{"id":38225,"date":"2025-09-22T09:35:50","date_gmt":"2025-09-22T09:35:50","guid":{"rendered":"https:\/\/sscb-stembiotech.ch\/?p=38225"},"modified":"2025-09-22T09:37:26","modified_gmt":"2025-09-22T09:37:26","slug":"cellules-souches-du-cordon-ombilical-et-gvhd-de-nouveaux-espoirs-grace-a-un-essai-clinique","status":"publish","type":"post","link":"https:\/\/sscb-stembiotech.ch\/fr\/news\/cellules-souches-du-cordon-ombilical-et-gvhd-de-nouveaux-espoirs-grace-a-un-essai-clinique\/","title":{"rendered":"Cellules souches du cordon ombilical et GvHD : de nouveaux espoirs gr\u00e2ce \u00e0 un essai clinique"},"content":{"rendered":"<h2 data-start=\"2756\" data-end=\"2779\">Le d\u00e9fi de la GvHD<\/h2>\n<p data-start=\"2780\" data-end=\"3093\">La <strong data-start=\"2783\" data-end=\"2826\">maladie du greffon contre l\u2019h\u00f4te (GvHD)<\/strong> est l\u2019une des complications les plus graves d\u2019une greffe allog\u00e9nique de cellules souches.<br data-start=\"2916\" data-end=\"2919\" \/>Sa forme <strong data-start=\"2928\" data-end=\"2987\">aigu\u00eb et r\u00e9sistante aux cortico\u00efdes (aGvHD r\u00e9fractaire)<\/strong> est particuli\u00e8rement dangereuse, souvent mortelle et difficile \u00e0 traiter avec les th\u00e9rapies classiques.<\/p>\n<h2 data-start=\"3100\" data-end=\"3163\">Les cellules souches m\u00e9senchymateuses du cordon (hUC-MSCs)<\/h2>\n<p data-start=\"3164\" data-end=\"3409\">Les <strong data-start=\"3168\" data-end=\"3176\">MSCs<\/strong> sont des cellules souches adultes dot\u00e9es de puissantes propri\u00e9t\u00e9s <strong data-start=\"3243\" data-end=\"3265\">immunomodulatrices<\/strong>, capables de r\u00e9guler la r\u00e9ponse immunitaire et de r\u00e9duire l\u2019inflammation.<br data-start=\"3339\" data-end=\"3342\" \/>Celles d\u00e9riv\u00e9es du cordon ombilical pr\u00e9sentent plusieurs atouts :<\/p>\n<ul data-start=\"3411\" data-end=\"3688\">\n<li data-start=\"3411\" data-end=\"3466\">\n<p data-start=\"3413\" data-end=\"3466\"><strong data-start=\"3413\" data-end=\"3440\">Faible immunog\u00e9nicit\u00e9 :<\/strong> risque de rejet r\u00e9duit.<\/p>\n<\/li>\n<li data-start=\"3467\" data-end=\"3553\">\n<p data-start=\"3469\" data-end=\"3553\"><strong data-start=\"3469\" data-end=\"3487\">Source jeune :<\/strong> tissu n\u00e9onatal, sans alt\u00e9rations li\u00e9es \u00e0 l\u2019\u00e2ge ou \u00e0 la maladie.<\/p>\n<\/li>\n<li data-start=\"3554\" data-end=\"3688\">\n<p data-start=\"3556\" data-end=\"3688\"><strong data-start=\"3556\" data-end=\"3585\">Disponibilit\u00e9 imm\u00e9diate :<\/strong> peuvent \u00eatre cryoconserv\u00e9es et utilis\u00e9es \u00ab pr\u00eates \u00e0 l\u2019emploi \u00bb, sans attendre de donneur compatible.<\/p>\n<\/li>\n<\/ul>\n<h2 data-start=\"3695\" data-end=\"3746\">L\u2019essai clinique : des r\u00e9sultats encourageants<\/h2>\n<p data-start=\"3747\" data-end=\"3960\">Un essai multicentrique de phase Ib\/IIa, publi\u00e9 en 2025 dans <em data-start=\"3808\" data-end=\"3838\">Stem Cell Research &amp; Therapy<\/em>, a \u00e9valu\u00e9 la s\u00e9curit\u00e9 et l\u2019efficacit\u00e9 des hUC-MSCs chez <strong data-start=\"3895\" data-end=\"3957\">25 patientes atteintes d\u2019aGvHD r\u00e9fractaire aux cortico\u00efdes<\/strong>.<\/p>\n<ul data-start=\"3962\" data-end=\"4483\">\n<li data-start=\"3962\" data-end=\"4056\">\n<p data-start=\"3964\" data-end=\"4056\"><strong data-start=\"3964\" data-end=\"3980\">Traitement :<\/strong> 6 perfusions intraveineuses en 3 semaines, avec trois dosages diff\u00e9rents.<\/p>\n<\/li>\n<li data-start=\"4057\" data-end=\"4175\">\n<p data-start=\"4059\" data-end=\"4175\"><strong data-start=\"4059\" data-end=\"4073\">S\u00e9curit\u00e9 :<\/strong> aucune toxicit\u00e9 grave li\u00e9e au traitement ; seulement des effets secondaires l\u00e9gers et transitoires.<\/p>\n<\/li>\n<li data-start=\"4176\" data-end=\"4291\">\n<p data-start=\"4178\" data-end=\"4291\"><strong data-start=\"4178\" data-end=\"4194\">Efficacit\u00e9 :<\/strong> en 28 jours, <strong data-start=\"4208\" data-end=\"4255\">80 % des patientes ont r\u00e9pondu positivement<\/strong>, dont 40 % en r\u00e9mission compl\u00e8te.