{"id":701459,"date":"2026-07-05T02:36:03","date_gmt":"2026-07-05T02:36:03","guid":{"rendered":"https:\/\/microscopemedia.com\/?p=701459"},"modified":"2026-07-05T02:36:03","modified_gmt":"2026-07-05T02:36:03","slug":"cazuri-care-ii-uimesc-pe-medici-resetarea-sistemului-imunitar-a-oprit-o-boala-autoimuna-severa","status":"publish","type":"post","link":"https:\/\/microscopemedia.com\/?p=701459","title":{"rendered":"Cazuri care \u00eei uimesc pe medici: \u201eResetarea\u201d sistemului imunitar a oprit o boal\u0103 autoimun\u0103 sever\u0103"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/microscopemedia.com\/wp-content\/uploads\/2026\/07\/cazuri-care-ii-uimesc-pe-medici-resetarea-sistemului-imunitar-a-oprit-o-boala-autoimuna-severa.jpg\" class=\"ff-og-image-inserted\"><\/div>\n<p id=\"p-0\">Cercet\u0103torii de la Institutul \u0218tiin\u021bific San Raffaele (IRCCS) din Italia au urm\u0103rit evolu\u021bia a doi pacien\u021bi trata\u021bi prin transplant alogen de celule stem hematopoietice (alloHCT), o procedur\u0103 prin care sistemul imunitar este \u00eenlocuit cu unul nou, format din celulele stem ale unui donator compatibil. Ambii pacien\u021bi aveau 28 de ani \u00een momentul tratamentului.<\/p>\n<p id=\"p-1\">La 15 \u0219i, respectiv, 16 ani dup\u0103 transplant, boala nu a mai reap\u0103rut, iar cei doi nu au mai avut nevoie de tratament imunosupresor.<\/p>\n<p id=\"p-2\">\u201ePe parcursul a peste 15 ani de monitorizare, la niciunul dintre cei doi pacien\u021bi boala nu a mai reap\u0103rut, iar ace\u0219tia nu au mai avut nevoie de tratament imunosupresor. \u00cen plus, anticorpii care provocau boala au disp\u0103rut definitiv\u201d, au scris autorii studiului, publicat \u00een revista Med \u0219i citat de <a href=\"https:\/\/www.sciencealert.com\/two-people-with-severe-autoimmune-disease-are-in-remission-after-stem-cell-transplant\" target=\"_blank\" rel=\"noopener\">ScienceAlert<\/a>.<\/p>\n<p id=\"p-3\">Potrivit cercet\u0103torilor, noul sistem imunitar \u201ea r\u0103mas stabil \u0219i a prezentat caracteristici compatibile cu o reglare imunitar\u0103 \u00eembun\u0103t\u0103\u021bit\u0103\u201d.<\/p>\n<h2 id=\"chapter-0\">Ce este neuromielita optic\u0103<\/h2>\n<p id=\"p-4\">Neuromielita optic\u0103 (NMO) este o afec\u021biune autoimun\u0103 \u00een care sistemul imunitar produce anticorpi care atac\u0103 \u00een mod eronat astrocitele, celule care sus\u021bin func\u021bionarea neuronilor din creier \u0219i m\u0103duva spin\u0103rii. Boala poate provoca pierderea vederii, paralizie \u0219i alte dizabilit\u0103\u021bi neurologice severe.<\/p>\n<p id=\"p-5\">Tratamentele disponibile \u00een prezent reduc riscul reapari\u021biei bolii, \u00eens\u0103 necesit\u0103 administrare pe termen lung, sunt costisitoare \u0219i nu elimin\u0103 cauza afec\u021biunii.<\/p>\n<h2 id=\"chapter-1\">Cum func\u021bioneaz\u0103 \u201eresetarea\u201d sistemului imunitar<\/h2>\n<p id=\"p-6\">\u00cenainte de transplant, pacien\u021bii au primit chimioterapie pentru eliminarea celulelor B care produc anticorpii responsabili de atacul asupra propriului organism.<\/p>\n<p id=\"p-7\">Dup\u0103 transplant, celulele stem ale donatorului au reconstruit sistemul imunitar, f\u0103r\u0103 anticorpii patologici care atacau creierul \u0219i m\u0103duva spin\u0103rii. Potrivit cercet\u0103torilor, aceast\u0103 \u201eresetare\u201d a f\u0103cut ca noul sistem imunitar s\u0103 nu mai atace propriile \u021besuturi.