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Feasibility of Autologous Cord Blood Cells for Infants with Hypoxic-Ischemic Encephalopathy

Open access
Cotten, C. Michael, Murtha, Amy P., Goldberg, Ronald N., Grotegut, Chad A., Smith, P. Brian, Goldstein, Ricki F., Fisher, Kimberley A., Gustafson, Kathryn E., Waters-Pick, Barbara, Swamy, Geeta K., Rattray, Benjamin, Tan, Siddhartha, Kurtzberg, Joanne·2014·The Journal of Pediatrics

Abstract

Objective To assess feasibility and safety of providing autologous umbilical cord blood (UCB) cells to neonates with hypoxic-ischemic encephalopathy (HIE). Study design We enrolled infants in the Intensive Care Nursery who were cooled for HIE and had available UCB in an open-label study of non-cyropreserved autologous volume- and red blood cell-reduced UCB cells (up to four doses adjusted for volume and RBC content,1 – 5 × 107cells/dose). We recorded UCB collection and cell infusion characteristics, and pre- and post- infusion vital signs. As exploratory analyses we compared cell recipients’ hospital outcomes (mortality, oral feeds at discharge) and one year survival with Bayley III scores ≥ 85 in 3 domains (cognitive, language, and motor development) with cooled infants who did not have available cells. Results Twenty-three infants were cooled and received cells. Median collection and infusion volumes were 36 and 4.3 milliliters. Vital signs including oxygen saturation were similar before and after infusions in the first 48 postnatal hours. Cell recipients and concurrent cooled infants had similar hospital outcomes. Thirteen of 18 (74%) cell recipients and 19 of 46 (41%) concurrent cooled infants with known 1 year outcomes survived with scores ≥ 85. Conclusions Collection, preparation and infusion of fresh autologous UCB cells for use in infants with HIE is feasible. A randomized double-blind study is needed.

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Metadata

Authors
Cotten, C. M., Murtha, A. P., Goldberg, R. N., Grotegut, C. A., Smith, P. B., Goldstein, R. F., Fisher, K. A., Gustafson, K. E., Waters-Pick, B., Swamy, G. K., Rattray, B., Tan, S., & Kurtzberg, J.
Venue
The Journal of Pediatrics
Publisher
Elsevier BV
Published
2014-05
Volume
164
Issue
5
Pages
973-979.e1
ISSN
0022-3476 (ISSN-L)
OpenAlex
W2091423694
Cited by
334
References
29
FWCI
26.64
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Feasibility of Autologous Cord Blood Cells for Infants with Hypoxic-Ischemic Encephalopathy. https://app.cochat.ai/papers/10.1016/j.jpeds.2013.11.036
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Cotten, C. M., Murtha, A. P., Goldberg, R. N., Grotegut, C. A., Smith, P. B., Goldstein, R. F., Fisher, K. A., Gustafson, K. E., Waters-Pick, B., Swamy, G. K., Rattray, B., Tan, S., & Kurtzberg, J. (2014). Feasibility of Autologous Cord Blood Cells for Infants with Hypoxic-Ischemic Encephalopathy. The Journal of Pediatrics. https://doi.org/10.1016/j.jpeds.2013.11.036

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