Combination treatment of Umbilical Cord-derived Mesenchymal Stem Cell (UC-MSC) and Umbilical Cord Mesenchymal Stem Cell-derived Conditioned Medium (UCMSC-CM) for Keloid Post Chronic Burn Injury: A Case Report
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Abstract
A 44-years-old woman with hard and thick keloids after chronic mercury burn injury underwent a several times of reconstructive surgery. The patient had excised surgery and injected Umbilical Cord-derived Mesenchymal Stem Cells (UC-MSCs) and Umbilical Cord Mesenchymal Stem Cells-derived Condtioned Medium (UCMSC-CM) 9 times within 9 months. Seven times injection of UC-MSCs of 5x106 cells and UCMSC-CM of 20 cc 2 times at months 4 and 9. The results of this therapy showed gradual improvement without any side effects and the size of the keloid reduced from 25x16 cm to 23x14 cm after 9 months. Keloid thickness from 12 mm to 4 mm. Keloid color becomes lighter and skin texture is more supple and soft. The cases showed that UC-MSCs and UCMSC-CM can be a potential treatment for keloids after chronic burn either alone or in combination with surgery.
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Nangole FW, Agak GW. Keloid pathophysiology: fibroblast or inflammatory disorders?. JPRAS Open. 2020; 22: 44-54.
Arjunan S, Gan SU, Choolani M, Raj V, Lim J,
Figure 2: Patient after 7 times of stem cell and 2 times of secretome injections
Figure 1: Patient after 4 times of stem cell injections
Biswas A, et al. Inhibition of growth of Asian keloid cells with human umbilical cord wharton’s jelly stem cell-conditioned medium. Stem Cell Research & Therapy. 2020. 11:78.
Arutyunyan I, Elchaninov A, Makarov A, Fathkudinov T. Umbilical cord as prospective source for mesenchymal stem cell-based therapy. Stem Cells International. 2016. 1-17.
Li M, Luan F, Zhao Y, Hao H, Liu J, Dong L, Fu X, Han W. Mesenchymal stem cell-conditioned medium accelerated wound healing with fewer scars. International Wound Journal. 2015; 14(1): 64-73.
Kucharzewski M, Rojczyk E, Wilemska-Kucharzewska K, Wilk R, Hudecki J, Los M. Novel trends in application of stem cells in skin wound healing. European Journal of Pharmacology, Elsivier. 2019; 843: 307-315.