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Hematopoietic Stem Cell Transplantation for Multiple Sclerosis
Richard K. Burt, MD;
Bruce Cohen, MD;
John Rose, MD;
Finn Petersen, MD;
Yu Oyama, MD;
Dusan Stefoski, MD;
George Katsamakis, MD;
Ewa Carrier, MD;
Tomas Kozak, MD;
Paolo A. Muraro, MD;
Roland Martin, MD;
Roger Hintzen, MD;
Shimon Slavin, MD;
Dimitrios Karussis, MD;
Shalom Haggiag, MD;
Julio C. Voltarelli, MD;
George W. Ellison, MD;
Borko Jovanovic, PhD;
Uday Popat, MD;
Joseph McGuirk, MD;
Laisvyde Statkute, MD;
Larissa Verda, PhD;
Judith Haas, MD;
Renate Arnold, MD
Arch Neurol. 2005;62:860-864.
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INTRODUCTION
Hematopoietic stem cell transplantation (HSCT) was proposed as a treatment for multiple sclerosis (MS) in 1995 based on favorable results in animal models including experimental autoimmune encephalomyelitis.1 These initial or first-generation trials were developed by medical oncology subspecialists, used malignancy-specific myeloablative transplantation regimens, and selected patients with secondary progressive MS with rapid progression of disability. In general, these trials suffered from higher than anticipated toxic reactions including treatment-related and disease-related mortality, continued loss of . . . [Full Text of this Article]
RATIONALE OF HSCT
ANIMAL RESULTS
MOBILIZATION OF HSCs FROM PATIENTS WITH MS
EX VIVO HCS SELECTION
CONDITIONING REGIMEN
RESULTS OF FIRST-GENERATION HSCT PROTOCOLS FOR MS
SECOND-GENERATION NONMYELOABLATIVE HSCT PROTOCOLS FOR MS
SUMMARY
AUTHOR INFORMATION
Author Affiliations: Division of Immunotherapy, Departments of Medicine (Drs Burt, Oyama, Statkute, and Verda), Neurology (Dr Cohen), and Preventive Medicine (Dr Jovanovic), Northwestern University Feinberg School of Medicine, Chicago, Ill; Departments of Neurology and Medicine, University of Utah (Drs Rose and Petersen), Salt Lake City; Department of Neurology, Rush University Medical Center (Drs Stefoski and Katsamakis), Chicago; Departments of Medicine and Neurosciences, University of California, San Diego (Drs Carrier and Ellison); Department of Medicine, Charles University, Prague, Czech Republic (Dr Kozak); National Institute of Neurologic Diseases and Stroke, National Institutes of Health, Bethesda, Md (Drs Muraro and Martin); Department of Neurology, Erasmus Medical Centre, Rotterdam, the Netherlands (Dr Hintzen); Departments of Bone Marrow Transplantation and Neurology, Hadassah University Hospital, Jerusalem, Israel (Drs Slavin, Karussis, and Haggiag); Department of Medicine, University of São Paolo, Ribeiro Preto, Brazil (Dr Voltarelli); Department of Blood and Marrow Transplantation, M. D. Anderson Cancer Center, Houston, Tex (Dr Popat); Kansas City Cancer Center, Kansas City, Mo (Dr McGuirk); and Department of Neurology, Jewish Hospital, and Department of Hematology and Oncology, Charité Hospital, Berlin, Germany (Drs Hass and Arnold).
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