If you have Ankylosing Spondylitis, or AS, you know how difficult it is to experience back and joint pain and stiffness. While many people find relief with current medications, not everyone is able to take them. Some people may experience side effects. That's why scientists are constantly trying to find better treatments for this disease. One such promising treatment is stem cell therapy, or as we all know it, 'Stem Cell Therapy.' Let's talk about it in simple terms today.
What are these stem cells?
Simply put, all the other cells in our body, such as blood cells, muscle cells, and skin cells, are first formed from these 'mother cells' called stem cells. Think of them as a blank sheet of paper. These cells can make copies of themselves. They can also become any type of cell the body needs. For example, these cells have the amazing ability to repair damaged tissue and organs in the body.
So, in this stem cell therapy, healthy stem cells are introduced into the body and help the body heal itself from a disease. There are two main types of these cell therapies:
- Autologous: Cells taken from the person receiving the treatment are used.
- Allogenic: Uses cells obtained from another healthy person (parents, siblings, or an unrelated donor).
| Main sources of stem cells | Conditions currently approved for treatment |
|---|---|
| Agencies such as the FDA in the US have currently approved this treatment for only a limited number of diseases. The main ones are cancers and diseases related to the blood or immune system.
|
Is this treatment for AS really effective?
There is a point we need to be very careful about here. Although stem cell therapy holds promise for curing many diseases in the future, it has not yet been officially approved as a treatment for Ankylosing Spondylitis (AS). It is also not yet approved for conditions like arthritis and chronic pain.
Therefore, be very careful of unregulated "clinics" or "medical centers" that advertise a complete cure for AS. There is a high chance that you will be harmed by unapproved treatments.
But, we shouldn't give up hope completely. It's possible that this could become an approved treatment in the future. Scientists are still researching different types of stem cells.
Mesenchymal stem cells (MSCs)
These are a special type of cell that helps repair things like bones, cartilage, muscles, and fat in our bodies. They also help regulate the immune system and control inflammation in the body.
One theory among scientists is that there may be something wrong with these MSCs from AS patients. Therefore, they believe that injecting MSCs from a healthy person could correct the immune system imbalance that underlies AS.
A few very small studies have shown some promising results:
- In one study, MSCs cells obtained from umbilical cord blood were given to five AS patients, and their pain and symptoms were reduced.
- In another study, when 31 AS patients were given MSCs cells derived from bone marrow, 7 out of 10 experienced some relief. However, these results lasted only for a short period of about 7 weeks.
- Research using mice has shown that MSCs can change the cells that cause inflammation.
But again, remember, these are very small-scale studies. We can't draw firm conclusions until we see the results from larger studies.
How safe is this treatment?
There are pros and cons to any medical treatment, but an officially approved stem cell treatment undergoes a series of rigorous tests before being made available to the public.
In clinical trials of AS, MSC treatment has been shown to be generally safe and to cause no serious side effects. However, this treatment does not work for everyone. Some people experience no improvement in their symptoms, but there have been no reports of the disease getting worse.
The most common side effects of this treatment are those caused by the infusion process.
- Fever that occurs briefly after treatment.
- Pain at the site of the needle insertion.
People who receive stem cell therapy for diseases like cancer may also be given chemotherapy or radiation, which can increase the risk of bleeding and infection. Therefore, it is important to discuss this with your doctor and be clear about all the risks .
Cost and Clinical Trials
This treatment can cost hundreds of thousands of dollars. And because it is still an experimental treatment for AS, your health insurance may not cover it.
One option for this is to join a clinical trial . These are studies that test the effectiveness and safety of new drugs or treatments before they are made available to the public.
How do I get involved in a clinical trial?
You can ask your doctor about a clinical trial that might be right for you. He or she may have knowledge of reputable institutions that are working in this area.
Before you participate in such research, carefully consider all the pros and cons. These questions will help you do that:
- What is the main purpose of this research?
- What do I need to do to participate?
- Will I have to spend any money?
- How long will this research last?
- Will this interfere with other treatments I am currently taking?
- What happens if something goes wrong?
Take-Home Message
- Ankylosing spondylitis (AS) is a chronic condition. Current treatments control symptoms.
- Stem cell therapy is a promising, but still experimental, treatment for AS. It is not yet an officially approved treatment or a cure for the disease.
- Be extremely cautious of unapproved places and treatments that advertise that they "completely cure AS."
- If you are considering any new treatment, always talk to your doctor before making a decision and be clearly informed about the pros and cons.


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