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Stem Cell Therapy: A Promising Treatment for Rheumatoid Arthritis in Mexico

Author: Sanjoy Debnath
by Sanjoy Debnath
Posted: Mar 15, 2024

Rheumatoid arthritis (RA) is a chronic inflammatory disease that causes painful swelling in the joints. Left untreated, it can lead to long-term joint damage and disability. While conventional drugs can help manage symptoms, many arthritis patients seek alternative treatments that may stop or even reverse joint damage. One such treatment gaining popularity in Mexico is stem cell therapy.

Stem cells are primitive undifferentiated cells in the body that have the potential to develop into specialized cells with specific functions, such as blood, muscle, or nerve cells. When stem cells are transplanted or injected into damaged tissues, they stimulate regeneration and reduce inflammation through both their direct and indirect (paracrine) actions. This process forms the basis of stem cell therapy for rheumatoid arthritis.

How Does Stem Cell Therapy Work for Rheumatoid Arthritis?

Mesenchymal stem cells (MSCs) are the most commonly used stem cell type for RA treatment. MSCs have potent immunomodulatory, anti-inflammatory, and tissue regenerative properties. When administered to arthritic joints, MSCs act through multiple mechanisms to reduce pain and improve function:

  • Immunomodulation: MSCs secrete cytokines, chemokines, and growth factors that modify the immune response by inhibiting T-cell proliferation and suppressing the production of inflammatory cytokines like TNF-α and IL-1β. This helps reduce inflammation in arthritic joints.

  • Pro-healing paracrine actions: MSCs secrete molecules like hyaluronic acid, growth factors, and protease inhibitors that promote tissue repair. They also stimulate resident stem cells in tissues to differentiate into cartilage and bone-forming cells, reversing cartilage breakdown.

  • Tissue regeneration: MSCs directly differentiate into chondrocytes (cartilage cells) and osteoblasts (bone-forming cells) to replenish damaged tissues in arthritic joints. New studies show they can also differentiate into synoviocytes (cells of the synovial membrane).

  • Neovascularization: MSCs stimulate the growth of new blood vessels (angiogenesis), improving blood supply and nutrient delivery to arthritic joints.

When administered as intravenous injections or intra-articular injections into arthritic joints, stem cells home in on inflamed sites and exert these regenerative and anti-inflammatory effects, reducing joint swelling and tenderness. Over time, they help restore joint structure and mobility lost to rheumatoid arthritis.

Stem Cell Therapy for Rheumatoid Arthritis in Mexico

Mexico is at the forefront of stem cell research for arthritis due to its advanced stem cell infrastructure and leadership of clinical studies. Several clinics in Mexico offer different stem cell therapy protocols for RA:

  • Adipose-derived stem cells: Stemcelltreatmentclinic harvests adipose-derived stem cells from a patient’s fat through liposuction. These MSCs are grown and reintroduced into arthritic joints through injections under imaging guidance to reach affected sites precisely.

  • Bone marrow-derived MSCs: Clinics like Thetis Biotherapeutics collect bone marrow aspirate from which MSCs are isolated. After expansion, MSCs are administered through intravenous infusions and intra-articular injections. This approach avoids the risks of general anesthesia needed for liposuction.

  • Umbilical cord-derived MSCs: Stem cell clinics source MSCs from donated umbilical cord tissue, which are grown and purified before being administered to patients as per their condition. Umbilical cord stem cells are immune-privileged and unlikely to provoke an immune reaction.

More specialized clinics provide customized protocols involving platelet-rich plasma (PRP) therapy combined with stem cells to further boost healing, guided by international experts. These stem cell therapies typically involve outpatient procedures under local anesthesia at costs ranging from $5,000 to $8,000 including follow-up consults.

Clinical Evidence for Stem Cell Therapy Efficacy in Rheumatoid Arthritis

Early clinical studies demonstrate promising results with stem cell therapy for rheumatoid arthritis:

  • A Phase I/II trial using autologous bone marrow MSCs in 30 RA patients found significant improvements in Disease Activity Score 28 (DAS28), and visual analog scale (VAS) scores for pain and global health that were durable for 3 years. No major side effects were seen.

  • Another study of 45 RA patients administered adipose-derived MSCs showed significantly reduced DAS28, C-reactive protein levels, and erythrocyte sedimentation rate at 6 months, along with improvements in handgrip strength and swelling of treated joints.

  • Injecting autologous bone marrow MSCs plus PRP into the arthritic knees of 30 patients led to significant improvements in VAS pain scores, range of motion, and cartilage regeneration seen on MRI scans at 6 and 12 months.

  • A case series of 10 patients who underwent autologous micro-fragmented adipose tissue grafting plus PRP reported reduced joint pain and swelling plus increased mobility in a majority, based on DAS28 and VAS scales. No adverse effects occurred.

Larger trials are still underway, but initial evidence supports stem cell therapy as a promising approach for managing rheumatoid arthritis symptoms and slowing joint degeneration, especially when combined with PRP. Results tend to be superior with autologous cell sources.

Factors That Impact Stem Cell Therapy Success for RA

While stem cell therapy shows great potential for rheumatoid arthritis, factors like disease severity, cell quality, and administration route influence outcomes. For best results, consider the following factors:

  • Disease stage: Early/moderate RA tends to respond better than longstanding/severe RA with extensive damage. Early intervention leads to superior regeneration.

  • Cell quality/viability: Clinics using cGMP-grade, high-viability stem cells cultured under sterile conditions tend to report fewer treatment failures.

  • Cell source: Autologous (self-donated) sources show higher efficacy than allogenic (universal donor) sources possibly due to a lack of immune rejection with autologous cells.

  • Delivery mode: Intra-articular injections under imaging guidance ensure cells home precisely to affected joints for optimal response versus intravenous infusions.

  • Adjunct therapies: Combining MSCs with PRP addresses inflammation and stimulates healing more effectively than either alone. Other therapies like physiotherapy aid effectiveness.

  • Post-treatment care: Patients who diligently follow rehab programs have better treatment outcomes in the long run compared to those who become sedentary after stem cell therapy.

By considering these factors, Mexican arthritis patients can select stem cell clinics and protocols with the highest chances of success for their disease stage and needs. Meanwhile, ongoing research continues refining techniques.

In conclusion, stem cell therapy is an encouraging investigational treatment for rheumatoid arthritis currently available in Mexico. While larger studies are still ongoing, initial clinical evidence and case reports show it helps reduce disease activity, slow joint damage progression, and restore mobility to hands and knees when other options provide incomplete relief. By targeting multiple aspects of the disease pathology, this regenerative approach presents new hope to arthritis patients worldwide.

About the Author

Name: R3 Stem Cell, Llc Address: 10045 East Dynamite Blvd Scottsdale AZ 85266 Phone: +1 (480) 808-7057 Website: https://r3stemcell.com/

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Author: Sanjoy Debnath

Sanjoy Debnath

Member since: Aug 31, 2023
Published articles: 25

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