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   <dc:title>Cell therapy for factor V deficiency: an approach based on human decidua mesenchymal stem cells</dc:title>
   <dc:creator>Serrano, Luis </dc:creator>
   <dc:creator>De la Torre, Paz</dc:creator>
   <dc:creator>Liras, Antonio</dc:creator>
   <dc:creator>Flores, Ana </dc:creator>
   <dcterms:abstract>Deficiency of factor V is a congenital autosomal recessive coagulopathy associated with mutations in the F5 gene that results in mild-to-severe bleeding episodes. Factor V is a component of the prothrombinase complex responsible for accelerating conversion of prothrombin to thrombin. At the present time there are no therapeutic factor V concentrates available. This study was designed to lay the preliminary foundations for future cell-based therapy for patients with severe factor V deficiency. The study showed that hepatospheres, which produce coagulation factors VIII, IX, and V, synthetize and store intracellular glycogen and express albumin levels up to 8 times higher than those of undifferentiated cells. Factor IX and factor V gene expression increased significantly in hepatospheres as compared to undifferentiated cells, whereas factor VIII gene expression remained constant. The factor V protein was detected in the hepatospheres´ secretome. Considering the enormous potential of mesenchymal stem cells as therapeutic agents, this study proposes a highly reproducible method to induce differentiation of mesenchymal stem cells from human placenta to factor V-producing hepatospheres. This strategy constitutes a preliminary step towards a curative treatment of factor V deficiency through advanced therapies such as cell therapy.</dcterms:abstract>
   <dcterms:dateAccepted>2023-06-16T14:19:34Z</dcterms:dateAccepted>
   <dcterms:available>2023-06-16T14:19:34Z</dcterms:available>
   <dcterms:created>2023-06-16T14:19:34Z</dcterms:created>
   <dcterms:issued>2021</dcterms:issued>
   <dc:type>journal article</dc:type>
   <dc:identifier>https://hdl.handle.net/20.500.14352/4688</dc:identifier>
   <dc:identifier>0753-3322</dc:identifier>
   <dc:identifier>10.1016/j.biopha.2021.112059</dc:identifier>
   <dc:language>eng</dc:language>
   <dc:relation>(PI15/01803)</dc:relation>
   <dc:relation>(S2013/MIT-2862-CM)</dc:relation>
   <dc:relation>(ASANHEMO FV2016–20)</dc:relation>
   <dc:relation>(PI2013/0116)</dc:relation>
   <dc:rights>https://creativecommons.org/licenses/by-nc-nd/3.0/es/</dc:rights>
   <dc:rights>open access</dc:rights>
   <dc:rights>Atribución-NoComercial-SinDerivadas 3.0 España</dc:rights>
   <dc:publisher>Elsevier</dc:publisher>
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