional imbalance in the vegetable-oriented dietary pattern by supplying vitamin B(12), resulting in maintenance of health status.
ABSTRACT
In order to develop a preventive strategy against ethanol-induced oxidative damages on various tissues and organs, we have examined the protective effect of aspartate on the pathogenesis of testes in the ethanol treated animals. Adult male Sprague-Dawley rats were given ethanol in an amount of 36% of total calories via Lieber-DeCarli liquid diet for 6 weeks without or with aspartate (2 mM in the diet). The control group was pair-fed the diet containing isocaloric dextrin-maltose instead of ethanol. The pathogenesis of testes at post- 6 weeks of experiments were carried out by histochemistry and biochemical parameters for oxidative stress such as the level of thiobarbituric acid reactive substances (TBARS) and the activities of glutathione utilizing enzymes were also examined. Chronic ethanol administration resulted in the increased amount of thiobarbituric acid reactive substances (TBARS) in the testes, which was significantly lessened by concurrent aspartate treatment (p < 0.05). In addition to this, liver function test indicated by alkaline phosphatase activity in serum showed that the ethanol-induced hepatotoxicity was significantly ameliorated by aspartate administration. And the activities of glucose-6-phosphate dehydrogenase and glutathione transferase in testis cytosol were decreased in the ethanol treated rats (p < 0.01 and < 0.005, respectively). These data suggest that aspartate may attenuate the ethanol-induced oxidative tissue damage in rat testes possibly through a redox-related protective effect on peroxidation.