<\/p>\n<\/li>\n<li data-start=\"4292\" data-end=\"4372\">\n<p data-start=\"4294\" data-end=\"4372\"><strong data-start=\"4294\" data-end=\"4306\">Survie :<\/strong> au bout d\u2019un an, le taux de survie globale atteignait <strong data-start=\"4361\" data-end=\"4369\">74 %<\/strong>.<\/p>\n<\/li>\n<li data-start=\"4373\" data-end=\"4483\">\n<p data-start=\"4375\" data-end=\"4483\"><strong data-start=\"4375\" data-end=\"4402\">Am\u00e9liorations observ\u00e9es<\/strong> dans les principaux organes touch\u00e9s par la GvHD : peau, tube digestif et foie.<\/p>\n<\/li>\n<\/ul>\n<h2 data-start=\"4490\" data-end=\"4546\">Implications cliniques et valeur de la conservation<\/h2>\n<p data-start=\"4547\" data-end=\"4753\">Ces r\u00e9sultats confirment que les MSCs issues du cordon ombilical sont non seulement <strong data-start=\"4631\" data-end=\"4640\">s\u00fbres<\/strong>, mais peuvent aussi repr\u00e9senter une <strong data-start=\"4677\" data-end=\"4697\">ressource vitale<\/strong> dans des contextes cliniques complexes comme la GvHD.<\/p>\n<p data-start=\"4755\" data-end=\"5052\">La <strong data-start=\"4758\" data-end=\"4814\">conservation du sang et du tissu du cordon ombilical<\/strong> \u2014 propos\u00e9e par <strong data-start=\"4830\" data-end=\"4858\">Swiss Stem Cells Biotech<\/strong> \u2014 prend donc tout son sens : pr\u00e9server aujourd\u2019hui, c\u2019est garantir demain une <strong data-start=\"4937\" data-end=\"4966\">r\u00e9serve biologique unique<\/strong>, d\u00e9j\u00e0 au centre de th\u00e9rapies innovantes en immunologie et en m\u00e9decine r\u00e9g\u00e9n\u00e9rative.<\/p>\n<p data-start=\"5059\" data-end=\"5360\"><strong data-start=\"5059\" data-end=\"5072\">R\u00e9f\u00e9rence<\/strong><br data-start=\"5072\" data-end=\"5075\" \/>Zhao Y et al. <em data-start=\"5089\" data-end=\"5270\">Salvage treatment of steroid-refractory acute GVHD with the off-the-shelf product of human umbilical cord mesenchymal stromal cells: a multicenter, open label, phase Ib\/IIa trial.<\/em><br data-start=\"5270\" data-end=\"5273\" \/>Stem Cell Research &amp; Therapy. 2025;16:345. <a class=\"decorated-link\" href=\"https:\/\/doi.org\/10.1186\/s13287-025-04446-8\" target=\"_new\" rel=\"noopener\" data-start=\"5316\" data-end=\"5358\">https:\/\/doi.org\/10.1186\/s13287-025-04446-8<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Le d\u00e9fi de la GvHD La maladie du greffon contre l\u2019h\u00f4te (GvHD) est l\u2019une des complications les plus graves d\u2019une greffe allog\u00e9nique de cellules souches.Sa forme aigu\u00eb et r\u00e9sistante aux cortico\u00efdes (aGvHD r\u00e9fractaire) est particuli\u00e8rement dangereuse, souvent mortelle et difficile \u00e0 traiter avec les th\u00e9rapies classiques. Les cellules souches m\u00e9senchymateuses du cordon (hUC-MSCs) Les MSCs [&hellip;]<\/p>\n","protected":false},"author":125,"featured_media":38219,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[100,102],"tags":[],"class_list":["post-38225","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cellules-souches-fr","category-perspectives-therapeutiques"],"_links":{"self":[{"href":"https:\/\/sscb-stembiotech.ch\/fr\/wp-json\/wp\/v2\/posts\/38225"}],"collection":[{"href":"https:\/\/sscb-stembiotech.ch\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sscb-stembiotech.ch\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sscb-stembiotech.ch\/fr\/wp-json\/wp\/v2\/users\/125"}],"replies":[{"embeddable":true,"href":"https:\/\/sscb-stembiotech.ch\/fr\/wp-json\/wp\/v2\/comments?post=38225"}],"version-history":[{"count":1,"href":"https:\/\/sscb-stembiotech.ch\/fr\/wp-json\/wp\/v2\/posts\/38225\/revisions"}],"predecessor-version":[{"id":38226,"href":"https:\/\/sscb-stembiotech.ch\/fr\/wp-json\/wp\/v2\/posts\/38225\/revisions\/38226"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sscb-stembiotech.ch\/fr\/wp-json\/wp\/v2\/media\/38219"}],"wp:attachment":[{"href":"https:\/\/sscb-stembiotech.ch\/fr\/wp-json\/wp\/v2\/media?parent=38225"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sscb-stembiotech.ch\/fr\/wp-json\/wp\/v2\/categories?post=38225"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sscb-stembiotech.ch\/fr\/wp-json\/wp\/v2\/tags?post=38225"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}