<\/p>\n<h2 id=\"chapter-2\">Via\u021b\u0103 normal\u0103 dup\u0103 tratament<\/h2>\n<p id=\"p-8\">Evolu\u021bia celor doi pacien\u021bi a fost diferit\u0103, \u00eens\u0103 \u00een ambele cazuri rezultatele au fost remarcabile. B\u0103rbatul \u0219i-a recuperat o mare parte din func\u021biile neurologice \u0219i, potrivit autorilor studiului, \u201e\u0219i-a reluat o via\u021b\u0103 normal\u0103\u201d. Dup\u0103 transplant, acesta a devenit tat\u0103l a doi copii.<\/p>\n<p id=\"p-9\">\u00cen cazul femeii, recuperarea neurologic\u0103 a fost mai modest\u0103, \u00eens\u0103 nu a mai avut nevoie de tratament, \u0219i-a rec\u0103p\u0103tat par\u021bial mobilitatea bra\u021belor \u0219i se bucur\u0103 de o bun\u0103 calitate a vie\u021bii.<\/p>\n<p id=\"p-10\">Cercet\u0103torii subliniaz\u0103 c\u0103 niciun tratament aprobat \u00een prezent pentru neuromielita optic\u0103 nu le permite pacien\u021bilor \u201es\u0103 r\u0103m\u00e2n\u0103 f\u0103r\u0103 tratament, men\u021bin\u00e2nd \u00een acela\u0219i timp controlul bolii \u0219i dispari\u021bia complet\u0103 a anticorpilor patogeni\u201d.<\/p>\n<h2 id=\"chapter-3\">Procedur\u0103 promi\u021b\u0103toare, dar \u00eenc\u0103 experimental\u0103<\/h2>\n<p id=\"p-11\">Transplantul alogen de celule stem este utilizat de mai mul\u021bi ani \u00een tratamentul unor forme de cancer \u0219i al anemiei falciforme, \u00eens\u0103 aplicarea sa \u00een neuromielita optic\u0103 r\u0103m\u00e2ne limitat\u0103. Procedura este complex\u0103 \u0219i presupune riscuri importante, deoarece sistemul imunitar este practic eliminat \u00eenainte de a fi reconstruit.<\/p>\n<p id=\"p-12\">Pentru confirmarea eficien\u021bei \u0219i siguran\u021bei, metoda trebuie evaluat\u0103 \u00een studii clinice mai ample, \u00eens\u0103.<\/p>\n<p id=\"p-13\">\u201eRezultatele sugereaz\u0103 c\u0103, \u00een cazuri atent selectate, \u00eenlocuirea sistemului imunitar poate asigura controlul bolii pe termen lung \u0219i chiar vindecarea, \u00eens\u0103 sunt necesare studii mai ample pentru confirmarea siguran\u021bei \u0219i identificarea pacien\u021bilor potrivi\u021bi\u201d, spun cercet\u0103torii.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cercet\u0103torii de la Institutul \u0218tiin\u021bific San Raffaele (IRCCS) din Italia au urm\u0103rit evolu\u021bia a doi pacien\u021bi trata\u021bi prin transplant alogen de celule stem hematopoietice (alloHCT), o procedur\u0103 prin care sistemul &hellip; <a href=\"https:\/\/microscopemedia.com\/?p=701459\" class=\"more-link\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":701460,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/posts\/701459"}],"collection":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=701459"}],"version-history":[{"count":0,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/posts\/701459\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/media\/701460"}],"wp:attachment":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=701459"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=701459"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=701459"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}